A Survey Screen for Prediction of Apnea

Maislin, Greg; Pack, Allan I.; Kribbs, Nancy Barone; Smith, Philip L.; Schwartz, Alan R.; Kline, Lewis R.; Schwab, Richard J.; Dinges, David F.

doi:10.1093/sleep/18.3.158

Cited by 433 publications

(357 citation statements)

References 7 publications

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“…Rowley et al 8 prospectively studied the utility of four clinical prediction models (Crocker, 9 Viner, 10 Flemons, 11 and Maislin 12 ) and concluded that they are not sufficiently accurate to discriminate between patients with or without OSA. In addition, some of these clinical models require the assistance of a computer and sophisticated mathematical calculations.…”

Section: Résumémentioning

confidence: 99%

A systematic review of screening questionnaires for obstructive sleep apnea

Abrishami

Khajehdehi

Chung

2010

Can J Anesth/J Can Anesth

483

341

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Purpose Obstructive sleep apnea (OSA) may lead to lifethreatening problems if it is left undiagnosed. Polysomnography is the ''gold standard'' for OSA diagnosis; however, it is expensive and not widely available. The objective of this systematic review is to identify and evaluate the available questionnaires for screening OSA. Source We carried out a literature search through MEDLINE, EMBASE, and CINAHL to identify eligible studies. The methodological validity of each study was assessed using the Cochrane Methods Group's guideline. Principal findings Ten studies (n = 1,484 patients) met the inclusion criteria. The Berlin questionnaire was the most common questionnaire (four studies) followed by the Wisconsin sleep questionnaire (two studies). Four studies were conducted exclusively on ''sleep-disorder patients'', and six studies were conducted on ''patients without history of sleep disorders''. For the first group, pooled sensitivity was 72.0% (95% confidence interval [CI]: 66.0-78.0%; I 2 = 23.0%) and pooled specificity was 61.0% (95% CI: 55.0-67.0%; I 2 = 43.8%). For the second group, pooled sensitivity was 77.0% (95% CI: 73.0-80.0%; I 2 = 78.1%) and pooled specificity was 53.0% (95% CI: 50-57%; I 2 = 88.8%). The risk of verification bias could not be eliminated in eight studies due to insufficient reporting. Studies on snoring, tiredness, observed apnea, and high blood pressure (STOP) and STOP including body mass index, age, neck circumference, gender (Bang) questionnaires had the highest methodological quality. ConclusionThe existing evidence regarding the accuracy of OSA questionnaires is associated with promising but inconsistent results. This inconsistency could be due to studies with heterogeneous design (population, questionnaire type, validity). STOP and STOP-Bang questionnaires for screening of OSA in the surgical population are suggested due to their higher methodological quality and easyto-use features. RésuméObjectif L'apne´e obstructive du sommeil (AOS) peut provoquer des proble`mes de sante´fatals si elle n'est pas diagnostique´e. La polysomnographie est «l'e´talon or» du diagnostic de l'AOS; cependant, cette me´thode est one´reuse et n'est pas disponible partout. L

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Section: Résumémentioning

confidence: 99%

A systematic review of screening questionnaires for obstructive sleep apnea

Abrishami

Khajehdehi

Chung

2010

Can J Anesth/J Can Anesth

483

341

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“…Exclusion criteria were: medical contraindications for the sleep deprivation protocol; a sleep disorder or sleep apnea (assessed by the Multiple Apnea Prediction Score questionnaire (score >0.5) (Maislin et al, 1995) and the Epworth Sleepiness Scale (ESS) (score >10) (Johns, 1993)); pregnancy; participants who could not tolerate having no cigarettes in a 12-hour period; high-level caffeine users, defined as five or more caffeinated beverages per day (Lenne, Triggs, & Redman, 1998); and visual impairment not correctable with glasses. There was a large range of hours spent driving for work per week in the group, ranging from 8 to 80 hours per week, with an average of 42.4 hours.…”

Section: Participantsmentioning

confidence: 99%

Slow eyelid closure as a measure of driver drowsiness and its relationship to performance

Jackson

Raj

Croft

et al. 2016

Traffic Injury Prevention

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(2016). Slow eyelid closure as a measure of driver drowsiness and its relationship to performance. Traffic Injury Prevention, 17 (3), 251-257. Slow eyelid closure as a measure of driver drowsiness and its relationship to performance AbstractObjective: Slow eyelid closure is recognized as an indicator of sleepiness in sleep-deprived individuals, although automated ocular devices are not well validated. This study aimed to determine whether changes in eyelid closure are evident following acute sleep deprivation as assessed by an automated device and how ocular parameters relate to performance after sleep deprivation. Methods: Twelve healthy professional drivers (45.58 ± 10.93 years) completed 2 randomized sessions: After a normal night of sleep and after 24 h of total sleep deprivation. Slow eye closure (PERCLOS) was measured while drivers performed a simulated driving task. Results: Following sleep deprivation, drivers displayed significantly more eyelid closure (P < .05), greater variation in lane position (P < .01) and more attentional lapses (P < .05) compared to after normal sleep. PERCLOS was moderately associated with variability in both vigilance performance (r = 0.68, P < .05) and variation in lane position on the driving task (r = 0.61, P < .05). Conclusions: Automated ocular measurement appears to be an effective means of detecting impairment due to sleep loss in the laboratory.

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“…The 16-item Sleep Questionnaire assesses overall quality of sleep over the past month, and was adapted from the apnea sleep index derived from sleep survey studies (Maislin et al, 1995). It determines disturbances in sleep from airway difficulties, difficulties in falling asleep, morning headaches and fatigue, falling asleep during activities, excessive sleeping, post sleep paralysis and unexplained fatigue.…”

Section: Ego Resiliencementioning

confidence: 99%

The TWIN-E Project in Emotional Wellbeing: Study Protocol and Preliminary Heritability Results Across Four MRI and DTI Measures

et al. 2012

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Despite the significant advancements being made in the neurogenetics for mental health, the identification and validation of potential endophenotype markers of risk and resilience remain to be confirmed. The TWIN-E study (The Twin study in Wellbeing using Integrative Neuroscience of Emotion) aims to validate endophenotype markers of mental health across cognitive, brain, and autonomic measures by testing the heritability, clinical plausibility, and reliability of each of these measures in a large adult twin cohort. The specific gene and environmental mechanisms that moderate prospective links between endophenotypephenotype markers and the final outcome of wellbeing will also be identified. TWIN-E is a national prospective study with three phases: I) baseline testing on a battery of online questionnaires and cognitive tasks, and EEG, MRI, and autonomic testing; II) 12-month follow-up testing on the online assessments; and III) randomized controlled trial of brain training. Minimum target numbers include 1,500 male/female twins (18-65 years) for the online assessments (Phase I and II), 300 twins for the EEG testing component, and 244 twins for the MRI testing component. For Phase III, each twin out of the pair will be randomized to either the treatment or waitlist control group to test the effects of brain training on mental health over a 30-day period, and to confirm the gene-environment and endophenotype contributions to treatment response. Preliminary heritability results are provided for the first 50% of the MRI subgroup (n = 142) for the grey matter volume, thickness, and surface area measures, and white matter diffuse tensor imaging fractional anisotropy.

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A Survey Screen for Prediction of Apnea

Cited by 433 publications

References 7 publications

A systematic review of screening questionnaires for obstructive sleep apnea

A systematic review of screening questionnaires for obstructive sleep apnea

Slow eyelid closure as a measure of driver drowsiness and its relationship to performance

The TWIN-E Project in Emotional Wellbeing: Study Protocol and Preliminary Heritability Results Across Four MRI and DTI Measures

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