20.500.12556/RUL-179121 Two-stage screening for obstructive sleep apnea in the primary practice setting Purpose To evaluate the effectiveness of a two-stage screening model for obstructive sleep apnea (OSA) in primary care that combines the STOP-BANG questionnaire (SBQ) with an automated home sleep apnea test (HSAT). Methods This cross-sectional study was conducted from August 2018 to August 2022 in four Slovenian primary care practices. It included 153 randomly selected patients aged 18 to 70 years who visited the practice for any reason. Participants completed the SBQ and underwent HSAT with type III polygraphy on the same night. The HSAT recordings were scored automatically and by an experienced, accredited somnologist. Results There was a strong correlation between manual and automated HSAT scorings for the detection of OSA (Pearson’s r = 0.93). Cohen’s kappa was 0.80 for OSA (respiratory event index (REI) ≥ 5) and 0.77 for OSA severity categorization. The two-stage model demonstrated sensitivity of 64%, a specificity of 97.4%, a positive predictive value (PPV) of 96.0%, a negative predictive value (NPV) of 73.8% and an accuracy of 81.1% for any OSA (REI ≥ 5). For moderate to severe OSA (REI ≥ 15), the model showed 72.7% sensitivity, 96.7% specificity, 85.7% PPV, 92.8% NPV and 91.5% accuracy. Conclusions The two-stage model for OSA screening combining the SBQ and automated HSAT was shown to be effective in primary care, especially for moderate and severe OSA. This method provides a practical and efficient approach for the early detection of OSA. family medicine obstructive sleep apnea primary practice setting STOP-BANG questionnaire home sleep apnoea testing HSAT two-stage screening true false true Angleški jezik Ni določen Članek v reviji 2026-02-05 12:04:45 2026-02-05 12:04:51 2026-04-14 11:19:51 0000-00-00 00:00:00 2024 0 0 Str. 2531-2538 iss. 6 Vol. 28 2024 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1522-1709 10.1007/s11325-024-03142-w 267989507 s11325-024-03142-w.pdf s11325-024-03142-w.pdf 1 E97890460106E6E9AF75305DFA055438 b73e16854ac8e7b8e800806cabc376a456cea64814136b2fb0eb2013e3140132 a953d1bf-0282-11f1-a1ba-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=227300 https://link.springer.com/article/10.1007/s11325-024-03142-w 0 902b1e0c-0282-11f1-a1ba-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=227299 Medicinska fakulteta 0 0 0