Publication
Comparative Performance of Screening Instruments for Obstructive Sleep Apnea in Morbidly Obese Patients Referred to a Sleep Laboratory: a Prospective Cross-Sectional Study
dc.contributor.author | Duarte, R | |
dc.contributor.author | Mello, F | |
dc.contributor.author | Magalhães-da-Silveira, F | |
dc.contributor.author | Oliveira e Sá, T | |
dc.contributor.author | Rabahi, M | |
dc.contributor.author | Gozal, D | |
dc.date.accessioned | 2021-09-08T12:10:34Z | |
dc.date.available | 2021-09-08T12:10:34Z | |
dc.date.issued | 2019 | |
dc.description.abstract | Purpose: Obstructive sleep apnea (OSA) is very common occurrence among morbidly obese patients. Our main objectives were to validate the No-Apnea, a 2-item screening tool, in morbidly obese patients and compare its performance with three other instruments: STOP-Bang questionnaire, NoSAS score, and Epworth Sleepiness Scale (ESS). Methods: A cross-sectional analysis of morbidly obese patients (body mass index [BMI] ≥ 35.0 kg/m2) grouped into two independent samples: bariatric surgery patients (BS) and non-bariatric surgery patients (NBS). All patients underwent overnight polysomnography. Discriminatory ability was assessed by area under the curve (AUC). OSA severity was defined by apnea/hypopnea index cut-off points: ≥ 5.0/h (OSA≥5), ≥ 15.0/h (OSA≥15), and ≥ 30.0/h (OSA≥30). Results: A total of 1017 subjects (40.4% in BS cohort and 59.6% in NBS cohort) were evaluated. In the BS cohort, No-Apnea had similar discrimination to STOP-Bang and NoSAS for predicting OSA≥5 (p = 0.979 and p = 0.358, respectively), OSA≥15 (p = 0.158 and p = 0.399, respectively), and OSA≥30 (p = 0.388 and p = 0.903, respectively). In the NBS cohort, No-Apnea had similar discrimination to STOP-Bang and NoSAS for predicting OSA≥5 (p = 0.528 and p = 0.428, respectively), OSA≥15 (p = 0.825 and p = 0.108, respectively), and OSA≥30 (p = 0.458 and p = 0.186, respectively). Moreover, No-Apnea performed significantly better than ESS in both BS and NBS cohorts (p < 0.001). Conclusions: No-Apnea is a useful and practical tool for screening of OSA in morbidly obese patients, with non-inferior performance to STOP-Bang questionnaire and NoSAS score. | pt_PT |
dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
dc.identifier.citation | Sleep Breath. 2019 Dec;23(4):1123-1132. | pt_PT |
dc.identifier.doi | 10.1007/s11325-019-01791-w. | pt_PT |
dc.identifier.uri | http://hdl.handle.net/10400.17/3846 | |
dc.language.iso | eng | pt_PT |
dc.peerreviewed | yes | pt_PT |
dc.publisher | Springer | pt_PT |
dc.subject | HSM PNEU | pt_PT |
dc.subject | Adult | pt_PT |
dc.subject | Female | pt_PT |
dc.subject | Male | pt_PT |
dc.subject | Humans | pt_PT |
dc.subject | Bariatric Surgery | pt_PT |
dc.subject | Cohort Studies | pt_PT |
dc.subject | Cross-Sectional Studies | pt_PT |
dc.subject | Middle Aged | pt_PT |
dc.subject | Mass Screening | pt_PT |
dc.subject | Obesity, Morbid / diagnosis | pt_PT |
dc.subject | Obesity, Morbid / physiopathology | pt_PT |
dc.subject | Polysomnography | pt_PT |
dc.subject | Prospective Studies | pt_PT |
dc.subject | Referral and Consultation | pt_PT |
dc.subject | Sleep Apnea, Obstructive / diagnosis | pt_PT |
dc.subject | Sleep Apnea, Obstructive / physiopathology | pt_PT |
dc.subject | Surveys and Questionnaires | pt_PT |
dc.title | Comparative Performance of Screening Instruments for Obstructive Sleep Apnea in Morbidly Obese Patients Referred to a Sleep Laboratory: a Prospective Cross-Sectional Study | pt_PT |
dc.type | journal article | |
dspace.entity.type | Publication | |
oaire.citation.endPage | 1132 | pt_PT |
oaire.citation.startPage | 1123 | pt_PT |
oaire.citation.title | Sleep and Breathing | pt_PT |
oaire.citation.volume | 23 | pt_PT |
rcaap.rights | openAccess | pt_PT |
rcaap.type | article | pt_PT |
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