한국에서 수면무호흡 환자의 선별검사로서 Berlin 설문과 STOP 설문의 유용성

권철; 신승엽; 이건희; 조중생; 김성완

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자료유형: 학술저널

저자정보: 권철 신승엽 이건희 조중생 김성완

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제53권 제12호

발행연도: 2010.1

수록면: 768 - 772 (5page)

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Background and Objectives Although obstructive sleep apnea is common, it has often gone undiagnosed in primary care encounters until now, with no validated screening tool of obstructive sleep apnea (OSA) for Korean patients. The aim of this study was to investigate the usefulness of Berlin questionnaire (Berlin Q) and STOP questionnaire (STOP Q) as a screening test for sleep apnea for the Korean patients. Subjects and Method We administered Berlin Q and STOP Q to 106 patients who received a full night polysomnography. We investigated sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of each questionnaire according to patients’ severity by apnea hypopnea index (AHI). Results Results were categorized according to AHI severity using cut-off points of AHI greater than 5, 15, and 30. The sensitivity and specificity of the Berlin Q were 69, 72, 78% and 41, 43, 39%, respectively. NPV and PPV of Berlin Q were 0.20, 0.43, 0.74 and 0.86, 0.72, 0.43, respectively. The sensitivity and specificity of the STOP Q was 97, 97, 98% and 35, 20, 12%, respectively. NPV and PPV for STOP Q were 0.67, 0.78, 0.89 and were 0.89, 0.71, 0.40, respectively. Conclusion Our results indicate that STOP Q shows higher sensitivity than Berlin Q with similar specificity. Therefore, STOP Q is a more convenient and better means than Berlin Q to screen patients for obstructive sleep apnea. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:768-72

#Berlin questionnaireㆍSTOP questionnaireㆍObstructive sleep apnea.

참고문헌 (14)

참고문헌 신청

Chung F / 2008 / STOP questionnaire: a tool to screen patients for obstructive sleep apnea / Anesthesiology 108 (5) : 812 ~ 821

Emsellem HA / 1990 / Verification of sleep apnea using a portable sleep apnea screening device / South Med J 83 (7) : 748 ~ 752

Hida W / 1993 / Prevalence of sleep apnea among japanese industrial workers determined by a portable sleep monitoring system / Respiration 60 (6) : 332 ~ 337

Kryger MH / 2000 / Diagnosis and management of sleep apnea syndrome / Clin Cornerstone 2 (5) : 39 ~ 47

Min YG / 1992 / Evaluation of polysomnographic fingings on diagnosis of OSA / Korean Otolaryngol-Head Neck Surg 35 (1) : 88 ~ 94

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