开发和验证SONA问卷:适度至严重阻塞性睡眠呼吸暂停的性别特定查工具
Ankur Joshi1, Abhishek Goyal2, Abhijit Pakhare1
1Community and Family Medicine, AIIMS Bhopal, Bhopal, India.
Journal of sleep research
|August 9, 2025
概括
一个新的查工具,SONA,有效地识别出有阻断性睡眠呼吸暂停 (OSA) 风险的个体. 这个简单的工具,使用腰部,部,年龄和打,在资源有限的环境中优于现有的方法.
科学领域:
- 睡眠医学 睡眠医学
- 诊断工具开发 诊断工具开发
- 公共卫生 公共卫生
背景情况:
- 阻断性睡眠呼吸暂停 (OSA) 诊断的夜间多睡眠法 (PSG) 在资源有限的环境中面临物流和财务障碍.
- 需要一个简单,有效的查工具来识别在初级保健和服务不足的地区有OSA风险的个人.
研究的目的:
- 开发和验证一种新的,简单的OSA风险查工具.
- 将新工具的性能与现有的OSA选仪器进行比较.
主要方法:
- 分析了从1015名接受I级PSG的健康志愿者的数据.
- 开发了四种使用人口统计,人体测量和临床变量进行预测的模型,以呼吸暂停-呼吸暂停指数 (AHI) 为参考.
- 从表现最佳的模型推导SONA评分系统,包括腰围,子周长,年龄和打.
主要成果:
- 从0到11的SONA分数来自四个变量:腰围,子周围,年龄和打.
- 最佳诊断截止线被确定为社区设置的5分和医院设置的8分.
- 与STOPBANG (0.72),NoSAS (0.77),GOAL (0.74) 和柏林问卷 (0.70) 相比,SONA得分显示出更高的歧视 (AUC = 0.83),AHI截止值为15.
结论:
- 与当前的工具相比,SONA评分是OSA查的更简单,更准确的替代方案.
- 索纳评分非常适合在初级保健和资源有限的环境中实施,以早期识别OSA风险.
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