评估弗里德曼分类及其组件在预测阻塞性睡眠呼吸暂停方面的有效性:一项巴西横截面研究
Keren Cozer1, Ricardo L M Duarte2,3, Jaqueline M Pereira1
1Hospital Universitário Clementino Fraga Filho - Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.
概括
弗里德曼分类对成年人阻塞性睡眠呼吸暂停 (OSA) 的查无效. 经过验证的工具,如STOP-BANG和GOAL,在识别OSA时表现出卓越的诊断准确性.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
- 诊断准确性研究 诊断准确性研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的疾病,需要有效的查工具.
- 弗里德曼分类,包括修改的马兰帕蒂指数 (MMI) 和桃体大小,被提出用于OSA预测.
- 像STOP-BANG和GOAL这样的验证问卷通常用于OSA查.
研究的目的:
- 评估弗里德曼分类及其组件在预测OSA方面的有效性.
- 为了比较弗里德曼分类的歧视性准确性与STOP-BANG和GOAL问卷.
主要方法:
- 一项涉及558名接受家庭睡眠呼吸暂停测试 (HSAT) 的门诊患者的横截面研究.
- 口腔和耳鼻检查是对HSAT结果的盲目进行的.
- 曲线下的面积 (AUC) 用于评估各种OSA严重程度的歧视性准确性.
主要成果:
- 弗里德曼分类及其组件 (MMI,桃体大小) 在预测所有严重程度的OSA方面表现不佳 (AUC < 0.6).
- 在STOP-BANG和GOAL问卷中,有充分的歧视 (AUC为0.6690.768).
- 对于任何OSA严重程度,在STOP-BANG和GOAL之间没有观察到AUC的显著差异.
结论:
- 弗里德曼分类作为成年OSA的查工具是不够的.
- STOP-BANG和GOAL问卷是成年人阻塞性睡眠呼吸暂停的更有效的查工具.
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