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在急性症状性肺栓塞住院患者中使用STOP-Bang问卷
Winnifer Briceño1, Esther Barbero1, Eva Mañas1
1Respiratory Department, Hospital Ramón y Cajal, IRYCIS, Madrid, Spain.
Sleep
|July 12, 2024
概括
STOP-Bang调查问卷在入院肺栓塞 (PE) 患者的阻塞性睡眠呼吸暂停 (OSA) 查中具有有限的用途. 虽然在男性中很敏感,但其差异性差异和高虚假阴性率降低了其用于排除OSA的临床实用性.
科学领域:
- 肺部病理学 肺部病理学
- 睡眠医学 睡眠医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病.
- STOP-Bang问卷是用于OSA查的验证工具.
- 患有急性症状性肺栓塞 (PE) 的住院患者可能有未诊断的OSA.
研究的目的:
- 验证STOP-Bang问卷对急性症状性肺栓塞 (PE) 的住院患者进行阻塞性睡眠呼吸暂停 (OSA) 查.
- 评估STOP-Bang问卷对风险分层和对该人群中OSA风险的歧视的有用性.
主要方法:
- 连续稳定的急性PE患者的前性队列研究.
- 被录取的患者在PE诊断后7天内进行了夜间睡眠研究.
- STOP-Bang问卷分数与睡眠研究结果相关,以确定OSA预测的测试性能特征.
主要成果:
- 在268名患者中,47%的患者患有OSA.
- 在STOP-Bang风险类别 (22.4%低,48.2%中度,61.5%高) 中,OSA发生率增加.
- STOP-Bang问卷显示差别差 (AUC 0.65),高假阴性率 (22.4%),和低临床效用 (21.6%) 排除OSA.
结论:
- STOP-Bang调查问卷表明,在住院PE患者中,OSA风险的歧视很差.
- 它的高虚假阴性率和低临床效用限制了它在这个人群中的使用.
- 该问卷可能有助于排除男性因良好的敏感性 (89.8%) 的OSA.
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