RELATIVE VALIDITY OF SELF-REPORTED SNORING AS A SYMPTOM OF SLEEP-APNEA IN A SLEEP CLINIC POPULATION
RELATIVE VALIDITY OF SELF-REPORTED SNORING AS A SYMPTOM OF SLEEP-APNEA IN A SLEEP CLINIC POPULATION
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DOI：
10.1378/chest.99.3.600
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发表时间：
1991-03-01
期刊：
影响因子：
9.6
通讯作者：
DEMENT, WC
中科院分区：
文献类型：
--
作者：
BLIWISE, DL;NEKICH, JC;DEMENT, WC
本研究的目的是评估三个不同的问题的相对有效性回答打鼾作为睡眠呼吸暂停的指标，在人口提到的睡眠诊所。 次要目标是评估对这些问题的“不知道”回答的意义，并检查打鼾和睡眠呼吸暂停之间的关联如何受到人口统计学的影响。 来自睡眠诊所的1，409名患者的结果表明，几乎所有水平的估计打鼾频率都与睡眠呼吸暂停的可能性更大有关。 此外，“不知道”的反应表明可能有睡眠呼吸暂停。 在该诊所的样本中，男性的敏感性接近90%，女性的特异性接近90%，但在这里使用的三个打鼾问题中无法实现高诊断准确性（男性高特异性;女性高敏感性）。 一般来说，打鼾和睡眠呼吸暂停之间的联系与年龄和性别无关。 单身的人，独居的人，以及习惯独自睡觉的人，无论男女，都表现出自我报告的打鼾和睡眠呼吸暂停之间的联系。
The purpose of this study was to evaluate the relative validity of responses to three different questions about snoring as indicators for sleep apnea in a population referred to a sleep clinic. Secondary goals were to evaluate the meaning of a "don't know" response to these questions and to examine how the associations between snoring and sleep apnea are influenced by demographics. Results from 1,409 patients in a sleep clinic indicated that nearly all levels of estimated snoring frequency were associated with a greater likelihood of sleep apnea. In addition, a "don't know" response indicated a likelihood of sleep apnea. In the sample from this clinic, sensitivities approximating 90 percent were obtained in men, specificities approximating 90 percent were obtained in women, but high diagnostic accuracy (high specificity in men; high sensitivity in women) could not be achieved with the three snoring questions used here. Generally, associations between snoring and sleep apnea were independent of age and sex. Single persons, persons living alone, and persons customarily sleeping alone of both sexes all showed associations between self-reported snoring and the presence of sleep apnea.