Neck Circumference Sensitivity and Specificity to Predict Obstructive Sleep Apnea Syndrome

CHEST Journal ◽  
2014 ◽  
Vol 145 (3) ◽  
pp. 588A ◽  
Author(s):  
Stefan Mihaicuta ◽  
Izabella Anita Toth ◽  
Sorin Paralescu
Obesity ◽  
2011 ◽  
Vol 19 (2) ◽  
pp. 276-282 ◽  
Author(s):  
Yuji Kawaguchi ◽  
Shinya Fukumoto ◽  
Masaaki Inaba ◽  
Hidenori Koyama ◽  
Tetsuo Shoji ◽  
...  

New Medicine ◽  
2017 ◽  
Vol 21 (1) ◽  
pp. 3-7
Author(s):  
nóra pető

Introduction. obstructive sleep apnea syndrome (osas) has been recently shown to be associated with an increased risk of traffic accidents. Expensive and not widely available polysomnography (psg) is the gold standard for diagnosing osas. the questionnaire developed by the obstructive sleep apnoea Working group in 2013 in Brussells (termed the Brussels Questionnaire) was created as a screening strategy for those who apply for a driver’s license. Aim. the aim of this study was to evaluate the sensitivity and specificity of the Brussels Questionnaire for detecting osas. Material and Methods. 285 patients who reported to the sleep disorders Centre of the neurology department of the hungarian defence forces military hospital for the portable monitoring (pm) completed the Brussels Questionnaire. a score of 10 or higher out of 24 indicated a high risk of osas. the results of the questionnaire were then compared with the results of the pm as well as of the polysomnography (psg) when available. Results. after the comparison of the results obtained with pm and the Brussels Questionnaire, the sensitivity and specificity of the questionnaire were calculated and amounted 0.64 and 0.49, respectively. after the comparison of the results obtained with psg and the Brussels Questionnaire, the sensitivity and specificity of the questionnaire were calculated and amounted 0.83 and 0.55, respectively. the score of 10 points was found to be the optimal cut-off value. Conclusions. the Bruxelles Questionnaire is a simple screening tool for osas in candidates for driver’s license, with a sensitivity of 0.64 and a specificity of 0.49. its specificity and sensitivity are similar to those of other frequently used questionnaires.


2020 ◽  
Vol 1 (1) ◽  
pp. 21-25
Author(s):  
Megawati Sianturi ◽  
Dwi Marliyawati ◽  
Willy Yusmawan ◽  
Kanti Yunika

Background: Obstructive Sleep Apnea Syndrome (OSAS) is a breathing disorder during sleep that can cause stopping breathing and trigger dangerous diseases. The main symptoms that can occur in OSAS patients are loud snoring and excessive daytime sleepiness so it can disrupt the quality of life and performance. Allergic rhinitis (AR) is one of the risk factors for OSAS, after age, obesity, sex, neck circumference, and anatomic abnormalities of the airway. Allergic rhinitis can disrupt the quality of sleep patients. Allergic rhinitis patient has a risk of OSAS due to obstruction of the upper airways so airflow to the lungs is obstructed.Objective: To analyze the relationship of allergic rhinitis with the incidence of Obstructive Sleep Apnea Syndrome (OSAS) in young adults.Methods: This study is an observational study with a cross-sectional design. Samples were obtained with a probability sampling method by consecutive sampling. The subject of this study were students of the Faculty of Medicine, Diponegoro University, aged 18-23 years. This study consisted of interviews, BMI examination, neck circumference examination, nose, and throat examination, fill the Epworth Sleepiness Scale (ESS) questionnaire to assess OSAS and the Score For Allergic Rhinitis (SFAR) questionnaire to assess allergic rhinitis. Statistical tests use chi-square, fisher's exact test, and logistic regression.Results: The incidence of allergic rhinitis with OSAS in young adults occurred as much as 79,7%. Bivariate analyze showed allergic rhinitis associated significantly with the incidence of OSAS in young adults (p=0,000; PR=12,3). The most common group of allergic rhinitis symptoms in allergic rhinitis patients with OSAS is the group of symptoms of sneezing, rhinorrhea, and nasal congestion.Conclusion: Allergic rhinitis patients risk 12,3 times more likely to suffer from OSAS than non-allergic rhinitis in young adults.Keyword: Allergic Rhinitis, OSAS, Young Adults


2014 ◽  
Vol 155 (18) ◽  
pp. 703-707 ◽  
Author(s):  
Pálma Benedek ◽  
Gabriella Kiss ◽  
Eszter Csábi ◽  
Gábor Katona

Introduction: Treatment of pediatric obstructive sleep apnea syndrome is surgical. The incidence of postoperative respiratory complications in this population is 5–25%. Aim: The aim of the authors was to present the preoperative evaluation and monitoring procedure elaborated in Heim Pál Children Hospital, Budapest. Method: 142 patients were involved in the study. Patient history was obtained and physical examination was performed in all cases. Thereafter, polysomnography was carried out, the severity of the obstructive sleep apnea syndrome was determined, and the patients underwent tonsilloadenotomy. Results: 45 patients with mild, 50 patients with moderate and 47 patients with severe obstructive sleep apnea syndrome were diagnosed. There was no complication in patients with mild disease, while complications were observed in 6 patients in the moderate group and 24 patients in the severe group (desaturation, apnea, stridor, stop breathing) (p<0.000). In patients with severe obstructive sleep apnea syndrome, no significant difference was noted in preoperative apnoea-hypapnea index (p = 0.23) and in nadir oxygen saturation values (p = 0.73) between patients with and without complication. Conclusions: Patients with severe obstructive sleep apnea syndrome should be treated in hospital where pediatric intensive care unit is available. Orv. Hetil., 2014, 155(18), 703–707.


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