Comparison of Predictor of Desaturation Disorders and Daytime Sleepiness Based On Epworth Sleepiness Scale and STOP-BANG Questionnaires in Mild to Moderate Obstructive Sleep Apnea Patients
DOI:
https://doi.org/10.3889/oamjms.2018.258Keywords:
Obstructive sleep apnea, Stop bang, EPWORTH scale, Desaturation disordersAbstract
BACKGROUND: Obstructive sleep apnea (OSA) is characterised by recurrence in upper airway obstruction during sleep.
AIM: This study aimed to compare the predictive values of the Epworth Sleepiness Scale (ESS) and STOP-BANG in the desaturation of patients with mild to moderate obstructive apnea based on the apnea-hypopnea index (AHI) scale.
METHODS: A group of 79 patients (43 male and 36 female) were selected. The suspected patients were introduced to the sleep clinic, and the ESS and STOP-BANG questionnaires were filled up, then subjected to polysomnography test, and the scores of the disease were also determined based on an apnoea-hypopnoea index (AHI). Finally, the desaturation rate (SO2 < 3% based on the baseline) and desaturation index were determined in patients. Consequently, the finding was compared with the results of the questionnaires.
RESULTS: Patients with STOP-BANG score above 3 had significantly higher weight, oxygen desaturation index (ODI) index and average desatu, while peripheral capillary oxygen saturation (SpO2) base and average SpO2 were lower than those with scores below 3 (P < 0.05). However, there was no significant difference between the patients with the ESS questionnaire score above 10 and below 10 (P > 0.05).
CONCLUSION: The results of these two questionnaires reflect the unsaturated oxygen index in the blood, and can be considered for the evaluation of the severity of the disease.
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References
Malhotra A, White DP. Obstructive sleep apnoea. Lancet. 2002; 360:237–45. https://doi.org/10.1016/S0140-6736(02)09464-3
Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK, et al. Rules for Scoring Respiratory Events in Sleep: Update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. J Clin Sleep Med. 2012; 8:597–619. https://doi.org/10.5664/jcsm.2172
Franklin KA, Lindberg E. Obstructive sleep apnea is a common disorder in the population-a review on the epidemiology of sleep apnea. J Thorac Dis. 2015; 7:1311–22. PMid:26380759 PMCid:PMC4561280
Senaratna CV, Perret JL, Lodge CJ, et al. Prevalence of obstructive sleep apnea in the general population: A systematic review. Sleep Med Rev. 2017; 34:70–81. https://doi.org/10.1016/j.smrv.2016.07.002 PMid:27568340
Lavie L. Oxidative stress in obstructive sleep apnea and intermittent hypoxia – Revisited – The bad ugly and good: Implications to the heart and brain. Sleep Med Rev. 2015; 20:27–45. https://doi.org/10.1016/j.smrv.2014.07.003 PMid:25155182
Rosario IC. Obstructive sleep apnea: a review and update. Minn Med. 2011; 94:44–8. PMid:22413650
Bentivoglio M, Bergamini E, Fabbri M, et al. [Obstructive sleep apnea syndrome and cardiovascular diseases]. G Ital Cardiol (Rome). 2008; 9:472–81.
