A családorvosok alvási apnoéval kapcsolatos ismeretei és attitüdjei. Megvalósul-e az osas szurése a jármüvezetök egészségi alkalmasságanak vizsgálata során?

Translated title of the contribution: Hungarian family physicians' and residents' knowledge of and attitude towards osas (obstructive sleep apnea syndrome). Do they screen sleep apnea during the general medical checkup for the driving licence?

Dalma Csatlós, Támos Ferenci, Laszlo Kalabay, Andrea László, Csenge Hargttay, Bernadett Márkus, Zoltan Szakács, Péter Torzsa

Research output: Contribution to journalArticle

Abstract

Objective - Obstructive sleep apnea syndrome (OSAS) without treatment can cause serious cardiovascular, cardiorespiratory, neurological and other complications. Family physicians have an important role in recognizing the disease. The aim of the study is to assess the knowledge and atti-Tude of family physicians related to sleep apnea. Whether OSAS screening is realized during the general medical checkup for drivers. Methods - In the cross-sectional study we used a validated Osaka questionnaire in mandatory continuous medical education courses, supplemented with four additional questions. Results - 116 family physicians and 103 family medicine residents filled out the questionnaire. Hungarian family physicians, especially male doctors lack the adequate knowledge of sleep apnea. The average score of female physicians was significantly higher than that of males (13.4± 1.8 vs. 11.7±2.6, p=0.005). The more specializations the doctor has, the higher the score. Zero or one special examination holders reached 12.5±2.3 points, two special examination holders 12.7±2.2 points, three or four special examination holders reached 14.0±2.1 (p=0.05). Residents' average score was 12.1 ±2.4 points, which is higher than that of family doctors (p=0.012). Female residents also had higher average points than male residents (12.6±2.0 vs. 11.3±2.7; p=0.008). The size, location and type of the practice or the doctor's age did not show any statistically significant correlation with the number of points achieved. According to our regression analysis, corrected to variables in the model, we found correlation between gender and medical knowledge, but there was no correlation between age, number of specialities, body mass index and the theoretical knowledge of the doctors. In terms of attitude female GPS had higher average scores than male GPS (3.5±0.6 vs. 2.9±0.6, p<0.001). Despite the modification of the 13/1992 regulation only 39% of the practices carried out regularly the required OSAS screening as part of the medical examination for a driving licence. Conclusions - Despite the high prevalence and clinical importance of OSAS, GPS often do not recognize sleep apnea and they have difficulty in treating their patients for this problem.

Original languageHungarian
Pages (from-to)105-113
Number of pages9
JournalIdeggyogyaszati Szemle
Volume70
Issue number3-4
DOIs
Publication statusPublished - Mar 30 2017

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ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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