Is the Berlin questionnaire a useful tool to diagnose obstructive sleep apnea in the elderly?

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.

Download Full-text

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

Download Full-text

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

Sleep And Breathing ◽

10.1007/s11325-021-02446-5 ◽

2021 ◽

Author(s):

Luiz Antônio Alves de Menezes Júnior ◽

Virgínia Capistrano Fajardo ◽

Raimundo Marques do Nascimento Neto ◽

Sílvia Nascimento de Freitas ◽

Fernando Luiz Pereira de Oliveira ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Diagnostic Accuracy ◽

Berlin Questionnaire ◽

Shift Workers ◽

Obstructive Sleep

Download Full-text

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.

Download Full-text

The Validity Of The Berlin Questionnaire In Obstructive Sleep Apnea

10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a2240 ◽

2011 ◽

Author(s):

Hwa Sik Moon ◽

Hyeon Hui kang ◽

Chan Kwon Park ◽

Ju Sang Kim ◽

Jin Woo Kim ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Berlin Questionnaire ◽

Obstructive Sleep

Download Full-text

Obstructive Sleep Apnea in the Elderly: Extent of the Problem and Therapeutic Options

Current Cardiovascular Risk Reports ◽

10.1007/s12170-012-0261-1 ◽

2012 ◽

Vol 6 (5) ◽

pp. 411-419 ◽

Cited By ~ 2

Author(s):

Douglas Mayson ◽

Tomas G. Neilan ◽

Karim Awad ◽

Atul Malhotra

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

The Elderly ◽

Therapeutic Options ◽

Obstructive Sleep

Download Full-text

The importance of screening questionnaires in detecting the severity of obstructive sleep apnea

Otorinolaryngologie a foniatrie ◽

10.48095/ccorl202175 ◽

2021 ◽

Vol 70 (2) ◽

pp. 75-81

Author(s):

Šárka Solecká ◽

Jan Betka ◽

Karel Matler ◽

Hana Tomášková

Keyword(s):

Risk Factors ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Pittsburgh Sleep Quality Index ◽

Neck Circumference ◽

Berlin Questionnaire ◽

Hip Circumference ◽

Obstructive Sleep ◽

Screening Questionnaires ◽

Stop Questionnaire

ntroduction: The aim of this study is to compare the importance of screening questionnaires and risk factors in detecting the severity of obstructive sleep apnea (OSA). Methods: The study included 47 patients with suspected OSA. The patients completed 5 screening questionnaires – the Epworth Sleepiness Scale (ESS), the STOP BANG questionnaire, the STOP questionnaire, the Berlin questionnaire (BQ) and the Pittsburgh Sleep Quality Index (PSQI). Subsequently, they were examined by the limited polygraphy. AHI (number of apneas/ hypopneas per 1 hour), t90 desaturation (percentage of sleep time spent in desaturations below 90%) and ODI (number of desaturations ≥ 3% within 1 hour) were compared with questionnaire scores and selected risk factors for OSA (BMI, male gender, hypertension, age, neck circumference, abdominal circumference and abdominal/ hip circumference ratio). Results: The achieved score of any of the monitored questionnaires does not correlate with the value of AHI. BQ, STOP and STOP BANG questionnaires have the relatively highest sensitivity for OSA detection, while the sensitivity of PSQI and ESS is low. The correlation of the ESS, STOP BANG and BQ scores with the t90 desaturation, as well as the ESS and STOP BANG scores with the ODI is statistically signifi cant. The relationship of any of the selected risk factors with the AHI value has not been demonstrated. Desaturation values of t90 and ODI correlated best with BMI, neck circumference and abdominal/ hip circumference ratio. Conclusion: None of the monitored questionnaires is suitable for determining the severity of OSA, it is always necessary to perform a polygraphic or polysomnographic examination of sleep. BQ and STOPBANG are relatively most suitable for OSA screening. They both have high sensitivity and, at the same time, their score correlates with the value of nocturnal hypoxemia. Parameters measuring nocturnal hypoxemia (t90 desaturation, ODI) correlate better with risk factors than AHI. The most important parameters associated with hypoxemia are BMI, neck circumference and abdominal/ hip circumference ratio and it is appropriate to include them in the screening for OSA. Keywords: obstructive sleep apnea – Berlin questionnaire – STOP-Bang questionnaire – STOP questionnaire – Epworth sleepiness scale – Pittsburgh Sleep Quality Index

