关键词: Screening apnea dentist

Mesh : Adult Humans Child Dental Clinics Sleep Apnea, Obstructive / diagnosis Predictive Value of Tests Oximetry Oxygen Surveys and Questionnaires Mass Screening / methods

来  源:   DOI:10.1080/08869634.2020.1823104   PDF(Sci-hub)

Abstract:
UNASSIGNED: To review the available bibliographic data to identify the best screening methods to detect potential obstructive sleep apnea (OSA) patients during dental clinical practice.
UNASSIGNED: Relevant studies published up to April 2020 were sourced from PubMed, Embase, MEDLINE, Cochrane, and LILACS databases.
UNASSIGNED: Thirty studies were selected. For adults, the screening methods available to the dentist included questionnaires, scales, indexes, pulse oximetry, and anatomical factors. A combination of questionnaires is potentially the most reliable method to detect OSA risk. For children, only information on questionnaires and anatomical factors was found; two questionnaires accurately identified potential OSA risk cases. Anatomical factors also displayed a significant relation with OSA for both populations.
UNASSIGNED: Dentists have a fundamental role in early detection of potential OSA cases since they can use the methods identified in this review to perform an initial screening of the population.
UNASSIGNED: OSA: Obstructive sleep apnea; PSG: Polysomnography; HST: Home sleep study; BMI: Body mass index; PPV: Positive predictive value; NPV: Negative predictive value; AHI: Apnea hypopnea index; RDI: Respiratory disturbance index; ODI: Oxygen desaturation index; PSQ: Pediatric Sleep Questionnaire; SRBD: Sleep-related breathing disorder; CSHQ: Children\'s Sleep Habits Questionnaire; ESS: Epworth Sleepiness Scale; PSQI: Pittsburgh Sleep Quality Index.
摘要:
回顾可用的书目数据,以确定最佳的筛查方法,以在牙科临床实践中检测潜在的阻塞性睡眠呼吸暂停(OSA)患者。
截至2020年4月发表的相关研究来自PubMed,Embase,MEDLINE,科克伦,和LILACS数据库。
选择了30项研究。对于成年人来说,牙医可用的筛查方法包括问卷调查,scales,索引,脉搏血氧饱和度,和解剖学因素。问卷组合可能是检测OSA风险的最可靠方法。对于孩子们来说,仅发现问卷和解剖因素方面的信息;两份问卷准确识别了潜在的OSA风险病例.在两个人群中,解剖因素也与OSA显着相关。
牙医在早期发现潜在的OSA病例中具有基本作用,因为他们可以使用本综述中确定的方法对人群进行初步筛查。
OSA:阻塞性睡眠呼吸暂停;PSG:多导睡眠图;HST:家庭睡眠研究;BMI:体重指数;PPV:阳性预测值;NPV:阴性预测值;AHI:呼吸暂停低通气指数;RDI:呼吸紊乱指数;ODI:氧饱和度指数;PSQ:儿科睡眠问卷:睡眠睡眠障碍量表;SRBD:儿童睡眠质量
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