Obstructive sleep apnea in pregnancy: performance of a rapid screening tool

Sleep & Breathing = Schlaf & Atmung
Bilgay Izci BalserakGrace W Pien

Abstract

The Sleep Apnea Symptom Score (SASS) has been commonly used to assess obstructive sleep apnea (OSA). The aim of this study was to examine the psychometric properties of the SASS and the predictive value of SASS incorporating bedpartner-reported information in identifying OSA in pregnant women. A cohort of healthy pregnant women completed the SASS and Pittsburgh Sleep Quality Index. Participants underwent overnight laboratory polysomnography (PSG) monitoring. Reliability and validity of the SASS were evaluated. A multivariable predictive model, incorporating the SASS score along with BMI, age, and bedpartner-reported information, was developed to assess the risk for OSA (AHI ≥ 5 events/h). Receiver operating characteristic curves for OSA were constructed to evaluate the sensitivity and specificity of the predictive model. A total of 126 and 105 participants completed the PSG during the first and third trimester, respectively. The SASS demonstrated adequate validity and acceptable reliability (Cronbach's α = 0.72 during the third trimester). When the combined model consisting of SASS, age, BMI, and bedpartner-reported information was used, the area under the curve for AHI ≥ 5 for the first and third trimester was 0.781 (95%CI 0.6...Continue Reading

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Citations

Jun 5, 2019·Annals of the American Thoracic Society·Bilgay Izci-BalserakGrace W Pien
Apr 16, 2020·American Journal of Respiratory and Critical Care Medicine·Eileen B LearyReena Mehra
Feb 11, 2020·Annals of the American Thoracic Society·Bilgay Izci BalserakDavid W Carley
Jan 1, 2020·Gender and the Genome·Margaret H BublitzGhada Bourjeily

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