REVIEW ARTICLE
Prediction models and morbidities associated to obstructive sleep apnea: An updated systematic review
 
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1
Laboratory biosciences and health, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, MOROCCO
 
2
Clinical Research Service, University Hospital Mohammed VI Marrakech, MOROCCO
 
3
Nursing Care Department, Higher Institute of Nursing Professions and Health Techniques Marrakech, MOROCCO
 
4
Laboratory of Pharmacology, Neurobiology, Anthropobiology and Environment, Faculty of Sciences Semlalia, Cadi Ayyad University, Marrakech, MOROCCO
 
5
Department of Public Health, Community Medicine and Epidemiology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, MOROCCO
 
 
Publication date: 2022-06-01
 
 
Electron J Gen Med 2022;19(4):em385
 
KEYWORDS
ABSTRACT
Objective:
We aim to present a systematic review using a literature update on the performance of clinical questionnaires in predicting the diagnosis of obstructive sleep apnea syndrome compared with polysomnography considered as the reference test to confirm obstructive sleep apnea syndrome.

Source of evidence:
Medline, the Cochrane Database of Systematic Reviews, Scopus, and ScienceDirect.

Methods:
The article selection stage implemented the PRISMA diagram.

Results:
The selected studies state that the Berlin questionnaire, the Epworth sleepiness scale, the STOP questionnaire, the STOP-BANG questionnaire, the ASA checklist, and the No-SAS score are the best performing screening tools to predict obstructive sleep apnea syndrome, as their performance was evaluated for different thresholds of apnea hypopnea index obtained using polysomnography.

Conclusion:
The DES-OSA 50 and the No-SAS score are simples, effectives, and easy-to-implement scores to identify individuals at risk of sleep-disordered breathing; it can help clinicians decide which patients should be referred for polysomnography.

 
REFERENCES (26)
1.
Nigro CA, Borsini EE, Dibur E, et al. CPAP indication based on clinical data and oximetry for patients with suspicion of obstructive sleep apnea: A multicenter trial. Sleep Sci. 2019;12(4):249-56. https://doi.org/10.5935/1984-0... PMid:32318245 PMCid:PMC7159076.
 
2.
Chiu H-Y, Chen P-Y, Chuang L-P, et al. Diagnostic accuracy of the Berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: A bivariate meta-analysis. Sleep Med Rev. 2017;36:57-70. https://doi.org/10.1016/j.smrv... PMid:27919588.
 
3.
Abrishami A, Khajehdehi A, Chung F. A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth. 2010;57(5):423-38. https://doi.org/10.1007/s12630... PMid:20143278.
 
4.
Seet E, Chung F. Obstructive sleep apnea: Preoperative assessment. Anesthesiology Clin. 2010;28(2):199-215. https://doi.org/10.1016/j.ancl... PMid:20488390.
 
5.
Trzepizur W, Gagnadoux F. Épidémiologie du syndrome d’apnées-hypopnées obstructives du sommeil [Epidemiology of obstructive sleep apnea-hypopnea syndrome]. Rev Mal Respir [J Respir Dis]. 2014;31(6):568-77. https://doi.org/10.1016/j.rmr.... PMid:25012040.
 
6.
Amra B, Rahmati B, Soltaninejad F, Feizi A. Screening questionnaires for obstructive sleep apnea: An updated systematic review. Oman Med J. 2018;33(3):184-92. https://doi.org/10.5001/omj.20... PMid:29896325 PMCid:PMC5971053.
 
7.
Deflandre E, Degey S, Donneau A-F, Poirrier R, Brichant J-F, Bonhomme V. Capacité des scores cliniques disponibles à prédire un syndrome d’apnées et d’hypopnées obstructives du sommeil sévère (SAHOS-s) [Ability of available clinical scores to predict severe obstructive sleep apnea and hypopnea syndrome (SASHS)]. Anesth Reanim [Anesth Resusc]. 2015;1(S1):A114-5. https://doi.org/10.1016/j.anre....
 
8.
Deflandre E, Degey S, Brichant J-F, Poirrier R, Bonhomme V. Development and validation of a morphologic obstructive sleep apnea prediction score: The DES-OSA score. Anesth Analg. 2016;122(2):363-72. https://doi.org/10.1213/ANE.00... PMid:26599791.
 
9.
Senaratna CV, Perret JL, Lowe A, et al. Detecting sleep apnoea syndrome in primary care with screening questionnaires and the Epworth sleepiness scale. Med J Aust. 2019;211(2):65-70. https://doi.org/10.5694/mja2.5... PMid:31049990.
 
10.
Laharnar N, Herberger S, Prochnow L-K, et al. Simple and unbiased OSA prescreening: Introduction of a new morphologic OSA prediction score. Nat Sci Sleep. 2021;13:2039-49. https://doi.org/10.2147/NSS.S3... PMid:34785967 PMCid:PMC8590840.
 
