Screening for obstructive sleep apnea syndrome in patients with type 2 diabetes mellitus: a prospective study on sensitivity of Berlin and STOP-Bang questionnaires

Westlake, Katerina; Plíhalová, Andrea; Pretl, Martin; Lattová, Zuzana; Polàk, Jan

doi:10.1016/j.sleep.2016.07.009

Cited by 40 publications

(33 citation statements)

References 28 publications

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“…STOP‐BANG is an acronym for specific questions used to assess the likelihood of OSA in a patient 12, 13. The questionnaire contains eight distinct questions regarding different risk factors: (1) S noring, (2) T iredness, (3) O bserved apneas, (4) history of high blood P ressure, (5) B ody mass index (>35 kg/m2), (6) A ge (>50 years), (7) N eck circumference (>40 cm), and (8) G ender (male) 13, 14.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 The questionnaire contains eight distinct questions regarding different risk factors: (1) Snoring, (2) Tiredness, (3) Observed apneas, (4) history of high blood Pressure, (5) Body mass index (>35 kg/m2), (6) Age (>50 years), (7) Neck circumference (>40 cm), and (8) Gender (male). 13,14 If patients exhibit three or more of the possible eight indicators, they should be included in the OSA high risk category. 12 Physical examination should include airway evaluation, nasopharyngeal characteristics, tonsil size, and tongue volume.…”

Section: Introductionmentioning

confidence: 99%

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A retrospective analysis on patients at high‐risk for obstructive sleep apnea undergoing ear, nose, and throat surgeries

Woodling

Fiorda-Diaz

Otto

et al. 2017

Laryngoscope Investig Oto

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BackgroundObstructive sleep apnea (OSA) may be related to episodes of oxygen de‐saturation, hypercapnia, cardiovascular dysfunction, cor‐pulmonale, and pulmonary hypertension. STOP‐BANG is an acronym for eight specific questions used to assess the likelihood of OSA. If the individual exhibits three or more of these indicators, he/she should be considered to be at high risk for OSA complications. Therefore, the decision of proceeding with inpatient versus outpatient ENT surgery still remains controversial. The primary objective of the study was to identify and correlate desaturation (SPO2 <90%) episodes and risk factors.MethodsWe conducted a single‐center retrospective study between October 1, 2011 and August 31, 2014 in order to identify postoperative complications during the first 24 hours that justify postoperative monitoring and hospital admission. A total of 292 subjects were included for data analysis. Patients were divided into two groups based on the number of OSA risk factors: group A with 3–4 risk factors (n = 166), and group B with ≥5 risk factors (n = 126). The following information was collected: demographics, ASA, preoperative STOP‐BANG score, length of surgery, intraoperative complications, opioid consumption, post anesthesia care unit (PACU) and overall length of stay, supplemental oxygen requirement, oxygen desaturation, and postoperative opioid consumption.ResultsNo statistically significant difference was found when comparing demographic variables between both groups. All STOP‐BANG variables showed statistical significance. PACU and inpatient variables were similar among both groups, with the exception of length of hospital stay (longer stay in group B when compared to group A [p = 0.003]). Desaturation differences between both groups during PACU were statistically significant (p = 0.008). A post‐hoc analysis showed a 0% incidence of overall desaturation in the group with three STOP‐BANG indicators.ConclusionsOur retrospective analysis concluded that patients diagnosed with three STOP‐BANG risk factors did not experience postoperative complications and hospital admission was not justified.Level of Evidence4

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A retrospective analysis on patients at high‐risk for obstructive sleep apnea undergoing ear, nose, and throat surgeries

Woodling

Fiorda-Diaz

Otto

et al. 2017

Laryngoscope Investig Oto

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show abstract

“…Alternatively, obstructive apneas in these diseases may have different characteristics than in the general or in sleep laboratory populations, and generate more soft snoring that may make them less evident to bed partners. The most common OSA screening questionnaires proved poorly performant in CKD (31), and other screening tools have been advocated, as it was the case in other diseases, like stroke or diabetes (32,33). Developing new tools could have clinically important consequences, since the clinical course of CKD might improve if OSA is recognised and treated.…”

Section: Editorialmentioning

confidence: 99%

Obstructive sleep apnea and chronic kidney disease: open questions on a potential public health problem

Marrone

Bonsignore

2018

J. Thorac. Dis.

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“…The use of STOP, STOP-BANG and BERLIN questionnaires represent an inferior diagnostic method of OSA compared to polysomnography, considering the fact that in 31% of the cases it does not succeed to identify the patients with severe or moderate types of OSA [6].…”

Section: Diagnosis Of Osamentioning

confidence: 99%

“…The prevalence of OSA in type 2 diabetes mellitus patients is high, and it is considered to be an additional risk factor for the rise of cardiovascular mortality in these patients [6,24,25].…”

Section: Osa and Type 2 Diabetes Mellitusmentioning

confidence: 99%

New Insight into the Role of Obstructive Sleep Apnea in Cardiometabolic Diseases

Protasiewicz

Popa

Roșu

et al. 2017

Romanian Journal of Diabetes Nutrition and Metabolic Diseases

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Screening for obstructive sleep apnea syndrome in patients with type 2 diabetes mellitus: a prospective study on sensitivity of Berlin and STOP-Bang questionnaires

Cited by 40 publications

References 28 publications

A retrospective analysis on patients at high‐risk for obstructive sleep apnea undergoing ear, nose, and throat surgeries

A retrospective analysis on patients at high‐risk for obstructive sleep apnea undergoing ear, nose, and throat surgeries

Obstructive sleep apnea and chronic kidney disease: open questions on a potential public health problem

New Insight into the Role of Obstructive Sleep Apnea in Cardiometabolic Diseases

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