Diagnostic accuracy of the Berlin questionnaire and the NoSAS score in detecting risk for obstructive sleep apnea in rotating shift workers

Abstract Objectives The aim of the study is evaluate the association of obstructive sleep apnea syndrome (OSA) and vitamin D deficiency (VDD) in shift workers. Methods This cross-sectional study included rotating shift workers in an iron ore extraction company. Participants were classified as VDD when 25(OH)D < 20 ng/mL for a healthy population and 25(OH)D < 30 ng/mL for groups at risk for VDD. Risk of developing OSA classified by Berlin Questionnaire (BQ) and NoSAS score. Data were compared using chi-square analysis with Cramer's V as effect size, and Bonferroni correction. Multivariate logistic regression analysis was performed to investigate whether VDD was associated with OSA risk assessment. Results Among 1461 workers, mostly male (97.4%), younger, aged 30 to 39 years (53.9%), worked shifts for more than 5 years (75.8%). A prevalence of high risk of OSA by BQ was 15.9%, and 32.5% by NoSAS score. Besides, 28.9% had VDD. In multivariate analysis, controlled for confounding factors, workers with VDD had a 79% increased chance of OSA by BQ (OR: 1.79; CI95%: 1.27-2.51) and an 85% increased chance of OSA by NoSAS score (OR: 1.85; CI95% 1.35-2.53). After subgroup analyses, similar results were not observed in workers aged 20-29 years. Conclusion Rotating shift workers with vitamin D deficiency are more likely to have obstructive sleep apnea, assesed by Berlin questionnaire and NoSAS score.

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Association between obstructive sleep apnea and persistent-postural perceptual dizziness

Journal of Vestibular Research ◽

10.3233/ves-201508 ◽

2021 ◽

pp. 1-6

Author(s):

Anand K. Bery ◽

Jayson Lee Azzi ◽

Andre Le ◽

Naomi S. Spitale ◽

Judith Leech ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sensitivity And Specificity ◽

Berlin Questionnaire ◽

Future Studies ◽

Obstructive Sleep ◽

Chronic Dizziness ◽

Patients At Risk ◽

The Mean ◽

The Relationship

BACKGROUND: Obstructive sleep apnea (OSA) has been linked to vestibular dysfunction, but no prior studies have investigated the relationship between Persistent Postural Perceptual Dizziness (PPPD), a common cause of chronic dizziness, and OSA. OBJECTIVE AND METHODS: We determined the frequency of OSA in an uncontrolled group of PPPD patients from a tertiary dizziness clinic based on polysomnogram (PSG). We then assessed the sensitivity and specificity of common OSA questionnaires in this population. RESULTS: Twenty-five patients with PPPD underwent PSG (mean age 47, 60% female, mean BMI 29.5). A majority, or 56%, of patients were diagnosed with OSA, and in most, the OSA was severe. OSA patients were older (56 years versus 40 years, p = 0.0006) and had higher BMI (32 versus 26, p = 0.0078), but there was no clear gender bias (56% versus 64% female, p = 1.00). The mean sensitivity and specificity of the STOP BANG questionnaire for detecting OSA was 86% and 55%, respectively. Sensitivity and specificity of the Berlin Questionnaire was 79% and 45%, respectively. CONCLUSIONS: The prevalence of OSA was much higher in our small PPPD group than in the general population. Screening questionnaires appear to demonstrate good sensitivity to detect PPPD patients at risk of OSA in this small study. Future studies should confirm these findings and determine whether treatment of OSA improves symptoms in PPPD.

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Diagnostic accuracy of screening questionnaires for obstructive sleep apnea in children: a systematic review and meta-analysis

Sleep Medicine Reviews ◽

10.1016/j.smrv.2021.101464 ◽

2021 ◽

pp. 101464

Author(s):

Serena Incerti Parenti ◽

Andrea Fiordelli ◽

Maria Lavinia Bartolucci ◽

Stefano Martina ◽

Vincenzo D’Antò ◽

...

Keyword(s):

Systematic Review ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Diagnostic Accuracy ◽

Meta Analysis ◽

Obstructive Sleep ◽

Screening Questionnaires

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The Validity of the Berlin Questionnaire in Obstructive Sleep Apnea

CHEST Journal ◽

10.1378/chest.1117873 ◽

2011 ◽

Vol 140 (4) ◽

pp. 818A

Author(s):

Hyeon Hui Kang ◽

Chan Kwon Park ◽

Ji Young Kang ◽

Ju Sang Kim ◽

Myung Sook Kim ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Berlin Questionnaire ◽

Obstructive Sleep

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Abstract TP221: Using Berlin Questionnaire and Epworth Sleepiness Scale to Identify Stroke Patients at Risk for the Sleep Apnea Syndrome

Stroke ◽

10.1161/str.44.suppl_1.atp221 ◽

2013 ◽

Vol 44 (suppl_1) ◽

Author(s):

Millene Camilo ◽

Alan Eckeli ◽

Heidi Sander ◽

Regina Fernandes ◽

Joao Leite ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Ischemic Stroke ◽

Sleep Apnea ◽

Positive Predictive Value ◽

Negative Predictive Value ◽

Predictive Value ◽

Epworth Sleepiness Scale ◽

Berlin Questionnaire ◽

Stroke Patients ◽

Obstructive Sleep

Background: Sleep-disordered breathing (SDB) is frequent in the acute phase of stroke. Obstructive sleep apnea (OSA) has been found in 62% of stroke patients. The impact of OSA is significant after ischemic stroke, including early neurological deterioration, poor functional outcome and increased long-term mortality. However, performing polysomnography (PSG) for all patients with acute stroke for diagnose OSA is still impracticable. Therefore clinical tools to select patients at higher risk for OSA would be essential. The aim of this study was to determine the validity of the Berlin Questionnaire (BQ) and the Epworth Sleepiness Scale (ESS) to identify stroke patients in whom the PSG would be indicated. Methods: Subjects with ischemic stroke were stratified into high and low risk groups for SDB using a BQ. The ESS ≥ 10 was used to define excessive daytime sleepiness. The BQ and ESS were administered to the relatives of stroke patients at hospital admission. All patients were submitted to a full overnight PSG at the first night after symptoms onset. OSA severity was measured by the apnea-hypopnea index (AHI). Results: We prospectively studied 40 ischemic stroke patients. The mean age was 62 ± 12.1 years and the obstructive sleep apnea (AHI ≥ 15) was present in 67.5%. On stratifying risk of OSA in these patients based on the QB, 77.5% belonged to the high-risk and 50% to the ESS ≥ 10. The sensitivity of QB was 85%, the specificity 35%, the positive predictive value 74% and the negative predictive value 55%. For ESS was respectively 63%, 85%, 89% and 52%. The diagnostic value of the BQ and ESS in combination to predict OSA had a sensitivity of 58%, a specificity of 89%, a positive predictive value of 95% and a negative predictive value of 38%. Conclusions: The QB even applied to the bed-partners of stroke patients is a useful screening tool for OSA.

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