The Screening Value Of ESS, SACS, BQ, And SBQ On Obstructive Sleep Apnea In Patients With Chronic Obstructive Pulmonary Disease
| Autor: | Mengqing Xiong, Hanzhong Xiong, Meifang Wang, Junwen Chen, Minhua Zhong, Dan Liu, Weihua Hu, Yan Jiang, Ke Hu, Minglin Dong |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
COPD medicine.diagnostic_test business.industry Epworth Sleepiness Scale Area under the curve Sleep apnea General Medicine Polysomnography Odds ratio medicine.disease nervous system diseases respiratory tract diseases Pulmonary function testing Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine stomatognathic system 030228 respiratory system Internal medicine medicine 030212 general & internal medicine business |
| Zdroj: | International Journal of Chronic Obstructive Pulmonary Disease. 14:2497-2505 |
| ISSN: | 1178-2005 |
| DOI: | 10.2147/copd.s223354 |
| Popis: | Objective To compare the performance of Epworth sleepiness scale (ESS), sleep apnea clinical score (SACS), Berlin questionnaire (BQ), and STOP-BANG questionnaire (SBQ) in screening for obstructive sleep apnea (OSA) in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 431 patients were analyzed. All subjects completed lung function test, ESS, SACS, BQ, and SBQ survey and overnight polysomnography (PSG). According to lung function and PSG results, participants were divided into COPD with OSA group (OVS, AHI ≥5) and without OSA group (AHI Results Of the 431 subjects, there were 96 cases in COPD without OSA group, and 335 cases in OVS group including 183, 96, and 56 cases of COPD combined with mild, moderate or severe OSA. In predicting different degrees of severity of OSA in patients with COPD, the value of ESS was poor with all the values of area under the curve (AUC) 2 was considered high risk of OSA; the sensitivity, specificity, and AUC were 92.8%, 40.6%, and 0.723 respectively, the odds ratio (OR) was 2.161. When AHI ≥15, AUC for SBQ was 0.737. In predicting severe OSA (AHI ≥30), the ROC curve showed cut-off point, sensitivity, specificity, and AUC for SBQ was >4, 66.1%, 82.1%, and 0.824 respectively; the positive and negative likelihood ratio was 3.70, 0.41 separately, the OR was 2.977. Conclusion SBQ performed better than ESS, SACS, and BQ in predicting OSA in patients with COPD. |
| Databáze: | OpenAIRE |
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