Rendimiento de los cuestionarios de sueño en el diagnóstico de síndrome de apneas obstructivas del sueño en población chilena. Sub-estudio de la Encuesta Nacional de Salud, 2016/17.

Autores/as

  • Fernando Saldías Peñafiel Departamento de Enfermedades Respiratorias, P. Universidad Católica de Chile.
  • Pablo Brockmann Veloso Departamento de Cardiología y Respiratorio Pediátrico, P. Universidad Católica de Chile.
  • Julia Santín Martínez Departamento de Neurología, P. Universidad Católica de Chile.
  • Eduardo Fuentes-López Departamento Ciencias de la Salud, P. Universidad Católica de Chile.
  • Gonzalo Valdivia Cabrera Departamento de Salud Pública, P. Universidad Católica de Chile.

Palabras clave:

Diagnosis, Sleep Apnea, Obstructive, Surveys and Questionnaires

Resumen

Background: The diagnosis of obstructive sleep apnea syndrome (OSAS) is based on nocturnal records: polysomnography or respiratory polygraphy. However, their high costs limit their use. Aim: To examine the predictive value of three sleep questionnaires (STOP, STOP-Bang, Epworth Sleepiness Scale (ESS) in the screening of OSAS in Chilean adults. Material and methods: During the National Health Survey 2016/17, 205 adults aged 50.7±15.0 years (46% males) living in the Metropolitan Region answered sleep questionnaires and underwent an ambulatory respiratory polygraphy. The sensitivity, specificity, positive and negative predictive values and receiver operating characteristic curves of sleep questionnaires were calculated. Results: Fifty nine percent of participants had OSAS which was moderate to severe in 26%. The clinical variables associated with OSAS were age, male gender, hypertension, dyslipidemia, overweight, cervical and waist circumferences, history of regular snoring and witnessed apneas. Daytime somnolence, insomnia and unrefreshing sleep were not associated to OSAS risk. STOP, STOP-Bang and ESS questionnaires classified 64%, 71% and 12% of cases as high risk for OSAS, respectively. The STOP and STOP-Bang questionnaires had the highest sensitivity to predict OSAS (76% and 89%, respectively) while the ESS had the highest specificity (91%). Conclusions: The sleep questionnaires allowed to identify the subjects at high risk for OSAS in this sample of adults from the Metropolitan Region.

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Publicado

2020-01-10

Cómo citar

Saldías Peñafiel, F., Brockmann Veloso, P., Santín Martínez, J., Fuentes-López, E., & Valdivia Cabrera, G. (2020). Rendimiento de los cuestionarios de sueño en el diagnóstico de síndrome de apneas obstructivas del sueño en población chilena. Sub-estudio de la Encuesta Nacional de Salud, 2016/17. Revista Médica De Chile, 147(12). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/7699

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