11.
Ahlin S, Manco M, Panunzi S, et al. A new sensitive and accurate model to predict moderate to severe obstructive sleep apnea in patients with obesity. Medicine (Baltimore). 2019;98(32):e16687. https://doi.org/10.1097/MD.000... PMid:31393370 PMCid:PMC6708709.
 
12.
News A. Scoring systems to detect severe OSA compared. Anesthesiology News. Available at: https://www.anesthesiologynews... (Accessed: 9 February 2022).
 
13.
Berger M, Labeix P, Hupin D, Barthelemy J-C, Sforza É, Roche F. Questionnaire de Berlin versus STOP-BANG dans le dépistage clinique du syndrome d’apnée obstructive du sommeil [Berlin questionnaire versus STOP-BANG in clinical screening for obstructive sleep apnea syndrome]. Med du Sommeil [Sleep Med]. 2016;13(1):46. https://doi.org/10.1016/j.msom....
 
14.
Ramachandran SK, Kheterpal S, Consens F, et al. Derivation and validation of a simple perioperative sleep apnea prediction score. Anesth Analg. 2010;110(4):1007-15. https://doi.org/10.1213/ANE.0b... PMid:20357144.
 
15.
Deflandre E, Piette N, Bonhomme V, et al. Comparison of clinical scores in their ability to detect hypoxemic severe OSA patients. PLoS One. 2018;13(5):e0196270. https://doi.org/10.1371/journa... PMid:29734398 PMCid:PMC5937788.
 
16.
Allaya F, Anane I, Knaz H, Sakly G, Cheikh RB. Epworth ou STOP BANG: Auquel questionnaire peut-on se fier pour le dépistage de syndrome d’apnées obstructives chez les hypertendus? [Epworth or STOP BANG: Which questionnaire can we trust for the screening of obstructive sleep apnea syndrome in hypertensives?] Med du Sommeil [Sleep Med]. 2020;17(1):47. https://doi.org/10.1016/j.msom....
 
17.
Pataka A, Daskalopoulou E, Kalamaras G, Fekete Passa K, Argyropoulou P. Evaluation of five different questionnaires for assessing sleep apnea syndrome in a sleep clinic. Sleep Med. 2014;15(7):776-81. https://doi.org/10.1016/j.slee... PMid:24891079.
 
18.
Takegami M, Hayashino Y, Chin K, et al. Simple four-variable screening tool for identification of patients with sleep-disordered breathing. Sleep. 2009;32(7):939‑48. PMid:19639757 PMCid:PMC2706898.
 
19.
Qing SM, Chen RK, Liu H, et al. [Comparison of the NoSAS score with four different questionnaires as screening tools for obstructive sleep apnea-hypopnea syndrome]. Zhonghua Jie He He Hu Xi Za Zhi. 2018;41(3):213-9. https://doi.org/10.3760/cma.j.... PMid:29518851.
 
20.
Hwang M, Zhang K, Nagappa M, Saripella A, Englesakis M, Chung F. Validation of the STOP-BANG questionnaire as a screening tool for obstructive sleep apnoea in patients with cardiovascular risk factors: a systematic review and meta-analysis. BMJ Open Resp Res. 2021;8(1):e000848. https://doi.org/10.1136/bmjres... PMid:33664122 PMCid:PMC7934717.
 
21.
Arous F, Boivin J-M, Chaouat A, Rumeau C, Jankowski R, Nguyen DT. Connaissances concernant le syndrome d’apnées-hypopnées obstructives du sommeil par la population générale de Lorraine [Knowledge about obstructive sleep apnea-hypopnea syndrome by the general population of Lorraine]. Ann Fr Oto-Rhino-Laryngol Pathol Cerv-Fac. 2017;134(5):291-7. https://doi.org/10.1016/j.afor....
 
22.
Chung SA, Yuan H, Chung F. A systemic review of obstructive sleep apnea and its implications for anesthesiologists. Anesth Analg. 2008;107(5):1543-63. https://doi.org/10.1213/ane.0b... PMid:18931212.
 
23.
Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: A tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108(5):812-21. https://doi.org/10.1097/ALN.0b... PMid:18431116.
 
24.
Chung F, Yegneswaran B, Liao P, 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. https://doi.org/10.1097/ALN.0b... PMid:18431117.
 
25.
Marti-Soler H, Hirotsu C, Marques-Vidal P, et al. The NoSAS score for screening of sleep-disordered breathing: A derivation and validation study. Lancet Respir Med. 2016;4(9):742-8. https://doi.org/10.1016/S2213-... PMid:27321086.
 
26.
Fabre F, Tamisier R, Pépin J-L, Payen J-F. Syndrome d’apnée du sommeil: Phase préopératoire: Detection, scores, optimisation. MAPAR. 2015;201-7.
 
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