欧洲睡眠手术专家关于打和阻塞性睡眠呼吸暂停的共识声明:第一部分定义和诊断
Ewa Olszewska1, Andrea De Vito2, Peter Baptista3
1Department of Otolaryngology, Sleep Apnea Surgery Center, Medical University of Bialystok, 15-276 Bialystok, Poland.
Journal of clinical medicine
|January 23, 2024
概括
欧洲睡眠外科医生就打和阻塞性睡眠呼吸暂停 (OSA) 的定义和使用德尔菲方法的诊断达成共识. 这个过程提炼了陈述,改善了这个不断变化的领域专家之间的共识.
科学领域:
- 睡眠医学 睡眠医学
- 在外科手术实践中.
- 建立医学共识 建立医学共识
背景情况:
- 睡眠外科医生之间关于打和阻塞性睡眠呼吸暂停 (OSA) 的知识和实践存在差异.
- 建立标准化定义和诊断标准对于这个相对较新的和不断发展的领域至关重要.
研究的目的:
- 为了在欧洲睡眠外科医生中就打和阻塞性睡眠呼吸暂停 (OSA) 的定义和诊断达成专家共识.
- 通过严格的共识建设过程,制定一套标准化的陈述.
主要方法:
- 采用了德尔菲方法,涉及八名欧洲睡眠手术专家之间的五轮代反.
- 陈述是基于现有文献开发的,并根据专家的回复,包括协议级别和匿名评论,进行了改进.
主要成果:
- 最初的共识很低,只有45%的陈述在第一轮所有八名小组成员之间达成一致.
- 经过五轮讨论,共识显著改善,66.7%的最终99个陈述在所有八位小组成员之间达成一致.
结论:
- 德尔菲方法在专家互动和就与打和OSA相关的关键陈述达成共识方面被证明是有效的.
- 这项研究为睡眠手术中的标准化定义和诊断方法提供了基础.
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