 |
 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Summaries for Patients are a service provided by Annals to help patients better understand the complicated and often mystifying language of modern medicine.
SUMMARIES FOR PATIENTS
Using a Questionnaire to Help Identify Patients with Sleep Apnea
5 October 1999 | Volume 131 Issue 7 | Page 485
Summaries for Patients are presented for informational purposes only. These summaries are not a substitute for advice from your own medical provider. If you have questions about this material, or need medical advice about your own health or situation, please contact your physician. The summaries may be reproduced for not-for-profit educational purposes only. Any other uses must be approved by the American College of Physicians-American Society of Internal Medicine.
The summary below is from the full report titled "Using the Berlin Questionnaire To Identify Patients at Risk for the Sleep Apnea Syndrome." It is in the 5 October 1999 issue of Annals of Internal Medicine (volume 131, pages 485-491). The authors are N.C. Netzer, R.A. Stoohs, C.M. Netzer, K. Clark, and K.P. Strohl.
What is the problem and what is known about it so far?
People with sleep apnea syndrome have episodes of blockage of their upper airways during sleep. The condition results in abnormal sleep and low blood oxygen during the night. Sleep apnea is common, occurring in 2% of women and 4% of men. Many people with the syndrome complain of daytime sleepiness, high blood pressure, trouble sleeping at night, or snoring, but they do not know that these symptoms are a result of sleep apnea syndrome. Primary care doctors often fail to detect sleep apnea in their patients. The only way to know for certain whether a person has sleep apnea is to monitor the person's sleep patterns, breathing, and heart function while they are sleeping (sleep studies). Sleep studies are expensive, uncomfortable, and inconvenient because they usually require the patient to spend the night in a special laboratory.
Why did the researchers do this particular study?
The researchers wanted to determine whether having patients complete a survey about sleep apnea would help primary care doctors identify patients who should have further testing for this condition.
Who was studied?
Adult patients in five primary care practices in Ohio.
How was the study done?
The researchers asked 744 patients to complete a survey that asked about snoring behavior, sleepiness, obesity, and high blood pressure. The survey was originally developed and tested in Berlin, Germany. They then classified patients as high risk or lower risk for sleep apnea based on their responses to the survey and performed sleep studies on 100 of the patients.
What did the researchers find?
The researchers classified 279 of the 744 patients as being at high risk for sleep apnea. 69 high-risk patients and 31 lower risk patients underwent sleep studies. Patients whose survey responses suggested that they were at high risk were almost 4 times more likely to have abnormal sleep studies than were those in the lower risk group.
What were the limitations of the study?
Only some of the patients underwent sleep studies. Also, these results may not be the same in other practices.
What are the implications of the study?
Use of this survey in primary care practices may help doctors to identify patients with sleep apnea syndrome. It might also prevent both missed diagnoses and unnecessary testing.
Related articles in Annals:
This article has been cited by other articles:
|
|
 |
|
