Screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire: Which is better?
Background: Obstructive sleep apnea (OSA) is a highly prevalent, but underdiagnosed and undertreated disorder. There is a need for simple but accurate tool for early detection of patients based on their clinical symptoms and physical findings into high- or low-risk group and give information for urg...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2018-01-01
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| Series: | Indian Journal of Respiratory Care |
| Subjects: | |
| Online Access: | http://www.ijrconline.org/article.asp?issn=2277-9019;year=2018;volume=7;issue=1;spage=33;epage=36;aulast=Dixit |
| _version_ | 1797696756448755712 |
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| author | Ramakant Dixit Satyadeep Verma Kamender Singh Pawar |
| author_facet | Ramakant Dixit Satyadeep Verma Kamender Singh Pawar |
| author_sort | Ramakant Dixit |
| collection | DOAJ |
| description | Background: Obstructive sleep apnea (OSA) is a highly prevalent, but underdiagnosed and undertreated disorder. There is a need for simple but accurate tool for early detection of patients based on their clinical symptoms and physical findings into high- or low-risk group and give information for urgent polysomnography (PSG) and further treatment to prevent serious consequences. Epworth Sleepiness Score (ESS) and Berlin Questionnaire (BQ) are the most popular and widely acceptable instruments for identification of high-risk patients of OSA. The aim of our study was to compare these two established and well-known sleep questionnaires regarding their ability to find out the probable cases of OSA in Indian scenario. Methods: This cross-sectional study was conducted at a tertiary care center on 72 adult patients with symptoms of sleep-related breathing disorders. All patients were asked to fill both ESS and BQ questionnaires. Subsequently, all patients were subjected to level-1 PSG. For each patient, the Apnea–hypopnoea index was calculated to assess the diagnosis and severity of OSA and to further compare the ESS and BQ questionnaires for their sensitivity (SN) in OSA patients. Results: A total of 14 (19.4%) patients were diagnosed as OSA by ESS while by BQ, 32 (44.4%) patients were diagnosed as having OSA with SN of 31% and 71.11%, respectively (P = 0.00004). The positive predictive value was 82.3% and 88.8% for ESS and BQ, respectively, with a negative predictive value of 43.6% by ESS and 63.8% by BQ questionnaires. Conclusion: ESS is a less sensitive diagnostic tool for early detection of high-risk patients of OSA in general population. BQ is a valid, reliable, and more sensitive parameter to screen patients for OSA and may help in improving the quality of life in such patients with proper OSA management. |
| first_indexed | 2024-03-12T03:30:50Z |
| format | Article |
| id | doaj.art-665f22dccd804ae4bcfd1dbd99645091 |
| institution | Directory Open Access Journal |
| issn | 2277-9019 2321-4899 |
| language | English |
| last_indexed | 2024-03-12T03:30:50Z |
| publishDate | 2018-01-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Indian Journal of Respiratory Care |
| spelling | doaj.art-665f22dccd804ae4bcfd1dbd996450912023-09-03T13:26:40ZengJaypee Brothers Medical PublisherIndian Journal of Respiratory Care2277-90192321-48992018-01-0171333610.4103/ijrc.ijrc_20_17Screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire: Which is better?Ramakant DixitSatyadeep VermaKamender Singh PawarBackground: Obstructive sleep apnea (OSA) is a highly prevalent, but underdiagnosed and undertreated disorder. There is a need for simple but accurate tool for early detection of patients based on their clinical symptoms and physical findings into high- or low-risk group and give information for urgent polysomnography (PSG) and further treatment to prevent serious consequences. Epworth Sleepiness Score (ESS) and Berlin Questionnaire (BQ) are the most popular and widely acceptable instruments for identification of high-risk patients of OSA. The aim of our study was to compare these two established and well-known sleep questionnaires regarding their ability to find out the probable cases of OSA in Indian scenario. Methods: This cross-sectional study was conducted at a tertiary care center on 72 adult patients with symptoms of sleep-related breathing disorders. All patients were asked to fill both ESS and BQ questionnaires. Subsequently, all patients were subjected to level-1 PSG. For each patient, the Apnea–hypopnoea index was calculated to assess the diagnosis and severity of OSA and to further compare the ESS and BQ questionnaires for their sensitivity (SN) in OSA patients. Results: A total of 14 (19.4%) patients were diagnosed as OSA by ESS while by BQ, 32 (44.4%) patients were diagnosed as having OSA with SN of 31% and 71.11%, respectively (P = 0.00004). The positive predictive value was 82.3% and 88.8% for ESS and BQ, respectively, with a negative predictive value of 43.6% by ESS and 63.8% by BQ questionnaires. Conclusion: ESS is a less sensitive diagnostic tool for early detection of high-risk patients of OSA in general population. BQ is a valid, reliable, and more sensitive parameter to screen patients for OSA and may help in improving the quality of life in such patients with proper OSA management.http://www.ijrconline.org/article.asp?issn=2277-9019;year=2018;volume=7;issue=1;spage=33;epage=36;aulast=DixitApnea–Hypopnea Indexbody mass indexday-time sleepinessobstructive sleep apneascreening tools |
| spellingShingle | Ramakant Dixit Satyadeep Verma Kamender Singh Pawar Screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire: Which is better? Indian Journal of Respiratory Care Apnea–Hypopnea Index body mass index day-time sleepiness obstructive sleep apnea screening tools |
| title | Screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire: Which is better? |
| title_full | Screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire: Which is better? |
| title_fullStr | Screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire: Which is better? |
| title_full_unstemmed | Screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire: Which is better? |
| title_short | Screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire: Which is better? |
| title_sort | screening for obstructive sleep apnea using epworth sleepiness score and berlin questionnaire which is better |
| topic | Apnea–Hypopnea Index body mass index day-time sleepiness obstructive sleep apnea screening tools |
| url | http://www.ijrconline.org/article.asp?issn=2277-9019;year=2018;volume=7;issue=1;spage=33;epage=36;aulast=Dixit |
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