J Respir Med Lung Dis | Volume 7, Issue 1 | Research Article | Open Access

Screening Questionnaires for Obstructive Sleep Apnea: An Updated Systematic Review

Babak Amra1, Behzad Rahmati2, Awat Feizi3 and Forogh Soltaninejad2*

1Department of Internal Medicine, Bamdad Respiratory and Sleep Research Center, School of Medicine, Isfahan University of Medical Sciences, Iran 2Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Iran 3Department of Biostatics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Iran

*Correspondance to: Forogh Soltaninejad 

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Abstract

Background: Obstructive Sleep Apnea (OSA) is the most common sleep-related breathing disorder which is associated with significant morbidity. The aim of the current study was to do an updated systematic review of literature on studies assessed the accuracy of screening questionnaires for OSA against Polysomnography (PSG) as the reference test. Methods: An English literature search was performed using Medline, Cochrane Database of Systematic Reviews and Scopus between January 2010 till April 2017. The reference lists of included studies were also manually searched for finding additional studies. Results: Thirty-nine studies comprising 18068 subjects included in the systematic review. The sensitivity of STOP-Bang Questionnaire (SBQ) in detecting mild (AHI ≥ 5 events/h) and severe (AHI ≥ 30 events/h) OSA was higher in comparison to other screening questionnaires (ranged from 81.08% to 97.55% and 69.2% to 98.7% respectively). However, STOP Questionnaire (SQ) had the highest sensitivity in prediction of moderate OSA (AHI ≥ 15 events/h) (ranged from 41.3% to 100%). Conclusion: The results of the present systematic review suggested SQ and SBQ for screening of OSA among sleep clinic patients. Although further validation studies of screening questionnaires on general populations are required.

Keywords:

Obstructive sleep apnea; Screen; Validation; Sensitivity; Specificity

Citation:

Amra B, Rahmati B, Feizi A, Soltaninejad F. Screening Questionnaires for Obstructive Sleep Apnea: An Updated Systematic Review. J Respir Med Lung Dis. 2022; 7(1): 1060..

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