The Utility of Three Screening Questionnaires for Obstructive Sleep Apnea in a Sleep Clinic Setting
Yonsei Medical Journal
; : 684-690, 2015.
Article
em En
| WPRIM
| ID: wpr-93950
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: The aim of this study was to determine the diagnostic value of three screening questionnaires in identifying Korean patients at high risk for obstructive sleep apnea (OSA) in a sleep clinic setting in Korea. MATERIALS AND METHODS: Data were collected from 592 adult patients with suspected OSA who visited a sleep center. All patients completed the Sleep Apnea of Sleep Disorder Questionnaire (SA-SDQ), the Berlin questionnaire, and the STOP-Bang questionnaire. Estimated OSA risk was compared to a diagnosis of OSA. The sensitivity, specificity, positive predictive value, and negative predictive value were calculated for each questionnaire. RESULTS: The prevalence of OSA was 83.6% using an apnea-hypopnea index (AHI) > or =5/h and 58.4% for an AHI > or =15/h. The STOP-Bang questionnaire had a high sensitivity (97% for AHI > or =5/h, 98% for AHI > or =15/h), but the specificity was low (19% and 11%, respectively). In contrast, the sensitivity of the SA-SDQ was not high enough (68% for AHI > or =5/h, 74% for AHI > or =15/h) to be useful in a clinical setting, whereas the specificity was relatively good (66% and 61%, respectively). The sensitivity and specificity values of the Berlin questionnaire fell between those of the STOP-Bang questionnaire and the SA-SDQ. CONCLUSION: The STOP-Bang questionnaire may be useful for screening OSA in a sleep clinic setting, but its specificity is lower than the acceptable level for this purpose. A new screening questionnaire with a high sensitivity and acceptable specificity is therefore needed in a sleep clinic setting.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Índice de Gravidade de Doença
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Programas de Rastreamento
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Prevalência
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Valor Preditivo dos Testes
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Inquéritos e Questionários
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Reprodutibilidade dos Testes
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Curva ROC
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Sensibilidade e Especificidade
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Polissonografia
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Apneia Obstrutiva do Sono
Tipo de estudo:
Diagnostic_studies
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Prevalence_studies
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Prognostic_studies
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Screening_studies
Limite:
Adult
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Female
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Humans
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Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article