Evaluating the performance of five scoring systems for prescreening obstructive sleep apnea-hypopnea syndrome
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HYPOXIA • ORIGINAL ARTICLE
Evaluating the performance of five scoring systems for prescreening obstructive sleep apnea-hypopnea syndrome Wenjing Wang 1 & Shan Yuan 2 & Jehane Michael Le Grange 1 & Haiying Zheng 1 & Tianci Yao 3 & Wei Peng 4 & Jinnong Zhang 1 Received: 13 July 2020 / Revised: 15 September 2020 / Accepted: 13 October 2020 # Springer Nature Switzerland AG 2020
Abstract Purpose A comparison of all scoring systems used for screening for obstructive sleep apnea-hypopnea syndrome (OSAHS) is lacking. The aim of this investigation was to evaluate the performance of five scoring systems for screening for OSAHS, as well as to validate the use of the NoSAS and SACS in the Chinese population. Methods Data were retrospectively collected from hospital-based, manned, overnight sleep monitoring studies for 105 consecutive outpatients using a portable monitor (PM) device. Results The 105 participants had an average age of 46 years and were mostly men (75%). STOP-Bang, SACS, and NoSAS scoring exhibited moderate predictive values at different AHI cutoffs (AUC 0.761–0.853, 0.722–0.854, and 0.724–0.771 respectively), followed by the STOP and Berlin questionnaire (AUC 0.680–0.781vs 0.624–0.724). Both STOP-Bang and SACS showed excellent sensitivity (89.5–100% vs 93.4–94.6%) and negative predictive value (68–100% vs 77.3–90.9%), while STOP-Bang, STOP, and SACS showed low negative likelihood ratios (− LR) (0–0.2). Conclusions Our study indicated that the STOP-Bang questionnaire and the SACS both show better predictive value than other scoring systems among the five screening tools for OSAHS. Both scoring systems are simple and easy to implement for screening for OSAHS in the community and in hospitals. Keywords Obstructive sleep apnea-hypopnea syndrome . Portable monitor . STOP-Bang . SACS . NoSAS
Introduction Obstructive sleep apnea-hypopnea syndrome (OSAHS) is characterized by repetitive episodes of complete (apnea) or partial (hypopnea) upper airway obstruction during sleep [1], leading to oxygen desaturations and arousals [2]. Development or deterioration of some common human
* Jinnong Zhang [email protected] 1
Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
2
Department of Emergency Medicine, Renmin Hospital of Wuhan University, Wuhan 430022, China
3
Department of Emergency Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
4
Salt Lake Regional Medical Center, Heart and Lung Institute of Utah, Salt Lake City, UT 84108, USA
diseases such as myocardial infarction, stroke [3], hypertension [4], diabetes [5], and cognitive impairment [6] is relevant to OSAHS. OSAHS is also implicated in public safety problems, such as traffic accidents, as a result of excessive daytime sleepiness due to sleep deprivation at night [7]. High prevalence of OSAHS has also added to social and economic burdens [8]. The gold standard for diagnosing OSAHS is fullnight polysomnog
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