  R.-B. Tang, J.-Z. Dong, X.-P. Liu, J.-P. Kang, S.-F. Ding, L. Wang, D.-Y. Long, R.-H. Yu, X.-H. Liu, S. Liu, et al. Obstructive sleep apnoea risk profile and the risk of recurrence of atrial fibrillation after catheter ablation Europace, January 1, 2009; 11(1): 100 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. F. Drager, L. A. Bortolotto, E. M. Krieger, and G. Lorenzi-Filho Additive Effects of Obstructive Sleep Apnea and Hypertension on Early Markers of Carotid Atherosclerosis Hypertension, January 1, 2009; 53(1): 64 - 69. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. R. King, K. L. Knutson, P. J. Rathouz, S. Sidney, K. Liu, and D. S. Lauderdale Short Sleep Duration and Incident Coronary Artery Calcification JAMA, December 24, 2008; 300(24): 2859 - 2866. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Oliven, E. Aspandiarov, I. Gankin, L. Gaitini, and N. Tov Collapsibility of the relaxed pharynx and risk of sleep apnoea Eur. Respir. J., November 1, 2008; 32(5): 1309 - 1315. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Grassi, G. Seravalle, F. Quarti-Trevano, R. Dell'Oro, M. Bombelli, C. Cuspidi, R. Facchetti, G. Bolla, and G. Mancia Adrenergic, Metabolic, and Reflex Abnormalities in Reverse and Extreme Dipper Hypertensives Hypertension, November 1, 2008; 52(5): 925 - 931. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Nakano, T. Tanigawa, Y. Ohnishi, H. Uemori, K. Senzaki, T. Furukawa, and S. Nishima Validation of a single-channel airflow monitor for screening of sleep-disordered breathing Eur. Respir. J., October 1, 2008; 32(4): 1060 - 1067. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. V. Agapitov, M. L. d. G. Correia, C. A. Sinkey, and W. G. Haynes Dissociation Between Sympathetic Nerve Traffic and Sympathetically Mediated Vascular Tone in Normotensive Human Obesity Hypertension, October 1, 2008; 52(4): 687 - 695. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. K. Somers, D. P. White, R. Amin, W. T. Abraham, F. Costa, A. Culebras, S. Daniels, J. S. Floras, C. E. Hunt, L. J. Olson, et al. Sleep Apnea and Cardiovascular Disease: An American Heart Association/American College of Cardiology Foundation Scientific Statement From the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing In Collaboration With the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health) Circulation, September 2, 2008; 118(10): 1080 - 1111. [Full Text] [PDF]
|
|
|
|
 |
|
 F. Chung, B. Yegneswaran, F. Herrera, A. Shenderey, and C. M. Shapiro Patients with Difficult Intubation May Need Referral to Sleep Clinics Anesth. Analg., September 1, 2008; 107(3): 915 - 920. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. K. Somers, D. P. White, R. Amin, W. T. Abraham, F. Costa, A. Culebras, S. Daniels, J. S. Floras, C. E. Hunt, L. J. Olson, et al. Sleep Apnea and Cardiovascular Disease: An American Heart Association/American College of Cardiology Foundation Scientific Statement From the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing In Collaboration With the National Heart, Lung, and Blood Institute National Center on Sleep Disorders Research (National Institutes of Health) J. Am. Coll. Cardiol., August 19, 2008; 52(8): 686 - 717. [Full Text] [PDF]
|
|
|
|
 |
|
 B. A. Malow, N. Foldvary-Schaefer, B. V. Vaughn, L. M. Selwa, R. D. Chervin, K. J. Weatherwax, L. Wang, and Y. Song Treating obstructive sleep apnea in adults with epilepsy: A randomized pilot trial Neurology, August 19, 2008; 71(8): 572 - 577. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. H. Stevenson, H. Teichtahl, D. Cunnington, S. Ciavarella, I. Gordon, and J. M. Kalman Prevalence of sleep disordered breathing in paroxysmal and persistent atrial fibrillation patients with normal left ventricular function Eur. Heart J., July 1, 2008; 29(13): 1662 - 1669. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. T. McNicholas Diagnosis of Obstructive Sleep Apnea in Adults Proceedings of the ATS, February 15, 2008; 5(2): 154 - 160. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. K. H. WONG, D. JANKELSON, A. REID, G. UNGER, G. DUNGAN, J. A. HEDNER, and R. R. GRUNSTEIN Diagnostic test evaluation of a nasal flow monitor for obstructive sleep apnea detection in sleep apnea research Behav Res Methods, February 1, 2008; 40(1): 360 - 366. [Abstract] [PDF]
|
|
|
|
 |
|
