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.

Klíčová slova: OSAS, screening questionnaire, ESS, daytime sleepiness, fitness to drive

Vloženo: 6. prosinec 2017; Revidováno: 19. září 2018; Přijato: 19. září 2018; Zveřejněno: 31. prosinec 2018  Zobrazit citaci

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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.
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