Screening for Obstructive Sleep Apnea using Epworth Sleepiness Score and Berlin Questionnaire: Which is Better?

Dixit, Rashmi; Verma, Satyadeep; Pawar, Kamender Singh

doi:10.4103/ijrc.ijrc_20_17

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…These values are similar to other studies. 15 Other corroborative features like history and physical examination along with the questionnaire may be used to pick these cases. A study by Senaratna et al opined that STOP-BANG, Berlin's questionnaire, and OSA-50 questionnaire, along with ESS of more than or equal to 8, can be used to rule in but not rule out clinically relevant OSA, similar to our results.…”

Section: Discussionmentioning

confidence: 99%

The Utility of Epworth Sleepiness Scale to Screen Moderate and Severe Obstructive Sleep Apnea Preoperatively to Predict Difficult Airway

Soori

D’sa

Hosmane

2021

Journal of Health and Allied Sciences NU

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Introduction Obstructive sleep apnea (OSA) is sleep-disordered breathing characterized by repetitive episodes of partial or complete upper airway collapse in sleep leading to apnea and/or hypopnea, desaturations, sleep disruptions, and cardiovascular changes. OSA is a known cause for difficult airway, especially mask ventilation. Daytime sleepiness is one of the hallmark symptoms of OSA. So, we used the Epworth sleepiness score (ESS) in patients suspected of OSA undergoing a sleep study. Methods Overall, 44 subjects suspected to have OSA and undergoing polysomnography were included in the study. The socio-demographic details and the complaints were recorded and the Epworth sleepiness questionnaire was administered. The severity of OSA was graded as per the American Academy of Sleep Medicine using the apnea hypopnea index. Results A total of 44 patients were included in the study. Out of these, 19 were mild, 13 moderate, and 12 severe OSA cases, respectively. ESS of more than 10 showed a positive predictive value of 81.25% and specificity of 85% in screening patients with moderate and severe OSA. But the sensitivity and negative predictive value was only 54.16 and 60.71%, respectively. Conclusion ESS being a simple questionnaire can be easily used preoperatively. A score of more than 10 effectively diagnoses moderate and severe OSA, but less than 10 cannot rule out OSA

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Section: Discussionmentioning

confidence: 99%

The Utility of Epworth Sleepiness Scale to Screen Moderate and Severe Obstructive Sleep Apnea Preoperatively to Predict Difficult Airway

Soori

D’sa

Hosmane

2021

Journal of Health and Allied Sciences NU

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“…But in a study conducted by Dixit et al, the effectiveness of BQ and ESS questionnaires was compared among adult patients with signs, symptoms, and history of OSA. According to their outcome, BQ is a more valid, reliable, and sensitive parameter to screen patients for OSA and may help in improving the quality of life of such patients, whereas ESS is a less sensitive diagnostic tool [ 9 ]. Notwithstanding previous reports, Franklin and Linberg [ 15 ] conferred that the deviations in the prevalence of OSA are maybe due to the different diagnostic criteria, definitions, study methodology, and characteristics of included populations.…”

Section: Discussionmentioning

confidence: 99%

“…However, compared to the high estimated prevalence of OSA, the availability of sleep labs is much scarce. Therefore, the utilization of screening tools becomes necessary to classify patients based on their clinical symptoms, physical findings, risk factors, and comorbid illness into high‑ or low‑risk groups [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Obstructive Sleep Apnea Symptoms Among the Adult Population in Al-Ahsa, Saudi Arabia

Alsultan¹,

Sahlawi²,

Agha³

2022

Cureus

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“…Taken together, in the geographic region, which has a high prevalence of OSA in general population, it is important for primary care medical and dental practitioners to have a practical and valid screening tool to identify patients at high risk of OSA. Madhavan C et al(2016) 15 and Dixit R et al (2018) 16 and found that BQ is more sensitive and has predictive parameters for picking up OSA, especially the so-called "occult cases" of OSA and may help in improving the quality of life in such patients with proper OSA management. In spite of the advantages of BQ in the general population, utilization of the BQ as a screening tool for OSA should be considered with caution in the sleep clinic populations.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction to evaluate the efficacy of mandibular advancement device in a treatment modality for mild to moderate sleep apnea patient in Indore Region

Verma

Jain²

2021

APRD

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Obstructive sleep apnea (OSA) represents the most severe syndrome associated with obstruction of the upper airway. People with obstructive sleep apnea (OSA) repeatedly stop breathing during their sleep for a moment or longer and as several as many times throughout one night. The Aim of study was to evaluate the efficacy of mandibular advancement devices in different age group, between male and female and according to body mass index in mild to moderate obstructive sleep apnea patient.cross sectional study. 30 patients of different gender and age group were selected with mild to moderate OSA and asked to fill the Berlin questionnaire for diagnosis of obstructive sleep apnea after obtaining the necessary consent.The analysis was done by using SPSS, IBM version 20.0. The level of significance was fixed at 5% and p ≤ 0.05. On evaluation of berlin questionnaire revealed that 83% of patients (including male and female) shows the significant improvement after the MAD treatment 16.7 % patient are not satisfied with the MAD. Study shows that the patient with OSA showed Positive Berlin Questionnaire before the MAD treatment and after 2 month it was revealed that MAD treatment showed statically significant improvement in OSA.

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Screening for Obstructive Sleep Apnea using Epworth Sleepiness Score and Berlin Questionnaire: Which is Better?

Cited by 6 publications

References 10 publications

The Utility of Epworth Sleepiness Scale to Screen Moderate and Severe Obstructive Sleep Apnea Preoperatively to Predict Difficult Airway

The Utility of Epworth Sleepiness Scale to Screen Moderate and Severe Obstructive Sleep Apnea Preoperatively to Predict Difficult Airway

Prevalence of Obstructive Sleep Apnea Symptoms Among the Adult Population in Al-Ahsa, Saudi Arabia

Patient satisfaction to evaluate the efficacy of mandibular advancement device in a treatment modality for mild to moderate sleep apnea patient in Indore Region

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