Poster (Health Services, Economics and Policy Change) ID 1969166

IF 2.4 Q1 REHABILITATION
Julio C Furlan, S. L. Hitzig, James Milligan, Peter Athanasopoulos, M. Boulos
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引用次数: 0

Abstract

We studied the feasibility of a home-based screening sleep test (HBSST), the validity of four questionnaires used to screen for sleep-related breathing disorders (SRBDs), and the potential association between SRBD and clinical features in individuals with spinal cord injury (SCI). Adults with subacute/chronic (>1 month post-injury) SCI were recruited for the cross-sectional study and qualitative analysis. Feasibility of the HBSST was objectively evaluated and participants shared their experience. We also examined the validity of the Berlin, STOP, Medical Outcomes Study Sleep Scale [MOS-SS], and STOP-Bang screening questionnaires. We investigated the association between the degree of SRBD and three features (i.e., neck circumference, body mass index [BMI] and oropharynx opening as assessed using the Modified Mallampati classification [MMC]). There were 13 females and 18 males with ages varying from 20 to 86 years (mean age: 54.7 years) with motor complete (n=8) or incomplete SCI at cervical (n=21) or thoraco-lumbar levels. Time since SCI varied from 1.5 to 474 months. Overall, 28 individuals completed the HBSST and endorsed its feasibility. Mean apnea-hypopnea index (AHI) was 17.3 events/hour (range: 0.5-83.7). AHI was significantly correlated with Berlin (p=0.036) and STOP-Bang scores (p=0.009). There was no significant correlation between AHI and MOS-SS (p=0.348) or STOP (p=0.165). AHI was not associated with neck circumference (p=0.614), BMI (p=0.958), or MMC (p=0.335). Our results suggest that HBSST is a feasible screening method, and Berlin and STOP-Bang are valid screening questionnaires for the SCI population. AHI was not correlated with BMI, neck circumference, or MMC.
海报(医疗服务、经济学和政策变化)ID 1969166
我们研究了家庭筛查睡眠测试(HBSST)的可行性、用于筛查睡眠相关呼吸紊乱(SRBD)的四种问卷的有效性,以及脊髓损伤(SCI)患者的 SRBD 与临床特征之间的潜在关联。 这项横断面研究和定性分析招募了亚急性/慢性(受伤后超过 1 个月)SCI 患者。我们对 HBSST 的可行性进行了客观评估,参与者分享了他们的经验。我们还检查了柏林、STOP、医学结果研究睡眠量表 [MOS-SS] 和 STOP-Bang 筛查问卷的有效性。我们研究了SRBD程度与三个特征(即颈围、体重指数[BMI]和使用改良马兰帕蒂分类法[MMC]评估的口咽开放度)之间的关联。 患者中有 13 名女性和 18 名男性,年龄从 20 岁到 86 岁不等(平均年龄:54.7 岁),运动性完全(8 人)或不完全 SCI 位于颈椎(21 人)或胸腰椎水平。自 SCI 后的时间从 1.5 个月到 474 个月不等。共有 28 人完成了 HBSST,并认可其可行性。平均呼吸暂停-低通气指数 (AHI) 为 17.3 次/小时(范围:0.5-83.7)。AHI 与柏林评分(p=0.036)和 STOP-Bang 评分(p=0.009)明显相关。AHI 与 MOS-SS (p=0.348) 或 STOP (p=0.165) 之间无明显相关性。AHI 与颈围 (p=0.614)、体重指数 (p=0.958) 或 MMC (p=0.335) 无关。 我们的结果表明,HBSST 是一种可行的筛查方法,而柏林和 STOP-Bang 是 SCI 患者的有效筛查问卷。AHI 与体重指数、颈围或 MMC 无关。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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