Garvey JF, Pengo MF, Drakatos P, et al. Epidemiological aspects of obstructive sleep apnea. J Thorac Dis. 2015; 7:920–9. PMid:26101650 PMCid:PMC4454867
Lévy P, Kohler M, McNicholas WT, et al. Obstructive sleep apnoea syndrome. Nat Rev Dis Prim. 2015; 1:15015. https://doi.org/10.1038/nrdp.2015.15 PMid:27188535
Netzer N, Eliasson AH, Netzer C, et al. Overnight pulse oximetry for sleep-disordered breathing in adults: A review. Chest. 2001; 120:625–33. https://doi.org/10.1378/chest.120.2.625 PMid:11502669
Mattei A, Tabbia G, Baldi S. Diagnosis of sleep apnea. Minerva Med. 2004; 95:213–31. PMid:15289750
Abrishami A, Khajehdehi A, Chung F. A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anesth. 2010; 57:423–38. https://doi.org/10.1007/s12630-010-9280-x PMid:20143278
Khaledi-Paveh B, Khazaie H, Nasouri M, et al. Evaluation of berlin questionnaire validity for sleep apnea risk in sleep clinic populations. Basic Clin Neurosci. 2016; 7:43–8. PMid:27303598 PMCid:PMC4892329
Nagappa M, Liao P, Wong J, et al. Validation of the STOP-bang questionnaire as a screening tool for obstructive sleep apnea among different populations: A systematic review and meta-analysis. PLoS One. 2015; 10:e0143697. https://doi.org/10.1371/journal.pone.0143697 PMid:26658438 PMCid:PMC4678295
Nagappa M, Wong J, Singh M, et al. An update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine. Curr Opin Anaesthesiol. 2017; 30:118–25. PMid:27898430 PMCid:PMC5214142
Chiu HY, Chen PY, Chuang LP, et al.Diagnostic accuracy of the Berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: A bivariate meta-analysis. Sleep Med Rev. 2017; 36:57-70. https://doi.org/10.1016/j.smrv.2016.10.004 PMid:27919588
Sharma A, Molano J, Moseley BD.The STOP-BANG questionnaire improves the detection of epilepsy patients at risk for obstructive sleep apnea. Epilepsy Res. 2017; 129:37-40. https://doi.org/10.1016/j.eplepsyres.2016.11.009 PMid:27886561
Sadeghniiat-Haghighi K, Montazeri A, Khajeh-Mehrizi A, et al.The STOP-BANG questionnaire: reliability and validity of the Persian version in sleep clinic population. Qual Life Res. 2015; 24:2025-30. https://doi.org/10.1007/s11136-015-0923-9 PMid:25613199
Amra B, Javani M, Soltaninejad F, et al.Comparison of Berlin Questionnaire, STOP-Bang, and Epworth Sleepiness Scale for Diagnosing Obstructive Sleep Apnea in Persian Patients.Int J Prev Med. 2018; 9:28. PMid:29619152 PMCid:PMC5869953
Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: A tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008; 108:812–21. https://doi.org/10.1097/ALN.0b013e31816d83e4 PMid:18431116
Johns MW. A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep. 1991; 14:540–5. https://doi.org/10.1093/sleep/14.6.540 PMid:1798888
Azagra-Calero E, Espinar-Escalona E, Barrera-Mora JM, et al. Obstructive sleep apnea syndrome (OSAS). Review of the literature. Med Oral Patol Oral Cir Bucal. 2012; 17:e925-9. https://doi.org/10.4317/medoral.17706 PMid:22549673 PMCid:PMC3505711
Farney RJ, Walker BS, Farney RM, et al. The STOP-Bang equivalent model and prediction of severity of obstructive sleep apnea: relation to polysomnographic measurements of the apnea/hypopnea index. J Clin Sleep Med. 2011; 7:459–65B. https://doi.org/10.5664/jcsm.1306
Chung F, Abdullah HR, Liao P. STOP-bang questionnaire a practical approach to screen for obstructive sleep apnea. Chest. 2016; 149:631–8. https://doi.org/10.1378/chest.15-0903 PMid:26378880
Zhong ZQ, Tao Y, Zhang ZP, et al. Relationship between excessive daytime sleepiness and oxygen saturation in obstructive sleep apnea-hypopnea syndrome. Zhonghua Yi Xue Za Zhi. 2011; 91(1):40–3. PMid:21418961
Young T, Skatrud J, Peppard PE. Risk Factors for Obstructive Sleep Apnea in Adults. Am Med Assoc. 2004; 291:2013–6. https://doi.org/10.1001/jama.291.16.2013 PMid:15113821
Du L, Li Z, Tang X. Application value of four different questionnaires in the screening of patients with obstructive sleep apnea. Zhonghua Yi Xue Za Zhi. 2015; 95:3407–10. PMid:26813127
Nagappa M, Liao P, Wong J, et al.Validation of the STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea among Different Populations: A Systematic Review and Meta-nalysis.PLoS One. 2015; 10:e0143697. https://doi.org/10.1371/journal.pone.0143697 PMid:26658438 PMCid:PMC4678295
Chung F, Abdullah HR, Liao P. STOP-bang questionnaire a practical approach to screen for obstructive sleep apnea. Chest 2016;149:631–8. https://doi.org/10.1378/chest.15-0903 PMid:26378880
Tan A, Yin JDC, Tan LWL, et al. Predicting obstructive sleep apnea using the STOP-Bang questionnaire in the general population. Sleep Med. 2016; 27:66–71. https://doi.org/10.1016/j.sleep.2016.06.034 PMid:27938922
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