Martin B Popević1,2, Anđela Milovanović3,4, Ljudmila Nagorni-Obradović3,5, Dejan Nešić6, Jovica Milovanović3,7, Aleksandar P S Milovanović3,8. 1. Faculty of Medicine, University of Belgrade, Dr Subotića 8, Belgrade, Serbia. popevic.martin@gmail.com. 2. Department for Occupational Physiology and Hygiene, Serbian Institute of Occupational Health, Deligradska 29, Belgrade, 11000, Serbia. popevic.martin@gmail.com. 3. Faculty of Medicine, University of Belgrade, Dr Subotića 8, Belgrade, Serbia. 4. Clinic for Physical Medicine and Rehabilitation, Clinical Centre of Serbia, Belgrade, Serbia. 5. Clinic for Pulmonology, Clinical Centre of Serbia, Belgrade, Serbia. 6. Institute of Medical Physiology, Faculty of Medicine, University of Belgrade, Višegradska st. 26/II, Belgrade, 11000, Serbia. 7. Clinic for Otorhinolaryngology and Maxillofacial Surgery, Clinical Centre of Serbia, Pasterova 2, Belgrade, Serbia. 8. Department for Diagnostics and Treatment of Occupational and Work Related Diseases, Serbian Institute of Occupational Health, Deligradska 29, Belgrade, Serbia.
Abstract
PURPOSE: Obstructive sleep apnea (OSA) can lead to severe health consequences. Drivers of motor vehicles with untreated or undiagnosed OSA have a greater risk of traffic accidents. Use of self-reported questionnaires is the first step in OSA diagnosis. The main aim of this study was to perform the translation and validation of Berlin Questionnaire in a sample of commercial drivers. METHODS: After formal translation, validation was performed on a sample of commercial drivers and included evaluation of internal consistency, test-retest reliability, construct and criterion validity. Full-night attended polysomnography or cardiorespiratory polygraphy was used for OSA diagnosis. RESULTS: One hundred male participants, 24-62 years old, were included. Berlin Questionnaire classified 35 % subjects as potential OSA patients. Polysomnography confirmed OSA in 58 % of the subjects. Berlin Questionnaire showed good internal consistency (Cronbach's alpha 0.82-first category, 0.73-0.95-second category). Test-retest reliability (Cohen's kappa 0.78) was adequate. Berlin score was significantly correlated with OSA category and apnea-hypopnea index (AHI). Sensitivity of Berlin Questionnaire was from 50.9 (AHI ≥ 5) to 75 % (AHI ≥ 30), while specificity ranged from 86 to 70.5 %. CONCLUSIONS: Berlin Questionnaire (Serbian version) showed good measurement properties, creating basis for further research of its usefulness as OSA screening tool in populations of interest.
PURPOSE:Obstructive sleep apnea (OSA) can lead to severe health consequences. Drivers of motor vehicles with untreated or undiagnosed OSA have a greater risk of traffic accidents. Use of self-reported questionnaires is the first step in OSA diagnosis. The main aim of this study was to perform the translation and validation of Berlin Questionnaire in a sample of commercial drivers. METHODS: After formal translation, validation was performed on a sample of commercial drivers and included evaluation of internal consistency, test-retest reliability, construct and criterion validity. Full-night attended polysomnography or cardiorespiratory polygraphy was used for OSA diagnosis. RESULTS: One hundred male participants, 24-62 years old, were included. Berlin Questionnaire classified 35 % subjects as potential OSA patients. Polysomnography confirmed OSA in 58 % of the subjects. Berlin Questionnaire showed good internal consistency (Cronbach's alpha 0.82-first category, 0.73-0.95-second category). Test-retest reliability (Cohen's kappa 0.78) was adequate. Berlin score was significantly correlated with OSA category and apnea-hypopnea index (AHI). Sensitivity of Berlin Questionnaire was from 50.9 (AHI ≥ 5) to 75 % (AHI ≥ 30), while specificity ranged from 86 to 70.5 %. CONCLUSIONS: Berlin Questionnaire (Serbian version) showed good measurement properties, creating basis for further research of its usefulness as OSA screening tool in populations of interest.
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