Download Full-text

Obstructive Sleep Apnea Syndrome in a Railroad Controller Worker

Romanian Journal Of Internal Medicine ◽

10.1515/rjim-2015-0012 ◽

2015 ◽

Vol 53 (1) ◽

pp. 91-96

Author(s):

Agripina Rascu ◽

Laura Moise ◽

Eugenia Naghi ◽

Alexandra Rascu ◽

Lavinia Lacatusu

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sleep Apnea Syndrome ◽

Work Capacity ◽

Work Place ◽

Berlin Questionnaire ◽

Pressure Therapy ◽

Positive Diagnosis ◽

Obstructive Sleep ◽

Apnea Syndrome

Abstract Sleep Apnea Syndrome (SAS) constitutes a healthcare issue of major importance at international level with a prevalence of 5% in the active population. Consequentially to the induced co-morbidities, the mortality reaches as high as 39% at eight years time lapse from the initial diagnostic. Seldom undiagnosed, the severity spectrum of SAS, in the absence of therapy, only continues to amplify. Here below, we are presenting the case of a 49 years old patient, railroad controller worker, non-smoker and occasionally alcohol user, who was hospitalized in our Clinic for Occupational Medicine. During last year, the patient was accusing excessive daytime somnolence, breath arrests during sleep, intense snoring, morning headaches, morning oral dryness, pin point chest pain, nocturia (4-5 nocturnal urination), concentration difficulties and an overall reduced work capacity. The presumptive diagnostic of Obstructive Sleep Apnea is being considered based on the correlation between the clinical presentation and the Epworth, Stanford and Berlin questionnaire results. The key diagnostic element was the polygraph recording over an 8 hours sleep period. Positive Diagnosis: Obstructive Sleep Apnea severe form. Management and recommendations: (1) Behavioral therapy (weight loss) and (2) CPAP (Continuous Positive Airway Pressure) therapy which was instituted immediately after the positive diagnosis was made. As a consequence, the respiratory symptoms, the frequent episodes of daytime snoozing and the concentration difficulties at work place diminished considerably.

Download Full-text

High risk for obstructive sleep apnea in patients with acute myocardial infarction

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.0511.2617 ◽

2015 ◽

Vol 23 (5) ◽

pp. 797-805

Author(s):

Carla Renata Silva Andrechuk ◽

Maria Filomena Ceolim

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

High Risk ◽

Berlin Questionnaire ◽

Obstructive Sleep ◽

Modifiable Factors ◽

Tertiary Teaching ◽

Clinical Worsening

Objectives: to stratify the risk for obstructive sleep apnea in patients with acute myocardial infarction, treated at a public, tertiary, teaching hospital of the state of São Paulo, Brazil, and to identify related sociodemographic and clinical factors.Method: cross-sectional analytical study with 113 patients (mean age 59.57 years, 70.8% male). A specific questionnaire was used for the sociodemographic and clinical characterization and the Berlin Questionnaire for the stratification of the risk of obstructive sleep apnea syndrome.Results: the prevalence of high risk was 60.2% and the outcome of clinical worsening during hospitalization was more frequent among these patients. The factors related to high risk were body mass index over 30 kg/m2, arterial hypertension and waist circumference indicative of cardiovascular risk, while older age (60 years and over) constituted a protective factor.Conclusion: considering the high prevalence of obstructive sleep apnea and its relation to clinical worsening, it is suggested that nurses should monitor, in their clinical practice, people at high risk for this syndrome, guiding control measures of modifiable factors and aiming to prevent the associated complications, including worsening of cardiovascular diseases.

Download Full-text