Serum bicarbonate level improves specificity of Berlin Sleep Questionnaire for obstructive sleep apnea

Objective. To assess the screening tools in snoring patients.Material and Methods. A retrospective review of data was conducted from children between 2 and 15 years old who were referred on suspicion of obstructive sleep apnea-hypopnea (OSAH) between June 2008 and June 2011. We excluded patients with significant comorbidities. Pediatric Sleep Questionnaire (PSQ), physical exam (PE), and pulse-oximetry data were collected and correlated with the results of the nightly polygraph at home.Results. We selected 98 patients. The 22-item version of the PSQ had sensitivity of 96% and specificity of 36.8%. The overall value of the clinic predictor of OSAH (PSQ and PE together) exhibited an increased specificity 57.6% with 94.6% of sensitivity. The nocturnal home oximetry method used alone was very specific, 92.1%, but had a lower sensitivity, 77.1%. The set of clinical assessment tools used together with pulse-oximetry screening provided excellent specificity 98.1% and a positive predictive value 94.1% globally. The performance of this screening tool is related with the severity of OSAH and accuracy is better in moderate and severe cases.Conclusion. The combination of clinical assessment and pulse-oximetry screening can provide a sufficient diagnostic approach for pediatric patients with suspected OSAH at least in moderate and severe cases.

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Validity of Korean Version of Functional Outcomes of Sleep Questionnaire in Patients with Simple Snoring and Obstructive Sleep Apnea

Sleep Medicine Research ◽

10.17241/smr.2014.5.1.5 ◽

2014 ◽

Vol 5 (1) ◽

pp. 5-14 ◽

Cited By ~ 1

Author(s):

Noh Eul Han ◽

Duck Young Kim ◽

Sang-Ahm Lee

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Functional Outcomes ◽

Sleep Questionnaire ◽

Korean Version ◽

Obstructive Sleep ◽

Simple Snoring

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Prevalence of risk to develop obstructive sleep apnea in Bengali children using pediatric sleep questionnaire

Indian Journal of Multidisciplinary Dentistry ◽

10.4103/ijmd.ijmd_7_19 ◽

2019 ◽

Vol 9 (1) ◽

pp. 18

Author(s):

TrishaDas Sarma ◽

Paridhee Jalan ◽

Biswaroop Chandra ◽

GautamKumar Kundu

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sleep Questionnaire ◽

Obstructive Sleep ◽

Pediatric Sleep Questionnaire ◽

Pediatric Sleep

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Utilization of Overnight Pulse Oximetry in Fibromyalgia Patients

Global Advances in Health and Medicine ◽

10.1177/2164956119847125 ◽

2019 ◽

Vol 8 ◽

pp. 216495611984712

Author(s):

Stephanie D Clark ◽

Bradley R Salonen ◽

Neha V Reddy BS ◽

Arya B Mohabbat

Keyword(s):

Sleep Apnea ◽

High Risk ◽

Pulse Oximetry ◽

Retrospective Chart Review ◽

Screening Tools ◽

Risk Category ◽

Exact Test ◽

Sleep Questionnaire ◽

Obstructive Sleep ◽

Berlin Sleep Questionnaire

Objective To assess whether the Berlin Sleep Questionnaire and the Snoring, Tired, Observed, Pressure, Body mass, Age, Neck, and Gender questionnaire (STOP-BANG) might be suitable replacements for an overnight sleep pulse oximetry as screening tools for sleep disordered breathing in patients with fibromyalgia. Participants: From June 8, 2018 through July 25, 2018, adult patients with a confirmed diagnosis of fibromyalgia (via the 1990 and/or 2010 American College of Rheumatology Fibromyalgia Classification Criteria) who attended Mayo Clinic’s Fibromyalgia Treatment Program were invited to participate in the study. Methods: The design was a prospective comparative study with a retrospective chart review component. Participants completed 2 validated surveys: the Berlin Sleep Questionnaire and the STOP-BANG. Medical records were reviewed for demographic information and overnight pulse oximetry test results. Results: Results from both questionnaires indicate that there is an association between sleep apnea risk category (defined by questionnaire) and oximetry results. Fisher’s exact test for STOP-BANG and Berlin Sleep Questionnaire are statistically significant ( P < .001), indicating that participants at high risk for sleep apnea (based on the questionnaires) had a greater prevalence of abnormal oximetry results than those at low risk for sleep apnea. Participants who were classified as high risk (85.7%) or intermediate risk (61.5%) on the STOP-BANG questionnaire for sleep apnea had abnormal oximetry results. Participants who scored as high risk (85.7%) for sleep apnea on the Berlin Sleep Questionnaire had abnormal oximetry results. Conclusions: In patients with fibromyalgia, the Berlin Sleep Questionnaire and the STOP-BANG questionnaires could be beneficial in determining the probability of obstructive sleep apnea and the subsequent need for pulse oximetry testing, in higher risk patients.

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