Screening for obstructive sleep apnea before surgery: why is it important?
Screening for obstructive sleep apnea before surgery: why is it important?
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DOI：
10.1097/aco.0b013e32832a96e2
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发表时间：
2009-06-01
影响因子：
2.5
通讯作者：
Elsaid, Hisham
中科院分区：
文献类型：
--
作者：
Chung, Frances;Elsaid, Hisham
目的reviewThe目的这篇文章是审查筛选工具，可在术前诊所的患者在阻塞性睡眠呼吸暂停的风险。最近findingsObstructive睡眠呼吸暂停（OSA）是最普遍的睡眠障碍。据估计，82%的男性和92%的女性患有中度至重度睡眠呼吸暂停症，但没有被诊断出来。未确诊的OSA患者可能会增加围手术期并发症。通过适当的筛查发现患者中未确诊的OSA，可以降低OSA患者的围手术期风险。打鼾（S）、白天疲劳（T）、观察到的呼吸暂停（0）和高血压（P）（STOP）问卷是一种简明易用的筛查工具，可用于识别OSA高风险患者。它已在术前诊所的手术患者中作为筛查工具得到验证。将BMI、年龄、颈部大小和性别纳入STOP问卷（STOP-Bang）中，将进一步增加灵敏度和阴性预测值（NPV），特别是对于中重度OSA患者。
Purpose of reviewThe purpose of this article is to review the screening tools available in the preoperative clinic for patients at risk of obstructive sleep apnea.Recent findingsObstructive sleep apnea (OSA) is the most prevalent sleep disorder. An estimated 82% of men and 92% of women with moderate-to-severe sleep apnea have not been diagnosed. Patients with undiagnosed OSA may have increased perioperative complications. The perioperative risk of patients with OSA may be reduced by appropriate screening to detect undiagnosed OSA in patients. The snoring (S), tiredness (T) during daytime, observed apnea (0), and high blood pressure (P) (STOP) questionnaire is a concise and easy-to-use screening tool to identify patients with a high risk of OSA. It has been validated in surgical patients at preoperative clinics as a screening tool. Incorporating BMI, age, neck size and gender into the STOP questionnaire (STOP-Bang), will further increase the sensitivity and negative predictive value (NPV), especially for patients with moderate-to-severe OSA.SummaryThe STOP questionnaire is short and can be easily incorporated into routine screening of general or surgical patients.