 G. Parati, C. Lombardi, and K. Narkiewicz Sleep apnea: epidemiology, pathophysiology, and relation to cardiovascular risk Am J Physiol Regulatory Integrative Comp Physiol, October 1, 2007; 293(4): R1671 - R1683. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Z. Molnar, A. Szentkiralyi, A. Lindner, M. E. Czira, A. Szabo, I. Mucsi, and M. Novak High prevalence of patients with a high risk for obstructive sleep apnoea syndrome after kidney transplantation association with declining renal function Nephrol. Dial. Transplant., September 1, 2007; 22(9): 2686 - 2692. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Chung, B. Yegneswaran, S. Chung, S Islam, A Khajehdehi, and C Shapiro 44388 - OSA QUESTIONNAIRE: A NEW TOOL FOR SCREENING OBSTRUCTIVE SLEEP APNEA Can J Anesth, August 1, 2007; 54(suppl_1): 44388 - 44388. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. T. Mulgrew, N. Fox, N. T. Ayas, and C. F. Ryan Diagnosis and Initial Management of Obstructive Sleep Apnea without Polysomnography: A Randomized Validation Study Ann Intern Med, February 6, 2007; 146(3): 157 - 166. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. N. Pratt-Ubunama, M. K. Nishizaka, R. L. Boedefeld, S. S. Cofield, S. M. Harding, and D. A. Calhoun Plasma Aldosterone Is Related to Severity of Obstructive Sleep Apnea in Subjects With Resistant Hypertension Chest, February 1, 2007; 131(2): 453 - 459. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S D West, D J Nicoll, and J R Stradling Prevalence of obstructive sleep apnoea in men with type 2 diabetes Thorax, November 1, 2006; 61(11): 945 - 950. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. M. Hiestand, P. Britz, M. Goldman, and B. Phillips Prevalence of Symptoms and Risk of Sleep Apnea in the US Population: Results From the National Sleep Foundation Sleep in America 2005 Poll. Chest, September 1, 2006; 130(3): 780 - 786. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. S. Lauderdale, K. L. Knutson, L. L. Yan, P. J. Rathouz, S. B. Hulley, S. Sidney, and K. Liu Objectively Measured Sleep Characteristics among Early-Middle-Aged Adults: The CARDIA Study Am. J. Epidemiol., July 1, 2006; 164(1): 5 - 16. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Merlino, A. Piani, P. Dolso, M. Adorati, I. Cancelli, M. Valente, and G. L. Gigli Sleep disorders in patients with end-stage renal disease undergoing dialysis therapy Nephrol. Dial. Transplant., January 1, 2006; 21(1): 184 - 190. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. I. Pack Advances in Sleep-disordered Breathing Am. J. Respir. Crit. Care Med., January 1, 2006; 173(1): 7 - 15. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Mucsi, M. Zs. Molnar, J. Rethelyi, E. Vamos, G. Csepanyi, G. Tompa, S. Barotfi, A. Marton, and M. Novak Sleep disorders and illness intrusiveness in patients on chronic dialysis Nephrol. Dial. Transplant., July 1, 2004; 19(7): 1815 - 1822. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Calhoun, M. K. Nishizaka, M. A. Zaman, and S. M. Harding Aldosterone Excretion Among Subjects With Resistant Hypertension and Symptoms of Sleep Apnea Chest, January 1, 2004; 125(1): 112 - 117. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. T. Kuna A 54-Year-Old Man With Obstructive Sleep Apnea JAMA, October 23, 2002; 288(16): 2032 - 2039. [Full Text] [PDF]
|
|
|
|
 |
|
 W. W. Flemons Obstructive Sleep Apnea N. Engl. J. Med., August 15, 2002; 347(7): 498 - 504. [Full Text] [PDF]
|
|
|
|
|
|
A. M. Namen, D. P. Dunagan, A. Fleischer, J. Tillett, M. Barnett, W. V. McCall, and E. F. Haponik Increased Physician-Reported Sleep Apnea* : The National Ambulatory Medical Care Survey Chest, June 1, 2002; 121(6): 1741 - 1747. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Chung and C. Imarengiaye Management of sleep apnea in adults Can J Anesth, June 1, 2002; 49(90001): R13 - 13. [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Matsumoto Andropause: Clinical Implications of the Decline in Serum Testosterone Levels With Aging in Men J. Gerontol. A Biol. Sci. Med. Sci., February 1, 2002; 57(2): M76 - 99. [Full Text]
|
|
|
|
 |
|
 Identifying Sleep Apnea Journal Watch Psychiatry, December 1, 1999; 1999(1201): 17 - 17. [Full Text]
|
|
|
|
 |
|
 Identifying Sleep Apnea Journal Watch (General), October 22, 1999; 1999(1022): 2 - 2. [Full Text]
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Article
