Evaluation of five different questionnaires for assessing sleep apnea syndrome in a sleep clinic.
Title | Evaluation of five different questionnaires for assessing sleep apnea syndrome in a sleep clinic. |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Pataka, A., Daskalopoulou E., Kalamaras G., Passa K. Fekete, & Argyropoulou P. |
Journal | Sleep Med |
Volume | 15 |
Issue | 7 |
Pagination | 776-81 |
Date Published | 2014 Jul |
ISSN | 1878-5506 |
Keywords | Female, Humans, Male, Middle Aged, Polysomnography, Reproducibility of Results, Sensitivity and Specificity, Sleep Apnea Syndromes, Sleep Medicine Specialty, Surveys and Questionnaires |
Abstract | BACKGROUND: Obstructive sleep apnea/hypopnea syndrome (OSAHS) is a major cause of morbidity and mortality. Different clinical models and questionnaires have been used to evaluate patients with the highest OSAHS probability.OBJECTIVES: To evaluate the clinical utility of five different questionnaires--STOP, STOPBang (SB), Berlin Questionnaire (BQ), Epworth Sleepiness Scale (ESS), and 4-Variable Screening Tool (4-V) - in a sleep clinic in order to identify patients at risk for OSAHS and to assess the best possible combination of these tools.METHODS: 1853 (74.4% males) patients (mean age 52±14 years; mean body mass index 32.8±7 kg/m2) visiting a sleep clinic were studied retrospectively.RESULTS: SB had the highest sensitivity (97.6%), the largest area under the receiver operating characteristics curve (AUC) (0.73; 95% CI, 0.7-0.76) and best OR (5.9; 95% CI, 3.6-9.5), but the lowest specificity (12.7%) for AHI > or =15. The 4-V > or = 14 had the highest specificity (74.4%) followed by ESS (67%). BQ had good sensitivity (87%), worse specificity (33%) than 4-V and ESS but better than STOP (13%) and SB (12.7%). The combination of questionnaires did not improve their predictive value.CONCLUSIONS: SB had the highest sensitivity, OR, and AUC, but rather low specificity, and 4-V the highest specificity. The combination of different questionnaires did not improve their predictive value. |
DOI | 10.1016/j.sleep.2014.03.012 |
Alternate Journal | Sleep Med. |
PubMed ID | 24891079 |