Sleep apnea screening

Jump to navigation Jump to search

Sleep Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Sleep apnea from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Polysomnography

Home Oximetry

CT

MRI

Ultrasound

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Sleep apnea screening On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Sleep apnea screening

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Sleep apnea screening

CDC on Sleep apnea screening

Sleep apnea screening in the news

Blogs on Sleep apnea screening

Directions to Hospitals Treating Sleep apnea

Risk calculators and risk factors for Sleep apnea screening

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saarah T. Alkhairy, M.D.

Overview

Although there are is no mandatory screening for patients suspected with sleep apnea, there are some recommended guidelines. For patients with obstructive sleep apnea, screening questionnaires are useful for populations at risk for diurnal sleepiness. Regarding central sleep apnea, a continuous overnight ambulatory oximetry can help predict the prognosis in patients with CHF or cardiovascular disease.

Sleep Apnea Screening

For patients with obstructive sleep apnea:

  • Screening questionnaires may be useful for high risk patients
  • STOP questionnaire asks about the presence of loud snoring, apneas, excessive daytime sleepiness, and hypertension
  • STOP-BANG questionnaire combines the STOP questionnaire questions and adds BMI, age, and neck circumference (increased sensitivity but decreased specificity compared to STOP questionnaire)
  • Commercial drivers, operators of heavy equipment, pilots, and other populations at risk from diurnal sleepiness should with be screened with a history and physical exam
  • If OSA is suspected, a sleep study should be performed

For patients with central sleep apnea:

  • Some centers recommend using continuous overnight ambulatory oximetry in patients with CHF or cardiovascular disease
  • A patient with heart failure and central sleep apnea or Cheyne-Stokes breathing normally means a poorer prognosis

References

Template:WH Template:WS