Cited by 571Obstructive Sleep Apnea ResearchAirway Management and Intubation TechniquesCardiac, Anesthesia and Surgical Outcomes

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Validation of the Berlin Questionnaire and American Society of Anesthesiologists Checklist as Screening Tools for Obstructive Sleep Apnea in Surgical Patients

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Chung, Frances, Yegneswaran, Balaji, Liao, Pu, Chung, Sharon A., Vairavanathan, Santhira, Islam, Sazzadul, Khajehdehi, Ali, Shapiro, Colin M.·2008·Anesthesiology

DOI 10.1097/aln.0b013e31816d91b5

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Abstract

Background: Because of the high prevalence of obstructive sleep apnea (OSA) and its adverse impact on perioperative outcome, a practical screening tool for surgical patients is required. This study was conducted to validate the Berlin questionnaire and the American Society of Anesthesiologists (ASA) checklist in surgical patients and to compare them with the STOP questionnaire. Methods: After hospital ethics approval, preoperative patients aged 18 yr or older and without previously diagnosed OSA were recruited. The scores from the Berlin questionnaire, ASA checklist, and STOP questionnaire were evaluated versus the apnea-hypopnea index from in-laboratory polysomnography. The perioperative data were collected through chart review. Results: Of 2,467 screened patients, 33, 27, and 28% were respectively classified as being at high risk of OSA by the Berlin questionnaire, ASA checklist, and STOP questionnaire. The performance of the screening tools was evaluated in 177 patients who underwent polysomnography. The sensitivities of the Berlin questionnaire, ASA checklist, and STOP questionnaire were 68.9-87.2, 72.1-87.2, and 65.6-79.5% at different apnea-hypopnea index cutoffs. There was no significant difference between the three screening tools in the predictive parameters. The patients with an apnea-hypopnea index greater than 5 and the patients identified as being at high risk of OSA by the STOP questionnaire or ASA checklist had a significantly increased incidence of postoperative complications. Conclusions: Similar to the STOP questionnaire, the Berlin questionnaire and ASA checklist demonstrated a moderately high level of sensitivity for OSA screening. The STOP questionnaire and the ASA checklist were able to identify the patients who were likely to develop postoperative complications.

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“Many tools for screening patients for OSA have been proposed -- such as the Berlin questionnaire, the STOP questionnaire and the American Society of Anesthesiologists (ASA) checklist -- and their use improves the likelihood of identifying OSA preoperatively.(1,9,13,15) The STOP-BANG questionnaire (Table 1), which was…”
Method

Authors: Chung, F., Yegneswaran, B., Liao, P., Chung, S. A., Vairavanathan, S., Islam, S., Khajehdehi, A., & Shapiro, C. M.
Affiliations: Professor, Department of Anesthesia.
Research Fellow.
Research Analyst.
University Health Network (CA)
Research Coordinator, Department of Anesthesia.
ORCID: Chung, Frances
Yegneswaran, Balaji
Liao, Pu
Chung, Sharon A.
Shapiro, Colin M.
Venue: Anesthesiology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2008-05-01
Volume: 108
Issue: 5
Pages: 822-830
ISSN: 0003-3022 (ISSN-L)
DOI: 10.1097/aln.0b013e31816d91b5
OpenAlex: W1970984835
Semantic Scholar: 077b75016f3be33786888c96ba6a7a9fe42560e6
Cited by: 571
References: 31
Citations by year: 2026: 5 · 2025: 11 · 2024: 19 · 2023: 17 · 2022: 27 · 2021: 23 · 2020: 23 · 2019: 23 · 2018: 31 · 2017: 33 · 2016: 42 · 2015: 55 · 2014: 56 · 2013: 52 · 2012: 51
FWCI: 22.80
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Anesthesiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
Keywords: obstructive sleep apnea, preoperative screening, Berlin questionnaire, STOP questionnaire, apnea-hypopnea index, polysomnography, diagnostic sensitivity, postoperative complications, surgical patients
MeSH terms: Adult, Aged, Anesthesiology, Berlin, Female, Humans, Male, Predictive Value of Tests, Surveys and Questionnaires, Sensitivity and Specificity, Societies, Medical, Surgical Procedures, Operative, United States, Reproducibility of Results, Body Mass Index, Prevalence, Sleep Apnea, Obstructive

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Validation of the Berlin Questionnaire and American Society of Anesthesiologists Checklist as Screening Tools for Obstructive Sleep Apnea in Surgical Patients

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