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Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth Sleepiness Scale

OBJECTIVE: To evaluate the performance of the Berlin Questionnaire, the STOP-Bang Questionnaire, and the Epworth Sleepiness Scale in screening for the disease in adults of different age groups by comparing them with polysomnography. METHODS: Cross-sectional study with prospective patient allocation,...

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Autores principales: Silva, Daniel Villela e, Alves, Davi da Silveira Barroso, Nóbrega, Mariana da Rocha Rodrigues, Ribeiro, Felipe Braga Coelho Gomes, Franco, Leandro Yukio Yatabe, Silva, Isadora Rodrigues da, Joffily, Lucia, Rocha, Maira da, Godoy, Paulo Henrique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345254/
https://www.ncbi.nlm.nih.gov/pubmed/37418853
http://dx.doi.org/10.1016/j.bjorl.2023.101283
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author Silva, Daniel Villela e
Alves, Davi da Silveira Barroso
Nóbrega, Mariana da Rocha Rodrigues
Ribeiro, Felipe Braga Coelho Gomes
Franco, Leandro Yukio Yatabe
Silva, Isadora Rodrigues da
Joffily, Lucia
Rocha, Maira da
Godoy, Paulo Henrique
author_facet Silva, Daniel Villela e
Alves, Davi da Silveira Barroso
Nóbrega, Mariana da Rocha Rodrigues
Ribeiro, Felipe Braga Coelho Gomes
Franco, Leandro Yukio Yatabe
Silva, Isadora Rodrigues da
Joffily, Lucia
Rocha, Maira da
Godoy, Paulo Henrique
author_sort Silva, Daniel Villela e
collection PubMed
description OBJECTIVE: To evaluate the performance of the Berlin Questionnaire, the STOP-Bang Questionnaire, and the Epworth Sleepiness Scale in screening for the disease in adults of different age groups by comparing them with polysomnography. METHODS: Cross-sectional study with prospective patient allocation, in which individuals underwent a medical interview, completion of the three screening instruments, and polysomnography. Individuals were categorized into three age groups: 18–39, 40–59, and ≥60 years. The results of the screening instruments were compared to the diagnostic criteria of the International Classification of Sleep Disorders—third edition. Performance was assessed using 2 × 2 contingency tables, estimating sensitivity, specificity, predictive value, likelihood ratio, and accuracy. Receiver Operating Characteristic curves were also constructed and the area under the curve was estimated for each instrument by age group. RESULTS: We obtained a sample with 321 individuals suitable for analysis. The mean age was 50 years, with a predominance of females (56%). The prevalence of the disease in the overall sample was 79%, more prevalent in males in any age group and more frequent in the middle age group. The analyzes revealed that STOP-Bang performed better, both for the overall sample and for all age groups, followed by Berlin Questionnaire and Epworth Sleepiness Scale. CONCLUSION: In an outpatient setting with individuals with characteristics similar to those in this study, it seems sensible to choose the STOP-Bang as a screening tool for the disease, regardless of age group. LEVEL OF EVIDENCE ACCORDING THE GUIDE FOR AUTHORS: level 2.
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spelling pubmed-103452542023-07-15 Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth Sleepiness Scale Silva, Daniel Villela e Alves, Davi da Silveira Barroso Nóbrega, Mariana da Rocha Rodrigues Ribeiro, Felipe Braga Coelho Gomes Franco, Leandro Yukio Yatabe Silva, Isadora Rodrigues da Joffily, Lucia Rocha, Maira da Godoy, Paulo Henrique Braz J Otorhinolaryngol Original Article OBJECTIVE: To evaluate the performance of the Berlin Questionnaire, the STOP-Bang Questionnaire, and the Epworth Sleepiness Scale in screening for the disease in adults of different age groups by comparing them with polysomnography. METHODS: Cross-sectional study with prospective patient allocation, in which individuals underwent a medical interview, completion of the three screening instruments, and polysomnography. Individuals were categorized into three age groups: 18–39, 40–59, and ≥60 years. The results of the screening instruments were compared to the diagnostic criteria of the International Classification of Sleep Disorders—third edition. Performance was assessed using 2 × 2 contingency tables, estimating sensitivity, specificity, predictive value, likelihood ratio, and accuracy. Receiver Operating Characteristic curves were also constructed and the area under the curve was estimated for each instrument by age group. RESULTS: We obtained a sample with 321 individuals suitable for analysis. The mean age was 50 years, with a predominance of females (56%). The prevalence of the disease in the overall sample was 79%, more prevalent in males in any age group and more frequent in the middle age group. The analyzes revealed that STOP-Bang performed better, both for the overall sample and for all age groups, followed by Berlin Questionnaire and Epworth Sleepiness Scale. CONCLUSION: In an outpatient setting with individuals with characteristics similar to those in this study, it seems sensible to choose the STOP-Bang as a screening tool for the disease, regardless of age group. LEVEL OF EVIDENCE ACCORDING THE GUIDE FOR AUTHORS: level 2. Elsevier 2023-06-28 /pmc/articles/PMC10345254/ /pubmed/37418853 http://dx.doi.org/10.1016/j.bjorl.2023.101283 Text en © 2023 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier España, S.L.U. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Silva, Daniel Villela e
Alves, Davi da Silveira Barroso
Nóbrega, Mariana da Rocha Rodrigues
Ribeiro, Felipe Braga Coelho Gomes
Franco, Leandro Yukio Yatabe
Silva, Isadora Rodrigues da
Joffily, Lucia
Rocha, Maira da
Godoy, Paulo Henrique
Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth Sleepiness Scale
title Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth Sleepiness Scale
title_full Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth Sleepiness Scale
title_fullStr Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth Sleepiness Scale
title_full_unstemmed Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth Sleepiness Scale
title_short Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth Sleepiness Scale
title_sort obstructive sleep apnea screening in different age groups: performance of the berlin, stop-bang questionnaires and epworth sleepiness scale
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345254/
https://www.ncbi.nlm.nih.gov/pubmed/37418853
http://dx.doi.org/10.1016/j.bjorl.2023.101283
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