The Berlin questionnaire for sleep apnea in a sleep clinic population: relationship to polysomnographic measurement of respiratory disturbance
The Berlin questionnaire for sleep apnea in a sleep clinic population: relationship to polysomnographic measurement of respiratory disturbance
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DOI：
10.1007/s11325-007-0125-y
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发表时间：
2008-02-01
影响因子：
2.5
通讯作者：
Shapiro, Colin M.
中科院分区：
文献类型：
--
作者：
Ahmadi, Negar;Chung, Sharon A.;Shapiro, Colin M.
柏林问卷（BQ）已被用于帮助识别初级保健中睡眠呼吸暂停高风险患者和房颤患者。BQ在睡眠医学和研究中可能是一个有用的辅助工具，但它从未在睡眠诊所人群中得到验证。本研究的目的是确定BQ的特异性和敏感性相比，呼吸紊乱指数（RDI）值从两个晚上的多导睡眠图记录在睡眠诊所的人口。这是一项对130名睡眠诊所患者的回顾性图表审查研究。患者的人口统计学、BQ评分、RDI测量和睡眠研究参数从患者图表中提取。在回顾的130个图表中，BQ确定了76个（58.5%）处于睡眠呼吸暂停的高风险中，但夜间多导睡眠图发现130个患者中只有34个（26.2%）RDI > 10。当RDI > 10时，BQ的敏感性为0.62，特异性为0.43。由于灵敏度和特异性低以及大量的假阴性和假阳性，柏林问卷不是在睡眠诊所人群中识别睡眠呼吸暂停患者的合适工具。
The Berlin questionnaire (BQ) has been used to help identify patients at high risk of having sleep apnea in primary care and atrial fibrillation patients. The BQ may be a useful adjunct in sleep medicine and research, but it has never been validated in a sleep clinic population. The aim of the study is to determine the specificity and sensitivity of the BQ compared to the respiratory disturbance index (RDI) values obtained from two nights of polysomnographic recording in a sleep clinic population. This is a retrospective chart review study of 130 sleep clinic patients. Patients' demographics, BQ scores, RDI measurements, and sleep study parameters were extracted from the patients' chart. Of the 130 charts reviewed, the BQ identified 76 (58.5%) as being at high-risk of having sleep apnea, but overnight polysomnography found only 34 of the 130 patients (26.2%) had an RDI > 10. The BQ performed with 0.62 sensitivity and 0.43 specificity at the RDI > 10 level. Due to the low sensitivity and specificity as well as the large number of false negatives and positives, the Berlin questionnaire is not an appropriate instrument for identifying patients with sleep apnea in a sleep clinic population.