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

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

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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
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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/
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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
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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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

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

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