查詢結果分析
相關文獻
- 睡眠門診中使用問卷預測阻塞性睡眠呼吸中止症之比較
- 大地震罹難者家屬之急性精神疾病
- 國小學生氣喘篩檢研究--ISAAC錄影帶問卷和書面問卷之比較
- Brief Alcoholism Screening Questionnaire: Establishment and Validity in Taiwanese
- 臺中榮民總醫院住院體檢受檢人對愛滋病之認識
- 扁桃腺大小和非睡姿依賴性阻塞型睡眠呼吸中止症的相關性
- 學齡前兒童動作發展篩檢量表之開發與驗證--初步研究
- 年長者聽障問卷--篩檢版得分與純音及語音聽力檢查結果之相關性
- 新型超音波裝置與睡眠多項呼吸生理檢查儀同步監測自然睡眠時舌根型態變化
- A Validation Study of the Chinese Version of the Athens Insomnia Scale
頁籤選單縮合
題 名 | 睡眠門診中使用問卷預測阻塞性睡眠呼吸中止症之比較=Comparison of Questionnaires in Predicting Obstructive Sleep Apnea Patients in a Sleep Clinic |
---|---|
作 者 | 廖伯武; 黃執中; 張淳翔; 陳正文; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷 期 | 51:2 2016.04-06[民105.04-06] |
頁 次 | 頁88-96 |
分類號 | 415.472 |
關鍵詞 | 阻塞性睡眠呼吸中止; 問卷; 睡眠多項呼吸生理檢查; 篩檢; Obstructive sleep apnea; Questionnaire; Polysomnography; Screening; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:經夜型睡眠多項呼吸生理檢查(overnight polysomnography, PSG)是診斷阻塞性睡眠呼吸中止(obstructive sleep apnea, OSA)的標準方法,但檢查耗時,費用昂貴且排檢等候時間過久仍是主要的問題,選擇有效的篩檢方法作為門診輔助診斷工具仍是必須的。方法:前瞻性地收集自2013年6月至2014年12月間,門診中以習慣性打鼾為主訴的成年病患共202名,於填寫四種中文版打鼾問卷(Epworth嗜睡量表、Berlin問卷、STOP問卷及STOP-Bang問卷)後,安排PSG。依個別問卷設計將結果分為高風險(high-risk)與低風險(low-risk)兩組,以統計方法比較四種問卷以「高風險」問卷結果預測OSA的敏感度(sensitivity),特異性(specificity),陽性預測值(positive predictive value, PPV)及陰性預測值(negative predictive value, NPV),並繪製接收者操作特徵曲線(receiver operating characteristic curve, ROC曲線),分別計算四種問卷之曲線下面積(area under curve, AUC)及P值。結果:四種問卷中以STOP-Bang問卷之「高風險」問卷結果預測OSA的能力最理想,其敏感度、特異性、陽性預測值及陰性預測值分別為86.3%、36.6%、84.2%、40.5%,AUC則為0.615 (95%信賴區間為0.511-0.718),P值為0.024。結論:四種中文版打鼾問卷中,以STOP-Bang問卷較適合作為門診中預測OSA的輔助工具,但仍有特異性及陰性預測值偏低的疑慮。持續發展結合病患主觀問卷及客觀人體測量學(anthropometric)數據的門診篩檢工具,仍是未來研究的方向。 |
英文摘要 | BACKGROUND: Overnight polysomnography (PSG) is the gold standard for diagnosing obstructive sleep apnea (OSA). It is time-consuming, costly and entails a long waiting list. Therefore, an effective tool for the office-based screening of patients with OSA is necessary. METHODS: In this study, we prospectively enrolled two hundred and two adult patients presenting with habitual snoring at the sleep clinic between June 2013 and December 2014. They were asked to complete 4 translated Chinese questionnaires (Epworth sleepiness scales, Berlin, STOP and STOP-Bang) before PSG. High-risk and low-risk groups were defined according to the scoring model of each questionnaire. The existence of OSA (AHI ≥ 5) and the results of questionnaires were compared using sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). Receiver operating characteristic (ROC) curves was plotted for each questionnaire in predicting the presence of OSA. The area under curve (AUC) for the ROC curve were calculated and used to express the predictive value of individual questionnaire. P < 0.05 was considered statistically significant. RESULTS: High-risk grouping based on the STOP-Bang questionnaire showed superiority in predicting the presence of OSA with a sensitivity of 86.3%, a specificity of 36.6%, a PPV of 84.2% and an NPV of 40.5%. The AUC was 0.615 (95% confidence interval 0.511-0.718, P = 0.024). CONCLUSIONS: The Chinese version of the STOP-Bang questionnaire has superior predictive value in predicting the existence of OSA compared with other tools. However, low specificity and low NPV were still the concern. An office-based screening method combining questionnaire and objective anthropometric data are still under development. |
本系統中英文摘要資訊取自各篇刊載內容。