Validation of ESS,STOP,STOP-BANG questionnaire for identification of patients with OSAHS
详细信息 查看官网全文
- 英文论文题名：Validation of ESS,STOP,STOP-BANG questionnaire for identification of patients with OSAHS
- 论文作者：Yuyu Wang ; Huajun Xu ; Jian Guan ; Hongliang Yi ; Shankai Yin
- 英文论文作者：Yuyu Wang ; Huajun Xu ; Jian Guan ; Hongliang Yi ; Shankai Yin ; Department of Otolaryngology ; Shanghai Jiao Tong University Affiliated Sixth People's Hospital ; Otolaryngology Institute of Shanghai Jiao Tong University ; Department of Otolaryngology ; Therapy Center for Obstructive Sleep Apnea ; Shanghai Jiao Tong University Affiliated Sixth People's Hospital
- 年：2016
- 作者机构：Department of Otolaryngology,Shanghai Jiao Tong University Affiliated Sixth People's Hospital;Otolaryngology Institute of Shanghai Jiao Tong University;Department of Otolaryngology,Therapy Center for Obstructive Sleep Apnea,Shanghai Jiao Tong University Affiliated Sixth People's Hospital;
- 英文论文关键词：obstructive sleep apnea hypopnea syndrome ; STOP-BANG questionnaire ; prediction model ; sensitivity ; specificity
- 会议召开时间：2016-05-27
- 会议录名称：中国睡眠研究会第九届学术年会汇编
- 语种：英文
- 分类号：R766
- 学会代码：OGSF
- 会议名称：中国睡眠研究会第九届学术年会
- 会议地点：中国上海
- 主办单位：中国睡眠研究会
- 学会名称：中国睡眠研究会
- 页数：2
- 文件大小：57k
- 原文格式：O
- 会议级别：全国
摘要
Objectives To evaluate the efficiency of ESS,STOP,STOP-BANG questionnaire in screening OSAHS in Shanghai and individually discuss the impact of gender on the screening.Methods Consecutive subjects referred for suspected OSAHS from October 2010 to January 2013 were included in this study.After excluding related diseases,all included adults completed a medical history inquiry,the ESS scale,STOP-BANG questionnaire,anthropometric measurements and overnight PSG.A prediction model based on STOP-BANG questionnaire and other variables was built.Receiver operating characteristic(ROC) curve analyses were used to estimate the efficiency of ESS,STOP,STOP-BANG questionnaires and prediction model in screening OSAHS.Furthermore,all analyses were stratified by sex to discuss the impact of gender on screening.Results A total of 1087 adults were included in the final analysis.Significant differences of ESS scale,STOP and STOP-BANG questionnaires in predicting OSAHS were found between OSAHS and nonOSAHS groups.ROC curve demonstrated that both STOP and STOP-BANG questionnaires had better diagnostic accuracy than ESS scale.For OSAHS with AHI >5,STOP-BANG questionnaire had an area under ROC curve(AUC) of 0.841(0.813-0.868),a sensitivity of 79.0%and specificity of 76.3%.The STOP-BANG based prediction model had an AUC of 0.920(0.900-0.937),a sensitivity of 78.0%and a specificity of 90.0%in males;an AUC of 0.942(0.912-0.971),a sensitivity of 95.0%and a specificity of 83.5%in females.In addition,analysis stratified by gender showed differences of best cut-off values between males and females in STOP-BANG questionnaire,which was 3 in males and 2 in females.Conclusions Both STOP and STOP-BANG questionnaires had moderate diagnostic accuracy for OSAHS.The STOP-BANG-based prediction model had excellent diagnostic efficiency,and could be applied to clinical use.Additionally,the best cut-off values differed from males to females,which should be considered in clinical practice.
Objectives To evaluate the efficiency of ESS,STOP,STOP-BANG questionnaire in screening OSAHS in Shanghai and individually discuss the impact of gender on the screening.Methods Consecutive subjects referred for suspected OSAHS from October 2010 to January 2013 were included in this study.After excluding related diseases,all included adults completed a medical history inquiry,the ESS scale,STOP-BANG questionnaire,anthropometric measurements and overnight PSG.A prediction model based on STOP-BANG questionnaire and other variables was built.Receiver operating characteristic(ROC) curve analyses were used to estimate the efficiency of ESS,STOP,STOP-BANG questionnaires and prediction model in screening OSAHS.Furthermore,all analyses were stratified by sex to discuss the impact of gender on screening.Results A total of 1087 adults were included in the final analysis.Significant differences of ESS scale,STOP and STOP-BANG questionnaires in predicting OSAHS were found between OSAHS and nonOSAHS groups.ROC curve demonstrated that both STOP and STOP-BANG questionnaires had better diagnostic accuracy than ESS scale.For OSAHS with AHI >5,STOP-BANG questionnaire had an area under ROC curve(AUC) of 0.841(0.813-0.868),a sensitivity of 79.0%and specificity of 76.3%.The STOP-BANG based prediction model had an AUC of 0.920(0.900-0.937),a sensitivity of 78.0%and a specificity of 90.0%in males;an AUC of 0.942(0.912-0.971),a sensitivity of 95.0%and a specificity of 83.5%in females.In addition,analysis stratified by gender showed differences of best cut-off values between males and females in STOP-BANG questionnaire,which was 3 in males and 2 in females.Conclusions Both STOP and STOP-BANG questionnaires had moderate diagnostic accuracy for OSAHS.The STOP-BANG-based prediction model had excellent diagnostic efficiency,and could be applied to clinical use.Additionally,the best cut-off values differed from males to females,which should be considered in clinical practice.
Objectives To evaluate the efficiency of ESS,STOP,STOP-BANG questionnaire in screening OSAHS in Shanghai and individually discuss the impact of gender on the screening.Methods Consecutive subjects referred for suspected OSAHS from October 2010 to January 2013 were included in this study.After excluding related diseases,all included adults completed a medical history inquiry,the ESS scale,STOP-BANG questionnaire,anthropometric measurements and overnight PSG.A prediction model based on STOP-BANG questionnaire and other variables was built.Receiver operating characteristic(ROC) curve analyses were used to estimate the efficiency of ESS,STOP,STOP-BANG questionnaires and prediction model in screening OSAHS.Furthermore,all analyses were stratified by sex to discuss the impact of gender on screening.Results A total of 1087 adults were included in the final analysis.Significant differences of ESS scale,STOP and STOP-BANG questionnaires in predicting OSAHS were found between OSAHS and nonOSAHS groups.ROC curve demonstrated that both STOP and STOP-BANG questionnaires had better diagnostic accuracy than ESS scale.For OSAHS with AHI >5,STOP-BANG questionnaire had an area under ROC curve(AUC) of 0.841(0.813-0.868),a sensitivity of 79.0%and specificity of 76.3%.The STOP-BANG based prediction model had an AUC of 0.920(0.900-0.937),a sensitivity of 78.0%and a specificity of 90.0%in males;an AUC of 0.942(0.912-0.971),a sensitivity of 95.0%and a specificity of 83.5%in females.In addition,analysis stratified by gender showed differences of best cut-off values between males and females in STOP-BANG questionnaire,which was 3 in males and 2 in females.Conclusions Both STOP and STOP-BANG questionnaires had moderate diagnostic accuracy for OSAHS.The STOP-BANG-based prediction model had excellent diagnostic efficiency,and could be applied to clinical use.Additionally,the best cut-off values differed from males to females,which should be considered in clinical practice.
引文