Criterion validity of the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale for the diagnosis of sleep disorders

Nishiyama, Takeshi; Mizuno, Toshihiko; Kojima, Masayo; Suzuki, Sadao; Kitajima, Tsuyoshi; Ando, Kayoko; Kuriyama, Shinichi; Nakayama, Meiho

doi:10.1016/j.sleep.2013.12.015

Cited by 76 publications

(53 citation statements)

References 39 publications

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“…Both PSQI and ESS performed unsatisfactorily: sensitivity 37.8% and 69.7%; Specificity 76.1% and 31.0% as AHI ≥5 (33). And the PSQI and ESS should no longer be used as a screening or diagnostic instrument for the four PSG-defined sleep disorders, especially in a low-risk population (34). Although in our study, patients were not evaluated with PSQI and ESS, hypersomnolence was considered as a variable or confounding factor which is known to influence the accuracy of screening questionnaires in a relevant manner.…”

Section: Discussionmentioning

confidence: 98%

Screening for obstructive sleep apnea syndrome in asthma patients: a prospective study based on Berlin and STOP-Bang questionnaires

Lu¹,

Fu²,

Li³

et al. 2017

J. Thorac. Dis.

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Background: The bidirectional relationship of asthma and obstructive sleep apnea (OSA) has been confirmed in recent years. However, in the clinical practice, majority of asthma patients did not pay adequate attention to their sleep apnea condition. Berlin questionnaire (BQ) and STOP-Bang questionnaire (SBQ) are two most common OSA screening questionnaires to screen high-risk patients for OSA. This study aimed at evaluating the predictive performance of BQ and SBQ for OSA in asthma patients.Methods: Asthma outpatients of Zhongshan Hospital were enrolled into the study. All patients were asked to fill in the BQ and SBQ and clinical characteristics and asthma characteristics were recorded. Univariate and multivariate logistic regression analyses were applied to identify risk factors of OSA in asthma patients.With the gold standard of laboratory-based overnight polysomnography (PSG), the predictive performance of SBQ and BQ was evaluated and compared. The probability of OSA severity was predicted by various SBQ scores in asthma patients.Results: A total of 123 asthma patients (average age 47.56±12.12 years; 57.72% males) were enrolled and underwent PSG diagnosis overnight at Sleep Center. Logistic regression analyses showed that rhinitis (adjusted OR =4.30; 95% CI: 1.50-12.37, P=0.007) and dyslipidemia (adjusted OR =2.75; 95% CI: 1.16-6.51, P=0.021) were associated with OSA in asthma patients after adjusting for known OSA risk factors. No asthma functional characteristic differences were found to be associated with OSA severity in the study. The prevalence of moderate-to-severe OSA (AHI ≥15) in the asthmatic population sample was 36.59% (45/123).Questionnaires predictive results showed that compared with BQ, SBQ has higher diagnostic sensitivity (84.4% vs. 60%), lower specificity (79.5% vs. 91%) lower positive predictive value (PPV): (70.4% vs. 79.4%) and higher negative predictive value (NPV) (90% vs. 80%) to detect moderate-to-severe OSA at the cutoff as AHI of 15/h. OSA probability results showed that with the increasing of the questionnaire scores, the moderate and severe OSA probability of SBQ rose significantly.Conclusions: SBQ is a preferable sleep questionnaire better than BQ for detecting moderate and severe OSA in asthma patients which should be validated in larger population sample.

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Section: Discussionmentioning

confidence: 98%

Screening for obstructive sleep apnea syndrome in asthma patients: a prospective study based on Berlin and STOP-Bang questionnaires

Lu¹,

Fu²,

Li³

et al. 2017

J. Thorac. Dis.

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“…In our literature review of 33 studies assessing the validity of the ESS questionnaire, 27 evaluated ESS in relation to AHI. Whereas 11 studies demonstrated a significant correlation between AHI and ESS score, 16 studies demonstrated no correlation between the two variables . Furthermore, a systematic review of 35 articles established with a strong level of evidence that no significant relationship exists between ESS score and AHI .…”

Section: Discussionmentioning

confidence: 99%

Validity of the epworth sleepiness scale as a screening tool for obstructive sleep apnea

Bonzelaar¹,

Salapatas²,

Yang³

et al. 2016

The Laryngoscope

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“…These items yield scores on seven subscales: subjective sleep efficiency, sleep latency, sleep duration, sleep quality, sleep disturbance, sleep medication use and daytime dysfunction due to sleepiness. The subscales yield a score from 0 to 3 and are summed to yield a total score ranging from 0 to 21, with higher total scores indicating poorer sleep quality [19]. Scores greater than 5 are affiliated with poor sleep quality.…”

Section: Pittsburgh Sleep Quality Index (Psqi)mentioning

confidence: 99%

Relaxation and Guided Imagery for Parents of Offspring with Developmental Disabilities

Bray¹,

Root²,

Gelbar³

et al. 2017

J Psychol Abnorm

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Criterion validity of the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale for the diagnosis of sleep disorders

Cited by 76 publications

References 39 publications

Screening for obstructive sleep apnea syndrome in asthma patients: a prospective study based on Berlin and STOP-Bang questionnaires

Screening for obstructive sleep apnea syndrome in asthma patients: a prospective study based on Berlin and STOP-Bang questionnaires

Validity of the epworth sleepiness scale as a screening tool for obstructive sleep apnea

Relaxation and Guided Imagery for Parents of Offspring with Developmental Disabilities

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