Details

Autor(en) / Beteiligte

• Romano, Salvatore
• Lo Bue, Anna
• Salvaggio, Adriana
• Oliveira, Luis V. F
• Ferini-Strambi, Luigi
• Insalaco, Giuseppe
• Liguori, Claudio

Titel

SANReSP: A new Italian questionnaire to screen patients for obstructive sleep apnea

Ist Teil von

• PloS one, 2022-10, Vol.17 (10), p.e0276217-e0276217

Ort / Verlag

San Francisco: Public Library of Science

Erscheinungsjahr

2022

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• Obstructive sleep apnea (OSA) is a common, prevalent, and underdiagnosed disorder. Its lack of diagnosis and treatment is associated with increased morbidity and mortality. Previous screening questionnaires investigated parameters including body mass index, age, neck circumference, and sex, in addition to symptoms. This study aimed to validate a new Italian, self-administered, and easy-to-use six-item questionnaire that evaluates only subjective symptoms. The present study included 2622 patients (male, 2011; female, 611). Patients who were at least 18 years old, spoke Italian, referred to our sleep clinic for possible OSA, and completed the self-administered SANReSP questionnaire were recruited for the study. The predictive performance of the questionnaire was also evaluated. Nocturnal study showed 89.9% of OSA patients had apnea-hypopnea index (AHI) [greater than or equal to] 5/h; 68.7%, AHI [greater than or equal to] 15/h; and 48.2%, AHI [greater than or equal to] 30/h. The optimal SANReSP score for AHI [greater than or equal to] 5/h was >3 with a sensitivity and specificity of 74.76% and 67.92%, respectively, and an area under receiver operating characteristic curve (ROC) of 0.76. For moderate-severe OSA, the optimal SANReSP score was >3 (sensitivity, 78.18%; specificity, 46.53%; ROC, 0.66). For severe OSA, the optimal SANReSP score was >4 (sensitivity, 59.10%; specificity, 64.73%; ROC, 0.65). The probability of OSA increased with higher SANReSP scores (98.7% and 97.9% in men and women, respectively). The SANReSP questionnaire is a short, easy-to-use, and self-administered screening tool for OSA. Its performance is similar to that of other widely used questionnaires; furthermore, it is advantageous in that it does not require anthropometric measurements.