Diagnostic work-up of socially unacceptable snoring. I. History or sleep registration
| Autor: | Laman M, van Ammers Vc, van Duijn H, de Vries N, Hessel Ns |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Polysomnography Disorders of Excessive Somnolence Body Mass Index stomatognathic system Excessive daytime somnolence Predictive Value of Tests Surveys and Questionnaires Medicine Humans Positive test Medical History Taking Social Behavior Obstructive sleep apnoea syndrome Aged Retrospective Studies Aged 80 and over Endoscopes Sleep Apnea Obstructive medicine.diagnostic_test business.industry Snoring Reproducibility of Results General Medicine Gold standard (test) Middle Aged Predictive value Work-up nervous system diseases respiratory tract diseases Otorhinolaryngology Feasibility Studies Female Sleep (system call) business |
| Zdroj: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 259(3) |
| ISSN: | 0937-4477 |
| Popis: | Should all patients with socially unacceptable snoring (SUS) undergo polysomnography, or is history-taking sufficient to identify the presence of obstructive sleep apnoea syndrome (OSAS)? Three hundred and eighty consecutive patients with SUS who underwent sleep registration were evaluated retrospectively to determine the predictive value of a history of apnoea or excessive daytime somnolence (hypersomnia). Of the patients analysed, 54% had OSAS, defined as an apnoea / hypopnoea index (AHI) of >15. This is higher than previously reported in the literature (46.7%). (Incidental) apnoea was reported by 337 (89%) of the patients, with a sensitivity of 0.92 and a specificity of 0.13. The predictive value - as related to the gold standard, i.e. sleep registration, of a negative test and of a positive test for OSAS is low (0.56 and 0.59, respectively). Hypersomnia was reported by 280 (74%) of the patients, with a sensitivity of 0.29 and a specificity of 0.72. The predictive value of a negative test and a positive test for OSAS is also low, 0.45 and 0.56, respectively. These data confirm that apnoea and hypersomnia in the history do not have a reliable predictive value of an obstructive sleep apnoea syndrome. We conclude that sleep registration is indicated in all patients with SUS, to rule out or confirm the presence of OSAS. |
| Databáze: | OpenAIRE |
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