The efficiency of Epworth sleepness scale and Berlin questionnaire for detecting Obstructive sleep apnea syndrome(OSA) in 100 Tunisian patients with non valvular atrial fibrillation(AF)
A. Touil (Tunis, Tunisia), J. Ben Amar (Tunis, Tunisia), K. Sammoud (Tunis, Tunisia), M. Ben Halima (Tunis, Tunisia), S. Ouali (Tunis, Tunisia), M. Mourali (Tunis, Tunisia), B. Dhahri (Tunis, Tunisia), H. Zaibi (Tunis, Tunisia), H. Kchouk (Tunis, Tunisia), I. Laouini (Tunis, Tunisia), . Baccar (Tunis, Tunisia), S. Azzabi (Tunis, Tunisia), H. Aouina (Tunis, Tunisia)
Source: International Congress 2018 – Cardiovascular and metabolic consequences of sleep-disordered breathing
Disease area: Sleep and breathing disorders
Abstract Introduction:OSA is a common but underestimated pathology,associated with cardiovascular morbidities,especially with AF.OSA screening is based on anamnestic tools such as Berlin and Epworth scales that were little studied in case of AF
The purpose of the study was to determine the most relevant questionnaire to screen for OSA in patients with AF Methods:The study included 100 patients with AF.Each patient had a polygraphy.OSA’s diagnosis was defined by an apnea hypopnea index(AHI) =5.The risk estimated by the two questionnaires was then compared to the polygraphy’s result Results:The mean age was 66,4 ± 9,7 years.Hypertension was the most common cardiovascular risk(72 patients).The mean body mass index was 28.57±4.81kg/m2.Snoring was the most common symptom noted in 87 patients.From the polygraphy results,90 patients were diagnosed with OSA.The average AHI of our population was 21.69±13.67.Thirty patients had mild OSA.OSA was moderate in 29 patients and severe in 31 patients.Using the Epworth Sleepiness Scale cutoff of >10,54 % of the patients had excessive daytime sleepiness.The sensitivity and specificity of this questionnaire were respectively 57% and 83%.Its positive predictive value was 97% while its negative predictive value was 15%.The Berlin questionnaire had a better sensitivity(65%)but a lower specificity(50%),with a positive predictive value of 93% and a negative predictive value of 12%
Conclusion:This study shows that OSA screening questionnaires perform poorly in patients with AF.So,It seems important to find other specific clinical tools for this population
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A. Touil (Tunis, Tunisia), J. Ben Amar (Tunis, Tunisia), K. Sammoud (Tunis, Tunisia), M. Ben Halima (Tunis, Tunisia), S. Ouali (Tunis, Tunisia), M. Mourali (Tunis, Tunisia), B. Dhahri (Tunis, Tunisia), H. Zaibi (Tunis, Tunisia), H. Kchouk (Tunis, Tunisia), I. Laouini (Tunis, Tunisia), . Baccar (Tunis, Tunisia), S. Azzabi (Tunis, Tunisia), H. Aouina (Tunis, Tunisia). The efficiency of Epworth sleepness scale and Berlin questionnaire for detecting Obstructive sleep apnea syndrome(OSA) in 100 Tunisian patients with non valvular atrial fibrillation(AF). 4325
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