Screening Questionnaires for Obstructive Sleep Apnea: An Updated Systematic Review

Amra, Babak; Rahmati, Behzad; Soltaninejad, Forogh; Feizi, Awat

doi:10.5001/omj.2018.36

Cited by 119 publications

(108 citation statements)

References 53 publications

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“…Indeed, PSG/PG is an expensive and time-consuming procedure and it was shown that the STOP questionnaire reliably and accurately identifies subjects in the general population with increased risk of OSA. 33,50 Considering the high sensitivity of the STOP questionnaire, 51,52 which was also established in our previous study, 27 we decided not to perform an expensive and time-consuming procedure such as PSG/PG in all control group respondents, in order to minimize medical costs and unnecessary medical procedures in patients not at risk. Accordingly, if the assessment with the use of STOP questionnaire resulted in asymptomatic undiagnosed OSA patients included in the control group, the difference between controls and cases would be even more diminished and more difficult to find.…”

Section: Discussionmentioning

confidence: 99%

<p>Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome</p>

Kalcina¹,

Dodig²,

Pecotić³

et al. 2020

NSS

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Purpose: Determinants of obstructive sleep apnea (OSA) are hypoxemia and hypercapnia, as well as (micro) arousals from sleep, resulting in chronic sleep fragmentation, sleep deprivation, and excessive daytime sleepiness (EDS). All of the above-mentioned factors might contribute to psychomotor impairment seen in OSA patients. Additionally, this study aimed to assess the contribution of BMI, age, EDS assessed with Epworth sleepiness scale (ESS), and severity of OSA assessed with apnea-hypopnea index (AHI) to the reaction time on chronometric tests in OSA patients and controls. It is hypothesized that moderate and severe OSA have adverse effects on reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination assessed by chronometric psychodiagnostic test battery. Patients and Methods: This study was conducted on 206 male participants; 103 of them had moderate or severe OSA diagnosed by whole-night polysomnography/polygraphy. Control participants (N=103), matched to patients with OSA by age and BMI, had no reported OSA in their medical history, no increased risk for OSA, nor EDS. All participants were assessed with three chronometric psychodiagnostic tests, measuring the reaction time of perception to visual stimulus, of solving simple arithmetic operations, and of psychomotor limbs coordination. Results: Participants from the OSA group achieved impaired results compared to control participants in minimum single task solving time in speed of solving simple arithmetic operations (3±0.9 and 2.6±0.6, P<0.001), and in minimum solving time of a single task in complex psychomotor limbs coordination (0.69±0.2 and 0.61±0.1, P=0.007). Regression analysis revealed no significant contribution of daytime sleepiness to the results achieved in each of the tests. Conclusion: It is concluded that severe OSA impaired speed of perception, convergent, and operative thinking. Moreover, it is suggested that EDS did not contribute to poor psychomotor outcome in patients with OSA in this study, when age was controlled for.

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Section: Discussionmentioning

confidence: 99%

<p>Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome</p>

Kalcina¹,

Dodig²,

Pecotić³

et al. 2020

NSS

View full text Add to dashboard Cite

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“…STOP-BANG questionnaire was used to screen most of our subjects who presented for preoperative evaluation prior to having PSG done in those who had elevated scores, but we did not compare the association of OSA with STOP-BANG in our analysis. The STOP-BANG has been shown in multiple studies to show a high level of sensitivity for predicting moderate and severe OSA however the Positive predictive value is not very good because of its low specificity [28][29][30]. Berlin questionnaire is another proposed screening tool for OSA but its performance for detecting sleep apnea in the middleaged general population has been questioned [31,32].…”

