Overnight pulse oximetry for screening of obstructive sleep apnea in at-risk adult patients in the primary care setting:prospective case series

作     者：Lap-Kin Chiang Cheuk-Wai Kam Lorna V.Ng 

作者机构：Family Medicine and General Outpatient DepartmentKwong Wah HospitalHong Kong 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2017年第5卷第3期

页      面：215-222页

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

基　　金：Tung Wah Group of Hospitals Research Fund provided funding 

主　　题：Obstructive sleep apnea overnight pulse oximetry primary care 

摘      要：Objective:To estimate prevalence of OSA among at risk adult patients in primary care *** test the correlation and agreement between overnight pulse oximetry and polysomnography(PSG).To test the OSA screening performance of overnight pulse *** and Setting:Prospective case series involving adult Chinese patients with risk fac-tors for OSA at a primary care clinic of Hong ***:The prevalence and severity of OSA were established based on overnight pulse oximetry derived oxygen desaturation index(ODI).Screening performance of overnight pulse oxi-metry was compared directly with gold standard diagnostic test ***:Three hundred and five male and 229 female patients were ***(48.3%)was the top presenting *** hundred and twenty five patients(60.9%)were screened positive to have *** hundred and nine patients had performed PSG,the ODI_4 and apnoea-hypopnea index(AHI)had Pearson correlation coefficient 0.71(P0.001).Bland and Alt-man plot showed good *** designation criteria of ODI_4≥5 events/hr,the sensitivity and specificity for OSA diagnosis are 94.4%and 78.9%***:The prevalence of OSA is 60.9% among adult primary care population who are at risk for *** pulse oximetry shows good performance as a screening tool for the screening of OSA.