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A systematic review of screening questionnaires for obstructive sleep apnea Une revue methodique des questionnaires de depistage de l'apnee obstructive du sommeil
Amir Abrishami,Frances Chung +1 more
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TLDR
In this article, a systematic review of the available questionnaires for screening obstructive sleep apnea (OSA) was conducted, and the most common questionnaire was the Berlin questionnaire followed by the Wisconsin sleep questionnaire.Abstract:
Purpose Obstructive sleep apnea (OSA) may lead to lifethreatening problems if it is left undiagnosed. Polysomnography is the ‘‘gold standard’’ for OSA diagnosis; however, it is expensive and not widely available. The objective of this systematic review is to identify and evaluate the available questionnaires for screening OSA. Source We carried out a literature search through MEDLINE, EMBASE, and CINAHL to identify eligible studies. The methodological validity of each study was assessed using the Cochrane Methods Group’s guideline. Principal findings Ten studies (n = 1,484 patients) met the inclusion criteria. The Berlin questionnaire was the most common questionnaire (four studies) followed by the Wisconsin sleep questionnaire (two studies). Four studies were conducted exclusively on ‘‘sleep-disorder patients’’, and six studies were conducted on ‘‘patients without history of sleep disorders’’. For the first group, pooled sensitivity was 72.0% (95% confidence interval [CI]: 66.0-78.0%; I 2 = 23.0%) and pooled specificity was 61.0% (95% CI: 55.0-67.0%; I 2 = 43.8%). For the second group, pooled sensitivity was 77.0% (95% CI: 73.0-80.0%; I 2 = 78.1%) and pooled specificity was 53.0% (95% CI: 50-57%; I 2 = 88.8%). The risk of verification bias could not be eliminated in eight studies due to insufficient reporting. Studies on snoring, tiredness, observed apnea, and high blood pressure (STOP) and STOP including body mass index, age, neck circumference, gender (Bang) questionnaires had the highest methodological quality. Conclusion The existing evidence regarding the accuracy of OSA questionnaires is associated with promising but inconsistent results. This inconsistency could be due to studies with heterogeneous design (population, questionnaire type, validity). STOP and STOP-Bang questionnaires for screening of OSA in the surgical population are suggested due to their higher methodological quality and easyread more
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Journal ArticleDOI
Prevalence of obstructive sleep apnea in the general population: A systematic review.
Chamara V. Senaratna,Chamara V. Senaratna,Jennifer L. Perret,Caroline J Lodge,Adrian J. Lowe,Brittany Campbell,Melanie C. Matheson,Garun S. Hamilton,Shyamali C. Dharmage +8 more
TL;DR: It is confirmed that advancing age, male sex, and higher body-mass index increase OSA prevalence, and the prevalence was also greater in obese men and women.
Journal ArticleDOI
STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea.
TL;DR: The snoring, tiredness, observed apnea, high BP, BMI, age, neck circumference, and male gender (STOP-Bang) questionnaire was specifically developed to meet the need for a reliable, concise, and easy-to-use screening tool.
Journal ArticleDOI
Obstructive sleep apnoea syndrome
Patrick Levy,Malcolm Kohler,Walter T. McNicholas,Ferran Barbé,R. Doug McEvoy,Virend K. Somers,Lena Lavie,Jean-Louis Pépin +7 more
TL;DR: Continuous positive airway pressure (CPAP) is the primary treatment modality in patients with severe OSAS, whereas oral appliances are also widely used in mild to moderate forms, and combining different treatment modalities such as CPAP and weight control is beneficial, but need to be evaluated in randomized controlled trials.
Journal ArticleDOI
Validation of the STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea among Different Populations: A Systematic Review and Meta-Analysis.
Mahesh Nagappa,Pu Liao,Jean Wong,Dennis Auckley,Satya Krishna Ramachandran,Stavros G. Memtsoudis,Babak Mokhlesi,Frances Chung +7 more
TL;DR: A systematic review and meta-analysis confirms the high performance of the STOP-Bang questionnaire in the sleep clinic and surgical population for screening of OSA and predicts its accuracy in determining the severity of Osa in the different populations.
Journal ArticleDOI
Diagnostic accuracy of the Berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: A bivariate meta-analysis
Hsiao-Yean Chiu,Pin Yuan Chen,Li-Pang Chuang,Ning Hung Chen,Yu-Kang Tu,Yu Jung Hsieh,Yu Chi Wang,Christian Guilleminault +7 more
TL;DR: Compared with the BQ, STOP, and ESS, the SBQ is a more accurate tool for detecting mild, moderate, and severe OSA and should be used for the early diagnosis of OSA in clinical settings, particularly in resource-poor countries and sleep clinics where PSG is unavailable.
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