Section: Discussionmentioning

confidence: 99%

The Predictive Value of Epworth Sleepiness Scale in Obstructive Sleep Apnea

Alabi¹,

Alabi²

2019

J Sleep Disord Ther

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Background: The Epworth sleepiness score is a vital tool clinicians use to grade the severity of excessive daytime sleepiness and it is also given significant relevance by the third-party payers before approving Continuous Positive Airway Pressure (CPAP) treatment for patients with obstructive sleep apnea with apnea-hypopnea index between 5 to 15 events per hour. Many studies that explored if an elevated Epworth sleepiness score can predict the presence of obstructive sleep apnea have had conflicting results. Whereas some show association between Epworth sleepiness score and obstructive sleep apnea, others did not find any association. In this study, the association of Epworth sleepiness score with obstructive sleep apnea was evaluated at a community-based practice with multiple locations all around central Florida. We also analyzed the association of apnea-hypopnea index with known risk factors for obstructive sleep apnea such as larger neck circumference, overweight and obesity. Methods: In this cross-sectional study, we reviewed the charts of 529 consecutive subjects who presented for sleep evaluation at a community practice over a period of 6 months and underwent sleep studies. 186 (35%) of the patients were not included in our analysis because they have incomplete data. 343 patients were used for this data analysis and 252 (73.5%) were diagnosed with sleep apnea based on apnea-hypopnea index of ≥5 per hour on polysomnography. The following data were collected on each subject; body-mass-index, neck circumference, Epworth sleepiness score, the absence or presence of excessive daytime sleepiness, hypertension and diabetes. Epworth sleepiness score ≥10 was considered elevated while large neck circumference was set at ≥16 inches in females and ≥17 inches in males. Results: 252 patients had sleep apnea, 94.8% of them were overweight or obese, 84.1% had large neck circumference, 82.1% presented with excessive daytime sleepiness, 63.1% had hypertension, 34.1% had diabetes and 57.5% had an elevated Epworth sleepiness score. Pearson's tests between body-mass-index and apnea-hypopnea-index in the overweight and obese patients showed positive correlation (P<0.001, R=0.24, N=319). Furthermore, the relationship between neck circumference and apnea-hypopnea-index in males with neck circumference of ≥17 inches was significant with positive correlation (P=0.047, R=0.17, N=143) likewise, in females with neck circumference ≥16 inches, the relationship was also significant (P<0.001, N=128) with a stronger correlation (R=0.32) but the association between Epworth sleepiness score and AHI was not significant (P=0.79, R=0.02, N=193). Interestingly, a significant positive correlation coefficient (R=0.39, P=0.02) was seen between BMI and AHI in the population of males who were overweight, hypertensive and diabetic. The same relationship was not significant in females (P=0.1). Conclusion: In this study, BMI in overweight patients and large neck circumference has positive correlation with apnea-hypopnea-index but no significant associa...

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“…46 Many sleep assessment tools are weighted heavily in favor of the male gender in regards to being at risk for OSA. 45,47 Researchers now know that women and children are also at risk for poor sleep quality for environmental and systemic health reasons. 6,16,9,26,29 Also, a patient's lifestyle, health history, and oral assessments might indicate a poor sleep condition that is not related to an obstructed airway.…”

Section: Screening Tools For Sleep Disruptorsmentioning

confidence: 99%

Recognizing Poor Sleep Quality Factors During Oral Health Evaluations

Schroeder

Gurenlian

2019

Clin Med Res

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Oral health practitioners routinely perform oral health assessments for the dental patient to determine if oral disease is present. Systemic health is often a contributor to oral health concerns. One area in particular that has a direct effect on oral structures and oral health is poor sleep quality and open mouth breathing. Sleep is a fundamental process of the human body, which regulates core biological functions. Sleep quality reflects a person's ability to fall asleep, stay asleep, and enter into the various rejuvenating sleep cycles for the full duration. A person who does not obtain quality sleep can exhibit a wide range of oral, systemic, and cognitive health problems. Obstructive sleep apnea, which historically has been considered an adult male disease, is being recognized more often in women children. Research suggests various oral malformations found in newborns and young children can manifest as obstructive sleep apnea in adults. Oral health professionals are in a position to recognize the relationship between sleep and health, identify sleep quality concerns in relation to oral health assessments, administer sleep quality assessments, and determine appropriate referrals for further sleep quality evaluation.

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Screening Questionnaires for Obstructive Sleep Apnea: An Updated Systematic Review

Cited by 119 publications

References 53 publications

<p>Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome</p>

<p>Psychomotor Performance in Patients with Obstructive Sleep Apnea Syndrome</p>

The Predictive Value of Epworth Sleepiness Scale in Obstructive Sleep Apnea

Recognizing Poor Sleep Quality Factors During Oral Health Evaluations

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