Sleep problems and the risk for sleep disorders in an outpatient veteran population.
Sleep problems and the risk for sleep disorders in an outpatient veteran population.
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DOI：
10.1007/s11325-005-0016-z
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发表时间：
2005-06-01
期刊：
影响因子：
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通讯作者：
Strohl, Kingman
中科院分区：
文献类型：
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作者：
Mustafa, Masroor;Erokwu, Nkolika;Strohl, Kingman
我们使用自我报告问卷来识别患有慢性睡眠障碍症状和/或睡眠呼吸暂停以及不宁腿综合征（RLS）、失眠和发作性睡病的高预测概率的门诊患者。我们向美国俄亥俄州东北部退伍军人管理局 (VA) 医疗中心诊所等待预约的患者进行了调查。解决打鼾行为频率的项目；醒来时的嗜睡或疲劳、肥胖/高血压病史（Netzer 等，1999）以及其他症状，被分为失眠、发作性睡病和不宁腿综合征的阳性风险和阴性风险。在参与调查的患者中，886 名（59.2%）及时回复了问卷。平均年龄为 62.5 岁（范围为 19 至 85 岁）； 95%为男性；平均体重指数为29.3 kg/cm(2)（范围为15.1至57.5 kg/cm(2)）； Epworth 嗜睡量表平均得分为 8.3（范围为 1 至 22），其中 4.6% 的得分 > 17。在受访者中，47.4%的人符合睡眠呼吸暂停的高危标准，41.7%的人符合失眠的高危标准，19%的人符合不宁腿综合征的高危标准，4.7%的人符合发作性睡病的高危标准。百分之二十四的人报告使用了安眠药或睡前饮酒。每周或每天疲劳驾驶超过 3-4 天的比例为 5.7%。 VA 初级保健患者睡眠呼吸暂停预测概率较高。该人群还报告了其他睡眠障碍和疲劳驾驶的慢性症状。
We used a self-report questionnaire to identify outpatients with chronic symptoms of sleep disorders and/or high pretest probability for sleep apnea as well as for restless legs syndrome (RLS), insomnia, and narcolepsy. Surveys were presented to patients waiting for an appointment in Veterans Administration (VA) Medical Center clinics in Northeast Ohio, USA. Items addressed the frequency of snoring behavior; wake time sleepiness or fatigue and history of obesity/hypertension for high risk for sleep apnea (Netzer et al. 1999), along with other symptoms, were scored as positive vs negative risk for insomnia, narcolepsy, and RLS. Of the patients offered the surveys, 886 (59.2%) provided timely responses to the questionnaire. Mean age was 62.5 years (range, 19 to 85 years); 95% were males; mean body mass index was 29.3 kg/cm(2) (range, 15.1 to 57.5 kg/cm(2)); and mean Epworth Sleepiness Scale score was 8.3 (range, 1 to 22) with 4.6% having a score >17. Of the respondents, 47.4% met high-risk criteria for sleep apnea, 41.7% for insomnia, 19% for restless leg syndrome, and 4.7% for narcolepsy. Twenty-four percent reported use of sleeping pills or bedtime alcohol. Drowsy driving >3-4 days a week or every day was reported in 5.7%. VA primary care patients have high prevalence for pretest probability for sleep apnea. This population also reports chronic symptoms for other sleep disorders and for drowsy driving.