医务工作者患阻塞性睡眠呼吸暂停的风险:意大利一所大型大学医院的筛查结果

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Gianluca Spiteri, Maria Grazia Lourdes Monaco, Angela Carta, Francesco Taus, Lorena Torroni, Giuseppe Verlato, Stefano Porru
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引用次数: 0

摘要

目的阻塞性睡眠呼吸暂停(OSA)是一种常见的呼吸性睡眠障碍,与死亡率增加、生活质量下降以及工作事故和伤害风险增加有关。关于卫生工作者(HW)中阻塞性睡眠呼吸暂停(rOSA)风险的研究很少。本研究的目的是在一家大型大学医院调查这一问题,并评估筛查计划的有效性。方法采用电子邮件方式对维罗纳大学医院5031名住院医生进行STOP-BANG问卷调查。完成SBQ的志愿者被分为低、中、高三个等级。高蔷薇的HW被邀请进行夜间测谎。采用非参数Kruskal-Wallis检验、Pearson卡方检验和多项logistic模型研究rOSA的影响因素。结果5031名在校生中,有1564名(31.1%)完成了在线问卷调查。低、中、高rOSA应答者分别为72.7%、13.7%和13.6%。正如预期的那样,男性、年龄较大和较高的身体质量指数(BMI)是高rOSA的显著预测因素。医生成为高危人群的可能性最低。对64名受试者进行了测谎。自我给药SBQ阳性预测值为68.8% (95% c.i.)。55.9-79.8%),但上升至96.9% (95% ci。89.2-99.6%),由医务人员重新管理。结论sbq可作为一种有效的筛查工具,用于检测HW患者未确诊的OSA。在工作环境中对阻塞性睡眠呼吸暂停进行系统筛查可以实现早期诊断和治疗,减少阻塞性睡眠呼吸暂停对健康的短期和长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk of obstructive sleep apnea among health workers: results of a screening in a large Italian University Hospital

Purpose

Obstructive sleep apnea (OSA) is a common respiratory sleep disorder, related to increased mortality, poor quality of life, and higher risk of work accidents and injuries. Studies on the risk of OSA (rOSA) among health workers (HW) are scant. The aims of this study were to investigate this issue in a large University Hospital and to assess the effectiveness of a screening program.

Methods

The STOP-BANG questionnaire (SBQ) was sent via e-mail to the 5031 HW employed at the University Hospital of Verona. HW who completed the SBQ were classified at low, moderate, and high rOSA. HW at high rOSA were invited to undergo nocturnal polygraphy. The determinants of rOSA were studied by non-parametric Kruskal–Wallis test, Pearson's chi-squared, and multinomial logistic model.

Results

Of 5031 HW, 1564 (31.1%) completed the online questionnaire. Responders with low, moderate, and high rOSA were 72.7%, 13.7%, and 13.6%. Male gender, older age, and higher body mass index (BMI) were significant predictors of high rOSA, as expected. Physicians had the lowest probability of being in the high-risk category. Polygraphy was performed in 64 subjects. The positive predictive value of the self-administered SBQ was 68.8% (95%C.I. 55.9–79.8%) but raised to 96.9% (95%C.I. 89.2–99.6%) when re-administered by medical staff.

Conclusion

SBQ showed its effectiveness as a screening tool in detecting undiagnosed OSA in HW. Systematic screening for OSA in work settings could allow early diagnosis and treatment, reducing short- and long-term health effects of OSA.

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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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