Validity of the Berlin Questionnaire in identifying obstructive sleep apnea syndrome when administered to the informants of stroke patients

Srijithesh, PR; Shukla, Garima; Srivastav, A.; Goyal, Vinay; Singh, Simranjeet; Behari, Madhuri

doi:10.1016/j.jocn.2010.04.048

Cited by 52 publications

(63 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…268,[271][272][273][274][275][276][277][278] Specifically, stroke patients with sleep apnea do not experience the same degree of sleepiness as nonstroke patients with sleep apnea and have lower BMI values. 273 The Epworth Sleepiness Scale is often normal among stroke patients with sleep apnea.…”

Section: Strokementioning

confidence: 99%

“…[272][273][274][275][276] The Berlin Questionnaire also has poor positive and negative predictive values among stroke patients. 277,278 Given that stroke and TIA patients are at high risk of having sleep apnea, 272 a sleep study should be considered to identify the presence of sleep apnea among patients with stroke or TIA even in the absence of sleep apnea signs or symptoms. The American Academy of Sleep Medicine recommends the use of polysomnography, either conducted in a sleep laboratory or unattended polysomnography conducted in patients' homes for the detection of sleep apnea 270 ; however several studies have evaluated the use of autotitrating continuous positive airway pressure (CPAP) devices used diagnostically and found them to have acceptable validity among stroke and TIA populations.…”

Section: Strokementioning

confidence: 99%

See 1 more Smart Citation

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Kernan¹,

Ovbiagele²,

Black³

et al. 2014

Stroke

3,942

1,326

View full text Add to dashboard Cite

The aim of this updated guideline is to provide comprehensive and timely evidence-based recommendations on the prevention of future stroke among survivors of ischemic stroke or transient ischemic attack. The guideline is addressed to all clinicians who manage secondary prevention for these patients. Evidence-based recommendations are provided for control of risk factors, intervention for vascular obstruction, antithrombotic therapy for cardioembolism, and antiplatelet therapy for noncardioembolic stroke. Recommendations are also provided for the prevention of recurrent stroke in a variety of specific circumstances, including aortic arch atherosclerosis, arterial dissection, patent foramen ovale, hyperhomocysteinemia, hypercoagulable states, antiphospholipid antibody syndrome, sickle cell disease, cerebral venous sinus thrombosis, and pregnancy. Special sections address use of antithrombotic and anticoagulation therapy after an intracranial hemorrhage and implementation of guidelines.

show abstract

Section: Strokementioning

confidence: 99%

Section: Strokementioning

confidence: 99%

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Kernan¹,

Ovbiagele²,

Black³

et al. 2014

Stroke

3,942

1,326

View full text Add to dashboard Cite

show abstract

“…Studies on patients with stroke show the occurrence of disturbed sleep, the main disorder being obstructive sleep apnea syndrome, which occurs in 60% to 90% of patients (Koch et al 2007, Srijithesh et al 2011. Complaints of insomnia and excessive daytime somnolence are also found in this clinical population (Ferrea et al 2010).…”

Section: Introductionmentioning

confidence: 95%

Predictive factors of subjective sleep quality and insomnia complaint in patients with stroke: implications for clinical practice

Rocha¹,

Barroso²,

Dantas³

et al. 2013

An. Acad. Bras. Ciênc.

View full text Add to dashboard Cite

The complaints regarding sleep problems have not been well identified after a stroke. The aim of this study was to investigate the predictive factors of sleep quality and insomnia complaints in patients with stroke. A total of 70 subjects, 40 patients (57 ± 7 years) and 30 healthy controls (52 ± 6 years) assessed by the Pittsburgh Sleep Quality Index (PSQI) and the Sleep Habits Questionnaire took part in the study. The data were analyzed using the chi-square test, the Student's t-test and logistic regression analysis. On average, the patients showed poor sleep quality (patients: 6.3 ± 3.5; controls: 3.9 ± 2.2; p= 0.002) and insomnia complaint was the most prevalent (patients: 37.5%; controls: 6.7%; p= 0.007). The absence of insomnia complaint (OR= 0.120; 95%CI= 0.017-0.873; p= 0.036) and the decreased latency of sleep (OR= 0.120; 95%CI= 0.017-0.873; p= 0.036) were the protective factors of sleep quality. Female sex (OR= 11.098;; p= 0.036) and fragmented sleep (OR= 32.040;; p= 0.003) were the risk factors for insomnia complaint. We suggest that complaints of poor sleep quality and insomnia should be given priority assessment during clinical diagnosis of sleep disorders in stroke.

show abstract

“…The Berlin questionnaire has shown poor correlation between bed partner assessments and PSG findings among acute stroke patients;(15) however, another study showed good sensitivity for proxy reports when compared to overnight PSG. (16) The latter study also compared the patient and bed partner responses on the Berlin questionnaire to the overnight PSG and found the bed partner assessment to be more accurate than the patient responses when compared to PSG.…”

Section: Discussionmentioning

confidence: 99%

Agreement between stroke patients and family members for ascertaining pre-stroke risk for sleep apnea

Reeves¹,

Brown²,

Chervin³

et al. 2014

Sleep Medicine

View full text Add to dashboard Cite

Background Ascertaining self-reported information about pre-stroke obstructive sleep apnea (OSA) risk in the acute stroke period is challenging as many stroke patients have deficits that hinder communication. We examined agreement between stroke patients without communication limitations and family members (proxy) with respect to pre-stroke risk of OSA. Methods Patient-proxy pairs (n = 42) were interviewed independently as part of the Brain Attack Surveillance in Corpus Christi Project from May 2010 - April 2011. The Berlin questionnaire was used to measure a high risk of OSA defined as the presence of at least two of the following conditions: 1) snoring behaviors/witnessed apneas, 2) daytime sleepiness, and 3) hypertension or obesity. Patient-proxy agreement was assessed using a kappa coefficient. Results Forty-three percent of patients self-identified as high risk for sleep apnea, and 45% of proxies identified patients as high risk. Patient-proxy agreement for high risk of pre-stroke OSA was fair (kappa = 0.28) with better agreement for spouses and children proxies (kappa = 0.38) than for other family members. Agreement was also fair for most individual questions. Conclusions Spouse and child proxy use of the Berlin questionnaire may be an option to assess a patient's pre-stroke likelihood of sleep apnea. Whereas prospective studies of incident stroke in patients with and without objectively confirmed sleep apnea would require formidable resources, the present results suggest that an alternative strategy may involve proxy use of the Berlin in a retrospective study design.

show abstract

Validity of the Berlin Questionnaire in identifying obstructive sleep apnea syndrome when administered to the informants of stroke patients

Cited by 52 publications

References 15 publications

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack

Predictive factors of subjective sleep quality and insomnia complaint in patients with stroke: implications for clinical practice

Agreement between stroke patients and family members for ascertaining pre-stroke risk for sleep apnea

Contact Info

Product

Resources

About