Evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueño

Background: Simple but accurate tools should be used to identify patients with obstructive sleep apnea syndrome (OSAS), aiming at an early detection and prevention of serious consequences. Aim: To assess the predictive value of four sleep questionnaires (Berlin, Epworth Sleepiness Scale [ESS], STOP...

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Autores principales: SALDÍAS PEÑAFIEL,FERNANDO, GASSMANN PONIACHIK,JAVIERA, CANELO LÓPEZ,ALEJANDRO, URIBE MONASTERIO,JAVIER, DÍAZ PATIÑO,ORLANDO
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2018
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001123
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spelling oai:scielo:S0034-988720180010011232019-03-07Evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueñoSALDÍAS PEÑAFIEL,FERNANDOGASSMANN PONIACHIK,JAVIERACANELO LÓPEZ,ALEJANDROURIBE MONASTERIO,JAVIERDÍAZ PATIÑO,ORLANDO Diagnosis Sleep Apnea Obstructive Surveys and Questionnaires. Background: Simple but accurate tools should be used to identify patients with obstructive sleep apnea syndrome (OSAS), aiming at an early detection and prevention of serious consequences. Aim: To assess the predictive value of four sleep questionnaires (Berlin, Epworth Sleepiness Scale [ESS], STOP, and STOP-Bang) in the screening of patients with OSAS. Material and Methods: The four sleep questionnaires were administered to 1,050 snorers aged 56 ± 15 years (68% males) assessed at a sleep clinic. An overnight unattended respiratory polygraphy was performed to all patients to confirm the diagnosis of OSAS. The sensitivity, specificity, positive and negative predictive values of the four questionnaires were calculated. Results: Eighty four percent of participants had OSAS. The clinical variables associated with OSAS risk were age, male gender, hypertension, overweight, cervical circumference, waist/hip ratio, history of snoring, witnessed apneas and nycturia. Eighty-three, 86, 92 and 46 % of cases were classified as having a high risk for OSAS, according to the Berlin, STOP and STOP-Bang questionnaires and ESS, respectively. STOP and STOP-Bang questionnaires had the highest sensitivity to predict OSAS (88 and 95%, respectively) while the Flemons Index had the highest specificity (82%). Conclusions: Sleep questionnaires were able to identify patients with a high risk for OSAS but without accurately excluding those at low risk.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.10 20182018-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001123es10.4067/S0034-98872018001001123
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Diagnosis
Sleep Apnea Obstructive
Surveys and Questionnaires.
spellingShingle Diagnosis
Sleep Apnea Obstructive
Surveys and Questionnaires.
SALDÍAS PEÑAFIEL,FERNANDO
GASSMANN PONIACHIK,JAVIERA
CANELO LÓPEZ,ALEJANDRO
URIBE MONASTERIO,JAVIER
DÍAZ PATIÑO,ORLANDO
Evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueño
description Background: Simple but accurate tools should be used to identify patients with obstructive sleep apnea syndrome (OSAS), aiming at an early detection and prevention of serious consequences. Aim: To assess the predictive value of four sleep questionnaires (Berlin, Epworth Sleepiness Scale [ESS], STOP, and STOP-Bang) in the screening of patients with OSAS. Material and Methods: The four sleep questionnaires were administered to 1,050 snorers aged 56 ± 15 years (68% males) assessed at a sleep clinic. An overnight unattended respiratory polygraphy was performed to all patients to confirm the diagnosis of OSAS. The sensitivity, specificity, positive and negative predictive values of the four questionnaires were calculated. Results: Eighty four percent of participants had OSAS. The clinical variables associated with OSAS risk were age, male gender, hypertension, overweight, cervical circumference, waist/hip ratio, history of snoring, witnessed apneas and nycturia. Eighty-three, 86, 92 and 46 % of cases were classified as having a high risk for OSAS, according to the Berlin, STOP and STOP-Bang questionnaires and ESS, respectively. STOP and STOP-Bang questionnaires had the highest sensitivity to predict OSAS (88 and 95%, respectively) while the Flemons Index had the highest specificity (82%). Conclusions: Sleep questionnaires were able to identify patients with a high risk for OSAS but without accurately excluding those at low risk.
author SALDÍAS PEÑAFIEL,FERNANDO
GASSMANN PONIACHIK,JAVIERA
CANELO LÓPEZ,ALEJANDRO
URIBE MONASTERIO,JAVIER
DÍAZ PATIÑO,ORLANDO
author_facet SALDÍAS PEÑAFIEL,FERNANDO
GASSMANN PONIACHIK,JAVIERA
CANELO LÓPEZ,ALEJANDRO
URIBE MONASTERIO,JAVIER
DÍAZ PATIÑO,ORLANDO
author_sort SALDÍAS PEÑAFIEL,FERNANDO
title Evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueño
title_short Evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueño
title_full Evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueño
title_fullStr Evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueño
title_full_unstemmed Evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueño
title_sort evaluación de los cuestionarios de sueño en la pesquisa de pacientes con síndrome de apneas obstructivas del sueño
publisher Sociedad Médica de Santiago
publishDate 2018
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001123
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