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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
Open accessAbstract
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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“Its sensitivity is 69–87% in surgical patients.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [489]
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“The ASA checklist was validated in surgical population with a moderate sensitivity (72%–87%) which was comparable to both the STOP and Berlin questionnaires.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [489]
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High STOP-Bang score indicates a high probability of obstructive sleep apnoea
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Metadata
- 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.
- Venue
- Anesthesiology
- Published
- 2008-05-01
- Volume
- 108
- Issue
- 5
- Pages
- 822-830
- ISSN
- 0003-3022 (ISSN-L)
- 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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