Evidence map›Paper›PMID 32384092›Full record

ArticlePloS one2020

STOP-Bang questionnaire should be used in all adults with Down Syndrome to screen for moderate to severe obstructive sleep apnea.

Anderson Albuquerque de Carvalho, Fabio Ferreira Amorim, Levy Aniceto Santana, Karlo Jozefo Quadros de Almeida, Alfredo Nicodemos Cruz Santana, Francisco de Assis Rocha Neves

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Sleep disorders in Down syndrome: a systematic review.Arquivos de neuro-psiquiatria · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Sleep Disorders in Adults with Down Syndrome.Journal of clinical medicine · 2021
    Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anderson Albuquerque de CarvalhoDepartment of Postgraduate Health Sciences, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, Distrito Federal, Brazil.ORCID 0000-0002-1256-7675
Fabio Ferreira AmorimDepartment of Postgraduate Health Sciences, Faculdade de Medicina e Enfermagem, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID 0000-0003-0929-5733
Levy Aniceto SantanaDepartment of Postgraduate Health Sciences, Faculdade de Medicina e Enfermagem, Escola Superior de Ciências da Saúde, Brasília, Distrito Federal, Brazil.ORCID 0000-0001-7743-4892
Karlo Jozefo Quadros de AlmeidaRegional Board of Secondary Care Department, Down Syndrome Reference Center, Hospital Regional da Asa Norte, Brasília, Distrito Federal, Brazil.ORCID 0000-0001-7468-9451
Alfredo Nicodemos Cruz SantanaRespiratory Department, Multidisciplinary Sleep Unit, Hospital Regional da Asa Norte, Brasília, Distrito Federal, Brazil.ORCID 0000-0002-4511-9123
Francisco de Assis Rocha NevesDepartment of Postgraduate Health Sciences, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, Distrito Federal, Brazil.ORCID 0000-0001-8584-3127

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo determine the prevalence of obstructive sleep apnea (OSA) in adults with Down syndrome (DS), to investigate factors related to OSA severity and to identify which sleep questionnaire is the most appropriate for the screening of OSA in this population.

methodsCross-sectional study that consecutively included 60 adults with DS. All patients underwent type III polysomnography and clinical and laboratory data were collected; sleep assessment questionnaires were applied. Multiple linear regression models evaluated the associations between OSA severity (measured by the respiratory event index-REI) and clinical and laboratory data and sleep questionnaires (Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, BERLIN and STOP-Bang questionnaires).

resultsResults show that 60 (100%) adults with DS had OSA, with moderate-severe OSA identified in 49 (81.6%). At the multivariate linear regression, REI significantly correlated with hematocrit levels, BMI and STOP-Bang questionnaire (SBQ) results (P <0.001). The positive STOP-Bang ≥3 points) showed 100% of sensitivity (95%CI: 92.75-100%), 45.45% of specificity (95%CI: 16.75-76.62), positive predictive value of 89.09% (95%CI: 82.64-93.34%), negative predictive value of 100%, accuracy of 90% (95%CI: 79.49-96.24%) and OR of 24.29.

conclusionsAdults with DS have a very high prevalence of OSA. Hematocrit levels, BMI and SBQ showed a strong correlation with OSA severity. The SBQ performed well in identifying moderate to severe OSA in this population. Considered together, these results point to the need to perform OSA screening in all adults with DS, and STOP-Bang may play a role in this screening.

Indexed as

AdultCross-Sectional StudiesDown SyndromeFemaleHumansMalePolysomnographySleep Apnea, ObstructiveSurveys and QuestionnairesYoung Adult

Identifiers

PMID32384092
PMCPMC7209101

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.