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PANGERC A, PETEK ŠTER M, DOLENC GROŠELJ L. Validation of the Slovene Version of the Stop-Bang Questionnaire in a Primary Practice Setting. Zdr Varst 2024; 63:14-20. [PMID: 38156334 PMCID: PMC10751889 DOI: 10.2478/sjph-2024-0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 11/27/2023] [Indexed: 12/30/2023] Open
Abstract
Aim The aim of our study was to validate the Slovene translation of the STOP-BANG (SBQ) questionnaire for use in the primary practice setting. Methods We recruited 158 randomly selected visitors at four primary practice clinics who came to the practice for any reason. Participants completed the Slovene SBQ and underwent type 3 respiratory polygraphy, which was analysed by an experienced somnologist. The SBQ was previously translated in to Slovene and validated for the sleep clinic. Results Of 158 participants, 153 had valid recordings. The mean age of the participants was 49.5 years (±13.0 years), and 47.7% were male. OSA was identified in 49.0% of the participants. The questionnaire, with a cutoff of ≥3, demonstrated an area under the curve of 0.823 for any OSA (REI≥5), 0.819 for moderate and severe OSA (REI≥15) and 0.847 for severe OSA (REI≥30). Sensitivity was 65.3%, 81.8%, and 90.0%, and specificity was 87.2%, 73.3% and 65.0% for any, moderate to severe and severe OSA, respectively. Conclusions The Slovene translation of the SBQ is a reliable instrument for OSA risk stratification in the primary practice setting.
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Affiliation(s)
- Andrej PANGERC
- University of Ljubljana, Faculty of Medicine, Department of Family Medicine, Poljanski nasip 58, 1000Ljubljana, Slovenia
| | - Marija PETEK ŠTER
- University of Ljubljana, Faculty of Medicine, Department of Family Medicine, Poljanski nasip 58, 1000Ljubljana, Slovenia
| | - Leja DOLENC GROŠELJ
- University Medical Centre Ljubljana, Institute of Clinical Neurophysiology, Division of Neurology, Zaloška cesta 7, 1000Ljubljana, Slovenia
- University of Ljubljana, Faculty of Medicine, Department of Neurology, Zaloška cesta 2, 1000Ljubljana, Slovenia
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Muñoz-Gómez R, Navarrete-Martínez E, Serrano-Merino J, Silva-Gil F, Roldán-Villalobos A, Martín-Rioboó E, Ruiz-Moruno J, Romero-Rodríguez E, Gonzalez-Lama J, Vaquero-Abellán M, Perula-de-Torres LA. The usefulness of the Spanish version of the STOP-Bang questionnaire for screening for moderate or severe sleep apnea syndrome in primary care. Front Public Health 2022; 10:975114. [PMID: 36159274 PMCID: PMC9502031 DOI: 10.3389/fpubh.2022.975114] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 08/08/2022] [Indexed: 01/25/2023] Open
Abstract
Rationale Sleep apnea-hypopnea syndrome (OSA) is a highly prevalent disease and has been related to cardiovascular diseases and occupational and traffic accidents. Currently, it is estimated that there is a significant underdiagnosis of OSA, mainly due to the difficulty accessing the tests for that purpose. Objective To determine the usefulness of the Spanish version of the STOP-Bang questionnaire (SBQ) for screening for moderate or severe OSA in the adult population attending primary care. Methods A descriptive observational multicenter study was conducted. Through an opportunistic search, (patients over 18 years old), were recruited in seven primary care centers. The SBQ was applied to them and home respiratory polygraphy (HRP) was subsequently performed to confirm the diagnosis of OSA. The criterion validity of the SBQ was analyzed, comparing the score obtained by the SBQ with the apnea-hypopnea index (AHI) obtained by RP, establishing the diagnosis of OSA for an AHI>5. The reliability of the questionnaire was evaluated. Results A total of 255 subjects, 54.1% men, with a mean age of 54.76 ± 10 years, were recruited in the study. The results showed that 61.57% (95% Confidence Interval: 55.57-67.57) of the subjects presented OSA, presenting 22.75% (17.57-57.92) a mild OSA (530) (11.54-20.62). The Kuder and Richardson coefficient was 0.623 (0.335-0.788) and Cohen's Kappa coefficient was 0.871 (0.520-1.00; p < 0.001). For moderate/severe OSA screening (AHI>15) the SBQ obtained an ROC curve of 0.769 (0.704-0.833) that with an optimal cutoff of 3, achieved a sensitivity of 84.85% (77.28-92.42) and a specificity of 55.10% (44.74-65.46). Conclusions The SBQ is very effective for detecting moderate/severe OSA. Its psychometric properties are similar to those obtained in studies on other populations. Because of its ease of use, the SBQ is a very useful tool for primary health care professionals.
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Affiliation(s)
- Rafaela Muñoz-Gómez
- Centro de Salud Sector Sur, Distrito Sanitario Córdoba-Guadalquivir, Distrito Sanitario Córdoba Guadalquivir, Córdoba, Spain,Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain
| | - Esther Navarrete-Martínez
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Centro de Salud de Marchena, Área de Gestión Sanitaria Osuna-Sureste Sevilla, Sevilla, Spain
| | - Jesús Serrano-Merino
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Centro de Salud Sector Sur, Distrito Sanitario Córdoba-Guadalquivir, Córdoba, Spain,*Correspondence: Jesús Serrano-Merino
| | - Fátima Silva-Gil
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Centro de Salud Pedro Abad, Distrito Sanitario Córdoba-Guadalquivir, Córdoba, Spain
| | - Ana Roldán-Villalobos
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Centro de Salud Castilla del Pino, Distrito Sanitario Córdoba-Guadalquivir, Córdoba, Spain
| | - Enrique Martín-Rioboó
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Centro de Salud Poniente, Distrito Sanitario Córdoba-Guadalquivir, Córdoba, Spain
| | - Javier Ruiz-Moruno
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Centro de Salud Aeropuerto, Distrito Sanitario Córdoba-Guadalquivir, Córdoba, Spain
| | - Esperanza Romero-Rodríguez
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Centro de Salud Castilla del Pino, Distrito Sanitario Córdoba-Guadalquivir, Córdoba, Spain,Unidad docente multiprofesional de atención familiar y comunitaria, Distrito Sanitario Córdoba-Guadalquivir, Córdoba, Spain
| | - Jesus Gonzalez-Lama
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Centro de Salud de Cabra, Área de Gestión Sanitaria Sur de Córdoba, Córdoba, Spain
| | - Manuel Vaquero-Abellán
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Facultad de Medicina y Enfermería, Universidad de Córdoba, Cordoba, Spain
| | - Luis Angel Perula-de-Torres
- Instituto Maimónides de Investigación Biomédica de Córdoba, Hospital Reina Sofía, Universidad de Córdoba, Córdoba, Spain,Unidad docente multiprofesional de atención familiar y comunitaria, Distrito Sanitario Córdoba-Guadalquivir, Córdoba, Spain
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