Shaikha Alhouqani1, Mariam Al Manhali2, Awad Al Essa3, Mohammed Al-Houqani4. 1. Tawam Hospital, Abu Dhabi, United Arab Emirates. Houqani@gmail.com. 2. Ambulatory Health Services, Abu Dhabi, United Arab Emirates. malmanhali@hotmail.com. 3. Nursing Research, Department of Internal Medicine, College of Medicine and Health Sciences, UAE University, Abu Dhabi, United Arab Emirates. a.alessa@uaeu.ac.ae. 4. College of Medicine and Health Sciences, UAE University, P.O.Box 17666, Al Ain, Abu Dhabi, United Arab Emirates. alhouqani@uaeu.ac.ae.
Abstract
PURPOSE: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that is underdiagnosed. OSA is usually diagnosed by polysomnography (PSG) and, if untreated, could lead to life-threatening complications. Many screening questionnaires have been developed to screen and identify patients at high risk for OSA. This study aimed to evaluate and validate the Arabic version of Stop-Bang questionnaire as a screening tool for patients with OSA symptoms referred to a sleep clinic. METHODS: All referred Arabic-speaking adult patients presenting to a Sleep Disorders Specialized Clinic in Al Ain for PSG were requested to complete an Arabic STOP-Bang questionnaire. A score of 3 or more out of a possible 8 was taken to indicate high risk for presence of OSA. These scores were then evaluated versus results from the overnight, monitored PSG. Apnea/hypopnea index (AHI) of ≥5/h was considered for diagnosis of OSA. RESULTS: One hundred ninety-three sleep clinic patients were enrolled in this study. PSG was positive (AHI ≥5) in 85 % of the studied population. STOP-Bang questionnaire was positive (≥3) in 87 % of the population. Reproducibility of STOP-Bang questionnaire was tested, and the intraclass correlation coefficient of the total score of STOP-Bang questionnaire was 0.931 (95 % CI 0.834-0.972). The sensitivities of the STOP-Bang screening tool for an AHI of ≥5, ≥15, and ≥30 were 90, 96.75, and 99.70 %, respectively, with negative predictive values (NPVs) of 36, 84, and 92 %, respectively. ROC curve was 0.77. CONCLUSION: The Arabic version of STOP-Bang questionnaire is an easy-to-use tool that can be implemented as a reliable, quick screening tool for OSA in patients referred to sleep clinic. It demonstrated high sensitivity and NPV especially for patients with moderate to severe OSA. We believe that this tool will help physicians to earlier identify cases at risk of OSA.
PURPOSE:Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that is underdiagnosed. OSA is usually diagnosed by polysomnography (PSG) and, if untreated, could lead to life-threatening complications. Many screening questionnaires have been developed to screen and identify patients at high risk for OSA. This study aimed to evaluate and validate the Arabic version of Stop-Bang questionnaire as a screening tool for patients with OSA symptoms referred to a sleep clinic. METHODS: All referred Arabic-speaking adult patients presenting to a Sleep Disorders Specialized Clinic in Al Ain for PSG were requested to complete an Arabic STOP-Bang questionnaire. A score of 3 or more out of a possible 8 was taken to indicate high risk for presence of OSA. These scores were then evaluated versus results from the overnight, monitored PSG. Apnea/hypopnea index (AHI) of ≥5/h was considered for diagnosis of OSA. RESULTS: One hundred ninety-three sleep clinic patients were enrolled in this study. PSG was positive (AHI ≥5) in 85 % of the studied population. STOP-Bang questionnaire was positive (≥3) in 87 % of the population. Reproducibility of STOP-Bang questionnaire was tested, and the intraclass correlation coefficient of the total score of STOP-Bang questionnaire was 0.931 (95 % CI 0.834-0.972). The sensitivities of the STOP-Bang screening tool for an AHI of ≥5, ≥15, and ≥30 were 90, 96.75, and 99.70 %, respectively, with negative predictive values (NPVs) of 36, 84, and 92 %, respectively. ROC curve was 0.77. CONCLUSION: The Arabic version of STOP-Bang questionnaire is an easy-to-use tool that can be implemented as a reliable, quick screening tool for OSA in patients referred to sleep clinic. It demonstrated high sensitivity and NPV especially for patients with moderate to severe OSA. We believe that this tool will help physicians to earlier identify cases at risk of OSA.
Authors: Vishesh K Kapur; Dennis H Auckley; Susmita Chowdhuri; David C Kuhlmann; Reena Mehra; Kannan Ramar; Christopher G Harrod Journal: J Clin Sleep Med Date: 2017-03-15 Impact factor: 4.062
Authors: Abdishakur Abdulle; Abdullah Alnaeemi; Abdullah Aljunaibi; Abdulrahman Al Ali; Khaled Al Saedi; Eiman Al Zaabi; Naima Oumeziane; Marina Al Bastaki; Mohammed Al-Houqani; Fatma Al Maskari; Ayesha Al Dhaheri; Syed M Shah; Tom Loney; Mohamed El-Sadig; Abderrahim Oulhaj; Leila Abdel Wareth; Wael Al Mahmeed; Habiba Alsafar; Benjamin Hirsch; Fatme Al Anouti; Jamila Yaaqoub; Claire K Inman; Aisha Al Hamiz; Ayesha Al Hosani; Muna Haji; Teeb Alsharid; Thekra Al Zaabi; Fatima Al Maisary; Divya Galani; Tim Sprosen; Omar El Shahawy; Jiyoung Ahn; Tomas Kirchhoff; Ravichandran Ramasamy; Ann Marie Schmidt; Richard Hayes; Scott Sherman; Raghib Ali Journal: BMC Public Health Date: 2018-01-05 Impact factor: 3.295