Two-stage screening for obstructive sleep apnea in the primary practice setting

Pangerc, Andrej (avtor), Petek Šter, Marija (avtor), Dolenc-Grošelj, Leja (avtor)

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.

• Jezik: Angleški jezik
• Ključne besede: family medicine, obstructive sleep apnea, primary practice setting, STOP-BANG questionnaire, home sleep apnoea testing, HSAT, two-stage screening
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: MF - Medicinska fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2024
• Št. strani: Str. 2531-2538
• Številčenje: Vol. 28, iss. 6
• PID: 20.500.12556/RUL-179121
• ISSN pri članku: 1522-1709
• DOI: 10.1007/s11325-024-03142-w
• COBISS.SI-ID: 267989507
• Datum objave v RUL: 05.02.2026

Gradivo je del revije

• Naslov: Sleep and breathing
• Založnik: Springer Nature
• ISSN: 1522-1709
• COBISS.SI-ID: 3133716

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Projekti

• Financer: ARRS - Agencija za raziskovalno dejavnost Republike Slovenije
• Številka projekta: P3-0338
• Naslov: Fiziološki mehanizmi nevroloških motenj in bolezni