Obstructive Sleep Apnea – Clinical predictors and correlation with questionaires

• Autor(a) principal: Ferreira, Filipa
• Data de Publicação: 2022
• Outros Autores: Teixeira, Henrique, São Pedro, Ricardo, Paupério, Anita, Santos, Cláudia, Proença, Vítor, Rosa, Helena, Antunes, Luís
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.34631/sporl.1022
• topic: Apneia Obstrutiva do Sono; Síndrome de Apneia Obstrutiva do Sono; SAOS - Síndrome de Apneias Obstrutivas de Sono; polissonografia; Questionário; Obstructive sleep apnea; OSA; obstructive sleep apnea syndrome; Polysomnography; Questionnaire

Objectives: To analyse epidemiological, demographic and clinical factors that may be related to Obstructive Sleep Apnea (OSA). To evaluate the correlation between several questionnaires (Epworth Sleepiness Scale, STOP-Bang and Berlin Questionnaires) with polysomnography (PSG) results, in order to apply them as a tool for selecting patients for PSG. Material and Methods: Prospective study. Completion of questionnaires at the time of the type III PSG study, at the Otorhinolaryngology Department of Hospital Garcia de Orta and review of the patient clinical file. Results: 193 patients were evaluated, with a mean age of 57(±14) years, 57.5% were male. Age (p = 0.001), BMI (p = 0.001), the presence of arterial hypertension (p = 0.006) and diabetes mellitus (p = 0.003) were found to be factors associated with the presence of OSA. Of the three questionnaires tested, only the STOP-Bang questionnaire showed a statistically significant correlation with the presence of OSA (p = 0.001) in the population studied. Analysing the ROC curves, the STOP-Bang questionnaire showed the best discriminative capacity for the presence of OSA (0.853 p = 0.001), followed by the Berlin questionnaire (0.659 p = 0.002) and finally the Epworth sleepiness scale (0.559 p = 0.257). Conclusions: The STOP-Bang was the questionnaire that demonstrated a significant correlation with the presence of OSA, constituting a useful tool, particularly in the context of in-office consultation, for the selection and referral of patients for PSG study.