Are the International Classification of Functioning, Disability and Health (ICF) domains considered in the obstructive s
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EPIDEMIOLOGY • REVIEW
Are the International Classification of Functioning, Disability and Health (ICF) domains considered in the obstructive sleep apnea instruments? An integrative review Francisca Soraya Lima Silva 1 Ana Cecília Silva de Oliveira 1 Camila Ferreira Leite 1
João Paulo da Silva Bezerra 2 & Beatriz Carneiro Mota 2 & 3 1 & Manoel Alves Sobreira-Neto & Shamyr Sulyvan de Castro
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Received: 31 March 2020 / Revised: 10 August 2020 / Accepted: 19 August 2020 # Springer Nature Switzerland AG 2020
Abstract Purpose Obstructive Sleep Apnea (OSA) is related to cardiovascular, metabolic, and neurocognitive diseases. Furthermore, OSA symptoms, such as excessive sleepiness, fatigue, and mood disorders, may interfere in functioning. The assessment of this aspect in patients with OSA is not frequent and no specific instrument is available in the literature. Our aim is to identify if the International Classification of Functioning, Disability and Health (ICF) domains are considered in the validated instruments used to assess patients with OSA. Methods In this integrative literature review, three databases were searched: Pubmed, Embase, and LILACS. Bibliographic survey was carried out in 2020, between March and July. Articles published in English, Portuguese, and Spanish with validated tools to assess OSA in adults were included. Results Thirty instruments have undergone a process of concept extraction and coding according to the ICF, generating a total of 769 significant concepts. It was observed that the function domain was the most prevalent, making 42% (n = 323) of the concepts, followed by domains of activity (16%), participation (10%), environmental factors (5%), personal factor (5%), and structure (1%). Only one instrument, the “Sleep Apnea Quality of Life Index (SAQLI),” encompasses all domains of the ICF in its constructs. Conclusion In the analyzed instruments, the function domain prevails, with most concepts related to sleep functions. Only one validated instrument included in this research covered all the ICF domains. This instrument closely matched the recommended way of assessing functioning, though it approached the domains in an unbalanced way. Keywords Obstructive Sleep Apnea . International Classification of Functioning, Disability and Health . Functioning . Evaluation . Review
Introduction Obstructive sleep apnea (OSA) is a sleep-related breathing disorder characterized by recurrent total (apnea) or partial (hypopnea)
* Camila Ferreira Leite [email protected] 1
Master Program in Physiotherapy and Functioning, Federal University of Ceará, Rua Coronel Nunes de Melo, 1127, Rodolfo Teófilo, Fortaleza, Ceará 60430-275, Brazil
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Department of Physical Therapy, Federal University of Ceará, Fortaleza, Ceará, Brazil
3
Department of Clinical Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil
collapse of the upper airway during sleep. This leads to a reduction of gaseous exchange with consequent hypo-oxygenation, hypercapnia, and sleep fragmentation [1]. Exposure to intermitt
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