Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease

Q4

Autores:
Amado, Sandra
Ruiz, Alvaro J.
Rondon, Martin
Hidalgo Martínez, Patricia
Tipo de recurso:
Article of investigation
Fecha de publicación:
2021
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
eng
OAI Identifier:
oai:repository.javeriana.edu.co:10554/58555
Acceso en línea:
https://www.sleepscience.org.br/details/3093/en-US
http://hdl.handle.net/10554/58555
https://doi.org/10.5935/1984-0063.20200104
Palabra clave:
Sleep apnea
Respiratory disorders
Screening
Scales
Questionnaire
Altitude
Rights
License
Atribución-NoComercial 4.0 Internacional
id JAVERIANA2_bfc71a769f5dfc11e2f153087f596205
oai_identifier_str oai:repository.javeriana.edu.co:10554/58555
network_acronym_str JAVERIANA2
network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease
title Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease
spellingShingle Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease
Sleep apnea
Respiratory disorders
Screening
Scales
Questionnaire
Altitude
title_short Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease
title_full Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease
title_fullStr Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease
title_full_unstemmed Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease
title_sort Sensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular disease
dc.creator.fl_str_mv Amado, Sandra
Ruiz, Alvaro J.
Rondon, Martin
Hidalgo Martínez, Patricia
dc.contributor.author.none.fl_str_mv Amado, Sandra
Ruiz, Alvaro J.
Rondon, Martin
Hidalgo Martínez, Patricia
dc.contributor.corporatename.spa.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina Interna
dc.contributor.corporatename.none.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Neumología
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
dc.contributor.javerianateacher.none.fl_str_mv Amado, Sandra
Ruiz, Alvaro J.
Rondon, Martin
Hidalgo Martínez, Patricia
dc.subject.keyword.spa.fl_str_mv Sleep apnea
Respiratory disorders
Screening
Scales
Questionnaire
Altitude
topic Sleep apnea
Respiratory disorders
Screening
Scales
Questionnaire
Altitude
description Q4
publishDate 2021
dc.date.created.none.fl_str_mv 2021
dc.date.accessioned.none.fl_str_mv 2022-01-24T13:49:17Z
dc.date.available.none.fl_str_mv 2022-01-24T13:49:17Z
dc.type.local.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
format http://purl.org/coar/resource_type/c_2df8fbb1
dc.identifier.spa.fl_str_mv https://www.sleepscience.org.br/details/3093/en-US
dc.identifier.issn.spa.fl_str_mv 1984-0659 / 1984-0063 (Electrónico)
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/58555
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.5935/1984-0063.20200104
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://www.sleepscience.org.br/details/3093/en-US
http://hdl.handle.net/10554/58555
https://doi.org/10.5935/1984-0063.20200104
identifier_str_mv 1984-0659 / 1984-0063 (Electrónico)
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationstartpage.none.fl_str_mv 1
dc.relation.citationendpage.none.fl_str_mv 9
dc.relation.ispartofjournal.spa.fl_str_mv Sleep Science
dc.relation.citationvolume.spa.fl_str_mv 14
dc.relation.citationissue.spa.fl_str_mv 4
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.spa.fl_str_mv PDF
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.coverage.spatial.none.fl_str_mv Colombia
dc.coverage.city.none.fl_str_mv Bogotá (Colombia)
Bucaramanga (Colombia)
Santa Marta (Colombia)
institution Pontificia Universidad Javeriana
bitstream.url.fl_str_mv http://repository.javeriana.edu.co/bitstream/10554/58555/2/license.txt
http://repository.javeriana.edu.co/bitstream/10554/58555/1/aop503.pdf
http://repository.javeriana.edu.co/bitstream/10554/58555/3/aop503.pdf.jpg
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repository.name.fl_str_mv Repositorio Institucional - Pontificia Universidad Javeriana
repository.mail.fl_str_mv repositorio@javeriana.edu.co
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spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Amado, SandraRuiz, Alvaro J.Rondon, MartinHidalgo Martínez, PatriciaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina InternaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. NeumologíaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y BioestadísticaAmado, SandraRuiz, Alvaro J.Rondon, MartinHidalgo Martínez, PatriciaColombiaBogotá (Colombia)Bucaramanga (Colombia)Santa Marta (Colombia)2022-01-24T13:49:17Z2022-01-24T13:49:17Z2021https://www.sleepscience.org.br/details/3093/en-US1984-0659 / 1984-0063 (Electrónico)http://hdl.handle.net/10554/58555https://doi.org/10.5935/1984-0063.20200104instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengSensitivity and specificity of four screening tests sleep-disordered breathing in patients with and without cardiovascular diseaseArtículo de revistahttp://purl.org/coar/resource_type/c_2df8fbb1Q4Q3Pacientes con enfermedad cardiovascularObjectives: Polysomnogram is the gold standard for the diagnosis of sleep-disordered breathing (SDB); a sensitive and specific alternative strategy would be ideal, due to its low availability, and screening patients at high risk of OSA is very important. This study aimed to determine the operating characteristics of screening tests in patients with and without cardiovascular disease (CVD). Material and Methods: Epworth sleepiness scale (ESS), Berlin, STOP-bang and Pittsburgh sleep quality index (PSQI) were applied in adults with and without cardiovascular disease in three Colombian cities, as well as anthropometric measurements and a polysomnogram. Operating characteristics were calculated for each test and the best cut-off values in patients with and without CVD were obtained. Results: 964 patients (median age: 58), 662 with and 302 without CVD were included. The prevalence for SDB (AHI ≥5) were 43.4 % (OSA), 16.2% (central apnea), and 12.4 % (other). In patients without CVD, the highest sensitivity for OSA and central apnea was for PSQI (80-85%). The highest specificity was for STOP-bang (68%) and Berlin (78.6%). In CVD the best sensitivity was for PSQI (81.9%) followed by Berlin (71.9%) and the best specificity for STOP-bang (82.1%). No isolated questionnaire showed good diagnostic performance (AUC≤0.6) and the cut-off values had no variations except for ESS. Conclusion: Screening tests showed low operating characteristics for the diagnosis to SDB, but better performance in patients with CVD. They are not recommended as the only diagnostic test, but they can be useful to guide the initial diagnostic process.https://orcid.org/0000-0002-7756-1805https://orcid.org/0000-0001-6528-4268https://orcid.org/0000-0002-3885-5448https://orcid.org/0000-0001-5576-9341Revista Internacional - IndexadaA2Sleep apneaRespiratory disordersScreeningScalesQuestionnaireAltitude19Sleep Science144LICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/58555/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessORIGINALaop503.pdfaop503.pdfArtículoapplication/pdf348632http://repository.javeriana.edu.co/bitstream/10554/58555/1/aop503.pdf4675743e754dba725748cb1875c8d7a1MD51open accessTHUMBNAILaop503.pdf.jpgaop503.pdf.jpgIM Thumbnailimage/jpeg7200http://repository.javeriana.edu.co/bitstream/10554/58555/3/aop503.pdf.jpgfd1fec3236daba6a406b146a940c266cMD53open access10554/58555oai:repository.javeriana.edu.co:10554/585552023-05-18 17:17:39.445Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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