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  1. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome.

    Article - En anglais

    Background 

    Although sleep apnea is common, it often goes undiagnosed in primary care encounters.

    Objective 

    To test the Berlin Questionnaire as a means of identifying patients with sleep apnea.

    Design 

    Survey followed by portable, unattended sleep studies in a subset of patients.

    Setting 

    Five primary care sites in Cleveland, Ohio.

    Patients 

    744 adults (of 1008 surveyed [74% ]), of whom 100 underwent sleep studies.

    Measurements 

    Survey items addressed the presence and frequency of snoring behavior, waketime sleepiness or fatigue, and history of obesity or hypertension.

    Patients with persistent and frequent symptoms in any two of these three domains were considered to be at high risk for sleep apnea.

    Portable sleep monitoring was conducted to measure the number of respiratory events per hour in bed (respiratory disturbance index [RDI]). Results : Questions about symptoms demonstrated internal consistency (Cronbach correlations, 0.86 to 0.92).

    Of the 744 respondents, 279 (37.5%) were in a high-risk group that was defined a priori.

    For the 100 patients who underwent sleep studies, risk grouping was useful in prediction of the RDI.

    For example, being in the high-risk group predicted an RDI greater than 5 with a sensitivity of 0.86, a specificity of 0.77, a positive predictive value of 0.89, and a likelihood ratio of 3.79.

    Conclusion 

    The Berlin Questionnaire provides a means of identifying patients who are likely to have sleep apnea.

    Mots-clés Pascal : Apnée sommeil syndrome, Questionnaire, Facteur risque, Etiopathogénie, Prévalence, Identification, Soin intégré, Evaluation, Homme, Berlin, Allemagne, Europe, Appareil respiratoire pathologie, Organisation santé

    Mots-clés Pascal anglais : Sleep apnea syndrome, Questionnaire, Risk factor, Etiopathogenesis, Prevalence, Identification, Managed care, Evaluation, Human, Berlin, Germany, Europe, Respiratory disease, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0504094

    Code Inist : 002B11D. Création : 22/03/2000.