Table 1 Number (%) of participants reporting correct answers for each OSAKA item and results of unadjusted logistic regression models for each item comparing recent graduates with practicing physicians
From: Obstructive sleep apnea knowledge and attitudes among recent medical graduates training in Ecuador
Knowledge items | Recent graduates | Physicians in practice | Total | p* | Crude odds ratio (CI 95%)a |
|---|---|---|---|---|---|
N = 265 | N = 367 | N = 656 | |||
n (%) | n (%) | n (%) | |||
1. Women with OSA may present with fatigue alone (true) | 102 (38.5) | 156 (42.5) | 258 (40.8) | 0.311 | 0.85 (0.61–1.17) |
2. Uvulopalatopharyngoplasty is curative for the majority of patients with OSA(false) | 93 (35.1) | 158 (43.1) | 251 (39.7) | < 0.05 | 0.72 (0.52–0.99) |
3. The estimated prevalence of OSA among adults is between 2 and 10% (true) | 121 (45.7) | 212 (57.8) | 333 (52.7) | < 0.01 | 0.61 (0.45–0.85) |
4. The majority of patients with OSA snore (true) | 231 (87.2) | 326 (88.8) | 557 (88.1) | 0.525 | 0.85 (0.53–1.39) |
5. OSA is associated with hypertension (true) | 94 (35.5) | 182 (49.6) | 276 (43.7) | < 0.001 | 0.56 (0.40–0.77) |
6. An overnight sleep study is the gold standard for diagnosing OSA(true) | 197 (74.3) | 283 (77.1) | 480 (76.0) | 0.421 | 0.86 (0.60–1.24) |
7. CPAP therapy may cause nasal congestion (true) | 90 (34.0) | 126 (34.3) | 216 (34.2) | 0.923 | 0.98 (0.71–1.37) |
8. Laser-assisted uvuloplasty is an appropriate treatment for severe OSA (false) | 67 (25.3) | 68 (18.5) | 135 (21.4) | < 0.05 | 1.49 (1.02–2.18) |
9. The loss of upper airway muscle tone during sleep contributes to OSA (true) | 172 (64.9) | 306 (83.4) | 478 (75.6) | < 0.001 | 0.37 (0.25–0.53) |
10. The most common cause of OSA in children is the presence of large tonsils and adenoids (true) | 228 (86.0) | 335 (91.3) | 563 (89.1) | < 0.05 | 0.59 (0.36–0.97) |
11. A craniofacial and oropharyngeal examination is useful in the assessment of patients of large tonsils and adenoids (true) | 198 (74.7) | 312 (85.0) | 510 (80.7) | < 0.01 | 0.52 (0.35–0.78) |
12. Alcohol at bedtime improves OSA (false) | 189 (71.3) | 298 (81.2) | 487 (77.1) | < 0.01 | 0.58 (0.40–0.84) |
13. Untreated OSA is associated with a higher incidence of automobile crashes (true) | 127 (47.9) | 230 (62.7) | 357 (56.5) | < 0.001 | 0.55 (0.40–0.75) |
14. In men, a collar size 17 in. or greater is associated with OSA (true) | 76 (28.7) | 134 (36.5) | 210 (33.2) | < 0.05 | 0.70 (0.50–0.98) |
15. OSA is more common in women than men (false) | 164 (61.9) | 239 (65.1) | 403 (63.8) | 0.404 | 0.87 (0.63–1.21) |
16. CPAP is the first line therapy for OSA (true) | 128 (48.3) | 219 (59.7) | 347 (54.9) | < 0.01 | 0.63 (0.46–0.87) |
17. Less than 5 apneas or hypopneas per hour is normal in adults (true) | 88 (33.2) | 93 (25.3) | 181 (28.6) | < 0.05 | 1.47 (1.03–2.07) |
18. Cardiac arrhythmias may be associated with untreated OSA (true) | 187 (70.6) | 312 (85.0) | 499 (79.0) | < 0.001 | 0.42 (0.29–0.62) |
Mean (SD) percentage of knowledge items answered correctly | 53.5 (14.4) | 60.4 (15.2) | 57.5 (15.2) | < 0.001 |