The evaluation of the Croatian version of the Epworth sleepiness scale and STOP questionnaire as screening tools for obstructive sleep apnea syndrome

Pecotić, Renata; Dodig, Ivana Pavlinac; Valić, Maja; Ivkovic, Natalija; Đogaš, Zoran

doi:10.1007/s11325-011-0578-x

Cited by 37 publications

(29 citation statements)

References 30 publications

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“…Other studies conducted on patients referred to a sleep clinic include one study on an Asian population which found a sensitivity of 84.7 %, specificity of 52.6 %, PPV of 84.4 %, and NPV of 53.2 % against AHI>5 [13]. An evaluation of the Croatian version of STOP questionnaire using a cutoff value of 2 in the screening tool showed sensitivity of 96 %, specificity of 83 %, PPV of 61 %, and NPV of 95 % against AHI>5 [15]. Another study involving high-risk patients found a sensitivity of 93.8 %, specificity of 33.3 %, PPV of 75 %, and NPV of 71.4 % against AHI>5 [14].…”

Section: Discussionmentioning

confidence: 99%

“…Vana and colleagues [14] concluded in their study that STOP-Bang could identify more patients with OSA than ESS in a sleep clinic setting with a sensitivity of 94.7 % compared to a sensitivity of 26.3 % in ESS. Another study by Pecotic and others showed that STOP-Bang had better probability to correctly predict high-risk patients for OSA compared to ESS [15]. To our knowledge, however, there is no study examining the utility and diagnostic accuracy of the Arabic version of the STOPBang questionnaire.…”

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confidence: 91%

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Evaluation of the Arabic version of STOP-Bang questionnaire as a screening tool for obstructive sleep apnea

Alhouqani

Manhali

Essa³

et al. 2015

Sleep Breath

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 91%

Evaluation of the Arabic version of STOP-Bang questionnaire as a screening tool for obstructive sleep apnea

Alhouqani

Manhali

Essa³

et al. 2015

Sleep Breath

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“…Epworth Sleepiness Scale which is validated in Croatian was used to asses sleepiness during routine daily activities 55 . The questionnaire is formed out of 8 statements which describe everyday activities (sitting and reading, watching TV, sitting at a meeting while not actively participating in it, being in a car for more than an hour as a passenger, sitting after a meal whitout alcoholic beverage, sitting and talking to someone, sitting in the car in a traffic jam for a few minutes, lying and relaxing in the living room).…”

Section: Epworth Sleepiness Scalementioning

confidence: 99%

“…Normal values are between 0 and 6, 7 and 8 indicate moderate level of daytime sleepiness, while 9 to 24 high level of daytime sleepiness. Patients with high level of daytime sleepiness should undergo further evaluations 55 .…”

Section: Epworth Sleepiness Scalementioning

confidence: 99%

Connection Between Body Position During Sleep and Findings from Full-Night Polysomnography in Patients with Obstructive Sleep Apnea

Juginović

Pecotić

2019

Rad Hrvatske akademije znanosti i umjetnosti

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Aim: The aim of our study was to determine the association between body position during sleep and OSA severity in patients with newly diagnosed OSA after full-length polysomnography. Subjects and Methods: We conducted a cross-sectional and clinical study involving 414 subjects (281 men and 133 women) older than 18 whose median age was 55 years. In 2017, subjects came to the Center for Sleep Medicine at UHC Split and the Split School of Medicine and their dana was taken from the archives of the same center. All patients did a full-night polysomnography after which the severity of OSA was estimated with the help of AHI in accordance with the OSA diagnosis guidelines prescribed by the American Academy of Sleep Medicine (AASM) and European Sleep Research Society (ESRS). Excessive daily sleepiness has been estimated by the Epworth Sleepiness Scale (ESS). Results: Statistical analysis showed that patients had spent more time on the back (189.9±118.4min) than on the left (113.3±90.9min) or right side (80.6±90.6min) during sleep and had the most sleep apneas on their back (AHI = 31.1±31.9). Patients with diagnosed OSA (AHI≥5) also had higher AHI values on the back (39.1±31.9) than on the left (23.8±25.2) or right side (18.5±25.6) during sleep. Patients with diagnosed OSA in comparison to patients without OSA diagnosis had statistically significantly higher BMI (29.5±4.6kg/m2 vs. 25.3±4.1kg/m2, P<0.001) and neck circumference (42.0±4.4cm vs 37.4±3.9cm, P<0.001). Overall, considering the whole sample, men were taller (180.8±7.4cm than 165.9±6.7cm, P<0.001), had higher BMI (29.4±4.5kg/m2 compared to 26.8±4.9kg/m2, P<0.001 ) and bigger neck circumference (43.2±3.5cm vs. 36.2±3.4cm, P=0.002), as well as a larger ESS sum (7.6±4.7 compared to 6.3±4.8, P=0.021). Using the Pearson Correlation Coefficient, we showed a negative correlation of AHI with sleep time on the right side (r=-0.178, P=0.005) in OSA patients, while positive correlation was found in sleep on the left side (r=0.003, P=0.959) and back (r=0.183, P=0.002). Conclusion: Our research showed that patients sleep the most time n their back and that AHI ist the highest in that sleep position in comparison to other sleep position which worsens sleep quality in the long term. Sažetak: Povezanost Položaja tijela tijekom sPavanja s nalazima cjelonoćne Polisomnografije u Pacijenata s oPstrukcijskom aPnejomCilj: Cilj našeg istraživanja je utvrditi povezanost položaja tijela tijekom spavanja sa stupnjem OSA-e u pacijenata s novodijagnosticiranom OSA-om nakon cjelonoćne polisomnografije. Ispitanici i metode: Proveli smo presječno i kliničko istraživanje koje je uključivalo 414 ispitanika (281 muškarac i 133 žene) starijih od 18 godina čiji je medijan starosti bio 55 godina. Ispitanici su 2017. godine došli na dijagnostičku obradu u Centar za medicinu spavanja KBC-a Split i Medicinskog fakulteta u Splitu te su njihovi podatci uzeti iz arhive istog centra. Svim pacijentima napravljena je cjelonoćna polisomnografija nakon koje je s pomoću AHI-ja procijenjena težina OSA-e u skladu ...

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“…Sleep studies lasting less than 4 h were not accepted, and in such cases, a second recording was undertaken. The self-administrated questionnaire, the Epworth Sleepiness Scale (ESS), validated in Croatian language by our group [26] was used to measure excessive daytime sleepiness.…”

Section: Sleep Assessmentmentioning

confidence: 99%

Effects of mandibular advancement device treatment on arterial stiffness and glucose metabolism in patients with mild to moderate obstructive sleep apnea: a prospective 1 year study

et al. 2015

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The evaluation of the Croatian version of the Epworth sleepiness scale and STOP questionnaire as screening tools for obstructive sleep apnea syndrome

Cited by 37 publications

References 30 publications

Evaluation of the Arabic version of STOP-Bang questionnaire as a screening tool for obstructive sleep apnea

Evaluation of the Arabic version of STOP-Bang questionnaire as a screening tool for obstructive sleep apnea

Connection Between Body Position During Sleep and Findings from Full-Night Polysomnography in Patients with Obstructive Sleep Apnea

Effects of mandibular advancement device treatment on arterial stiffness and glucose metabolism in patients with mild to moderate obstructive sleep apnea: a prospective 1 year study

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