Validity Analysis of Neck Circumference as a Screening Test for Hypoxia Occurrence in Patients Undergoing Sedative Endoscopy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Research Environment and Participants
2.3. Research Tools
2.3.1. STOP-BANG Sleep Questionnaire
2.3.2. Berlin Sleep Questionnaire
2.3.3. Neck Circumference in a Sitting Position and a Lateral Decubitus Position
2.4. Ethical Considerations
2.5. Data Analysis
3. Results
3.1. Hypoxia Occurrence According to Subject Characteristics, Sleep Questionnaire, and Neck Circumference
3.2. Comparison of Performance as a Screening Test for Hypoxia
3.3. Sensitivity, Specificity, and Cutoff Values for the Decrease in Oxygen Saturation for Each Test
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | Category | No Hypoxia (n = 145) Mean (SD) | Hypoxia (n = 23) Mean (SD) | t/χ2 | p |
---|---|---|---|---|---|
Age (year) | 49.70 ± 12.45 | 53.39 ± 12.31 | −1.325 | 0.187 | |
Sex | Man | 71 (49.0) | 14 (60.9) | 1.125 | 0.289 |
Woman | 74 (51.0) | 9 (39.1) | |||
Height (cm) | 164.70 ± 8.16 | 166.39 ± 7.65 | −0.933 | 0.352 | |
Weight (kg) | 65.76 ± 14.10 | 78.38 ± 14.88 | −3.806 | 0.001 | |
BMI (kg/m2) | 24.10 ± 3.91 | 28.29 ± 4.92 | −3.900 | 0.001 | |
Propofol amount (mg) | 3.10 ± 1.17 | 2.88 ± 1.26 | 0.732 | 0.465 | |
ASA class | Status I | 80 (47.3) | 6 (3.6) | 6.403 | 0.011 |
Status II | 66 (39.1) | 17 (10.1) | |||
Examination | Gastroscopy only | 86 (59.3) | 13 (56.5) | 0.064 | 0.801 |
Gastroscopy and Colonoscopy | 59 (40.7) | 10 (43.5) | |||
History | No | 79 (54.5) | 7 (30.4) | 4.595 | 0.032 |
Yes | 66 (45.5) | 16 (69.6) | |||
STOP-BANG | 2.48 ± 1.603 | 4.74 ± 1.514 | 6.330 | <0.001 | |
Berlin | 1 ± 0.847 | 1.74 ± 0.964 | 3.817 | <0.001 | |
Neck-sit (cm) | 35.71 ± 4.00 | 40.35 ± 4.06 | 5.158 | <0.001 | |
Neck-lying (cm) | 36.43 ± 4.10 | 41.20 ± 4.22 | −5.154 | <0.001 |
Variable | AUC † | Standard Error | 95% Confidence Interval | |
---|---|---|---|---|
Men | STOP-BANG | 0.785 | 0.072 | 0.643–0.926 |
Berlin | 0.567 | 0.082 | 0.406–0.728 | |
Neck-sit | 0.749 | 0.064 | 0.624–0.875 | |
Neck-lying | 0.759 | 0.061 | 0.639–0.878 | |
Women | STOP-BANG | 0.923 | 0.037 | 0.851–0.996 |
Berlin | 0.821 | 0.088 | 0.647–0.994 | |
Neck-sit | 0.940 | 0.030 | 0.872–0.998 | |
Neck-lying | 0.926 | 0.035 | 0.857–0.996 |
Sex | Variable | Cutoff | Sensitivity | Specificity | Sensitivity + Specificity |
---|---|---|---|---|---|
Men | STOP-BANG | 3.5 | 0.857 | 0.493 | 1.350 |
4.5 | 0.714 | 0.775 | 1.489 | ||
5.5 | 0.429 | 0.915 | 1.344 | ||
Berlin | 0.5 | 0.929 | 0.197 | 1.126 | |
1.5 | 0.500 | 0.535 | 1.035 | ||
2.5 | 0.143 | 0.944 | 1.087 | ||
Neck-sit | 39.8 | 0.786 | 0.662 | 1.448 | |
40.5 | 0.786 | 0.704 | 1.490 | ||
41.3 | 0.500 | 0.732 | 1.232 | ||
Neck-lying | 39.8 | 0.857 | 0.634 | 1.491 | |
40.3 | 0.857 | 0.676 | 1.533 | ||
40.8 | 0.786 | 0.676 | 1.462 | ||
Women | STOP-BANG | 1.5 | 1.000 | 0.595 | 1.595 |
2.5 | 0.889 | 0.824 | 1.713 | ||
3.5 | 0.556 | 0.946 | 1.502 | ||
Berlin | 0.5 | 0.889 | 0.446 | 1.335 | |
1.5 | 0.667 | 0.878 | 1.545 | ||
2.5 | 0.444 | 0.986 | 1.431 | ||
Neck-sit | 34.9 | 0.778 | 0.851 | 1.629 | |
35.3 | 0.778 | 0.878 | 1.656 | ||
35.8 | 0.667 | 0.878 | 1.545 | ||
Neck-lying | 35.3 | 0.778 | 0.838 | 1.616 | |
35.8 | 0.778 | 0.851 | 1.629 | ||
36.3 | 0.667 | 0.878 | 1.545 |
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Song, H.-J.; Kim, J. Validity Analysis of Neck Circumference as a Screening Test for Hypoxia Occurrence in Patients Undergoing Sedative Endoscopy. Healthcare 2022, 10, 679. https://doi.org/10.3390/healthcare10040679
Song H-J, Kim J. Validity Analysis of Neck Circumference as a Screening Test for Hypoxia Occurrence in Patients Undergoing Sedative Endoscopy. Healthcare. 2022; 10(4):679. https://doi.org/10.3390/healthcare10040679
Chicago/Turabian StyleSong, Hyun-Ji, and Jiyun Kim. 2022. "Validity Analysis of Neck Circumference as a Screening Test for Hypoxia Occurrence in Patients Undergoing Sedative Endoscopy" Healthcare 10, no. 4: 679. https://doi.org/10.3390/healthcare10040679