使用STOP-Bang问卷调查的阻塞性睡眠呼吸暂停高风险组的患病率及其与心血管发病率的关联
Jieun Kang1, Hyeon-Kyoung Koo1, Hyung Koo Kang1
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Ilsan Paik Hospital, Inje University School of Medicine, Goyang, Republic of Korea.
Frontiers in neurology
|December 24, 2024
概括
许多面临阻塞性睡眠呼吸暂停 (OSA) 高风险的韩国人仍未被诊断出来. 在STOP-Bang问卷中,确定了患心血管疾病发病率增加的高风险组,强调了需要进行OSA查的必要性.
科学领域:
- 睡眠医学 睡眠医学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 很普遍,但往往没有被诊断出来.
- STOP-Bang调查问卷有助于识别患有OSA高风险的个人.
研究的目的:
- 用STOP-Bang问卷确定韩国OSA高风险个体的流行率.
- 评估STOP-Bang风险分层是否可以独立预测心血管疾病发病率.
主要方法:
- 利用韩国国家健康和营养检查调查 (2019-2020) 的数据.
- 包括40岁以上的参与者,拥有完整的STOP-Bang数据.
- 根据STOP-Bang得分将风险分类为高 (≥5),中等 (3-4),或低 (<3).
- 使用后勤回归分析了高风险组与心血管疾病之间的关联.
主要成果:
- 在6630名参与者中,大约6.7%的人被归类为OSA的高风险.
- 与较低风险组相比,高风险组的心血管疾病患病率显著更高 (11.9%).
- 高的STOP-Bang风险独立预测了心血管发病率的增加 (OR,2.05;p=0.002),特别是在男性中.
结论:
- 韩国有很大一部分人口面临高风险的OSA仍未被诊断出来.
- 通过STOP-Bang识别的高风险个体有更大的心血管疾病的负担.
- STOP-Bang风险分层是预测一般人群心血管风险的一个有价值的工具.
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