Cent Eur J Public Health 2018, 26(Supplement):S32-S36 | DOI: 10.21101/cejph.a5278

EU questionnaire to screen for obstructive sleep apnoea validated in Slovakia

Eva Feketeová1, Imrich Mucska2, Katarina Klobučníková3, Soňa Grešová4, Judita Stimmelová4, Ivana Paraničová5, Ivana Trojová5, Jaroslav Rosenberger6, Kvetoslava Rimárová7, Erik Dorko7
1 Department of Neurology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice and Louis Pasteur University Hospital, Košice, Slovak Republic
2 Outpatient Clinic for Sleep-Disordered Breathing, University Hospital Bratislava, Bratislava, Slovak Republic
3 1st Department of Neurology, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovak Republic
4 Department of Medical Physiology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovak Republic
5 Department of Pneumology and Phtiseology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice and Louis Pasteur University Hospital, Košice, Slovak Republic
6 Department of Health Psychology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovak Republic
7 Department of Public Health and Hygiene, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovak Republic

Objective: Obstructive sleep apnoea syndrome (OSAS) associated with daytime sleepiness (DS) contributes to a higher incidence of motor vehicle accidents. Validation of fitness to drive in driving license applicants, with special concern regarding OSAS accompanied by excessive DS, became mandatory under new EU legislation in January 2016. The aim of the study was to translate and validate the recommended questionnaire to screen for OSAS (Q-OSAS) in the Slovak population. No data on any Q-OSAS validation has previously been published.

Methods: The translated Q-OSAS was administered to 311 Slovak patients prior to a planned overnight polysomnography. The diagnostic accuracy of the Q-OSAS in OSAS with an apnoea-hypopnoea index of 15 or more/h of sleep was evaluated by calculating the area under the ROC curve.

Results: The sensitivity and specificity of the cut-off at 10 points for the Q-OSAS was 57% and 67%, respectively, with an increase of sensitivity and a decrease of specificity with a lowering of the cut-off values. Excluding the Epworth Sleepiness Scale (ESS) score from the final statistics yielded the best sensitivity (77%), specificity (50%), and an area under the ROC curve (0.637) for the cut-off value of 8 points (an equivalent of 10 points with the full version of the Q-OSAS).

Conclusion: The Q-OSAS is an appropriate screening tool to facilitate the screening of subjects potentially at risk from moderate and severe OSAS. A modified two-step interpretation of the Q-OSAS in Slovakia yielded the best sensitivity, and in the future could promote evaluation of sleepiness in sleep and wake disorders other than OSAS for fitness to drive.

Keywords: OSAS, screening questionnaire, ESS, daytime sleepiness, fitness to drive

Received: December 6, 2017; Revised: September 19, 2018; Accepted: September 19, 2018; Published: December 31, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Feketeová E, Mucska I, Klobučníková K, Grešová S, Stimmelová J, Paraničová I, et al.. EU questionnaire to screen for obstructive sleep apnoea validated in Slovakia. Cent Eur J Public Health. 2018;26(Supplement):S32-36. doi: 10.21101/cejph.a5278. PubMed PMID: 30817870.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Lindberg E, Carter N, Gislason T, Janson C. Role of snoring and daytime sleepiness in occupational accidents. Am J Respir Crit Care Med. 2001;164(11):2031-5. Go to original source... Go to PubMed...
    2. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165(9):1217-39. Go to original source... Go to PubMed...
    3. McNicholas W, editor. New standards and guidelines for drivers with obstructive sleep apnoea syndrome. Report of the Obstructive Sleep Apnoea Working Group [Internet]. Brussels: European Commission; 2013 [cited 2014 Nov 24]. Available from: https://ec.europa.eu/transport/road_safety/sites/roadsafety/files/pdf/behavior/sleep_apnoea.pdf.
    4. Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999;131(7):485-91. Go to original source... Go to PubMed...
    5. Sharma SK, Vasudev C, Sinha S, Banga A, Pandey RM, Handa KK. Validation of the modified Berlin questionnaire to identify patients at risk for the obstructive sleep apnoea syndrome. Indian J Med Res. 2006;124(3):281-90.
    6. Ahmadi N, Chung SA, Gibbs A, Shapiro CM. The Berlin questionnaire for sleep apnea in a sleep clinic population: relationship to polysomnographic measurement of respiratory disturbance. Sleep Breath. 2008;12(1):39-45. Go to original source... Go to PubMed...
    7. Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology. 2008;108(5):822-30. Go to original source... Go to PubMed...
    8. Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108 (5):812-21. Go to original source... Go to PubMed...
    9. Boynton G, Vahabzadeh A, Hammoud S, Ruzicka DL, Chervin RD. Validation of the STOP-BANG questionnaire among patients referred for suspected obstructive sleep apnea. J Sleep Disord Treat Care. 2013;2(4). doi: 10.4172/2325-9639.1000121. Go to original source... Go to PubMed...
    10. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328(17):1230-5. Go to original source... Go to PubMed...
    11. Weatherwax KJ, Lin X, Marzec ML, Malow BA. Obstructive sleep apnea in epilepsy patients: the sleep apnea scale of the sleep disorders questionnaire (SA-SDQ) is a useful screening instrument for obstructive sleep apnea in a disease-specific population. Sleep Med. 2003;4(6):517-21. Go to original source... Go to PubMed...
    12. Iber C, Ancoli-Israel S, Chesson A, Quan SF. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications. Westchester: American Academy of Sleep Medicine; 2007.
    13. Johns MW. A new method for measuring daytime slepiness: the Epworth Sleepiness Scale. Sleep. 1991;14(6):540-5. Go to original source... Go to PubMed...
    14. Abrishami A, Khajehdehi A, Chung,F. A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anesth/J Can Anesth. 2010;57(5):423-38. Go to original source... Go to PubMed...
    15. Nunes FS, Danzi-Soares NJ, Genta PR, Drager LF, Cesar LA, Lorenzi-Filho G. Critical evaluation of screening questionnaires for obstructive sleep apnea in patients undergoing coronary artery bypass grafting and abdominal surgery. Sleep Breath. 2015;19(1):115-22. Go to original source... Go to PubMed...
    16. Olson LG, Cole MF, Ambrogetti A. Correlations among Epworth Sleepiness Scale scores, multiple sleep latency tests and psychological symptoms. Sleep Res. 1998;7(4):248-53. Go to original source... Go to PubMed...
    17. Benbadis SR, Mascha E, Perry MC, Wolgamuth BR, Smolley LA, Dinner DS. Association between the Epworth Sleepiness Scale and the multiple sleep latency test in a clinical population. Ann Intern Med. 1999;130(4 Pt 1):289-92. Go to original source... Go to PubMed...
    18. Colquhoun CP, Casolin A. Impact of rail medical standard on obstructive sleep apnoea prevalence. Occup Med. 2016;66(1):62-8.. Go to original source... Go to PubMed...

    Return to the content