ArticleSleep & breathing = Schlaf & Atmung2021
Prediction of obstructive sleep apnea: comparative performance of three screening instruments on the apnea-hypopnea index and the oxygen desaturation index.
Article in Sleep & breathing = Schlaf & Atmung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A meta-analysis of the diagnostic value of NoSAS in patients with sleep apnea syndrome.Sleep & breathing = Schlaf & Atmung · 2022Pooled it
- Evaluation of an automated sleep apnea scoring algorithm via the Wesper Lab home sleep apnea test.Sleep medicine · 2026Article
- Assessment of Obstructive Sleep Apnea (OSA) Risk in Western Region of Gujarat - A Cross-Sectional Study.Journal of pharmacy & bioallied sciences · 2026Article
- Impact of Obstructive Sleep Apnea in Surgical Patients: A Systematic Review.Journal of clinical medicine · 2025Review
- Optimizing Obstructive Sleep Apnea Risk Assessment in Hypertension: Development of a Predictive Nomogram in China.Nature and science of sleep · 2025Article
- Performance of Four Screening Tools for Identifying Obstructive Sleep Apnea Among Patients with Insomnia.Nature and science of sleep · 2025Article
- Improving OSA screening efficiency with subjective questionnaires: integrating STOP-Bang, ESS, and Berlin.Frontiers in medicine · 2025Article
- Nocturnal hypoxia and age-related macular degeneration.Clinical & experimental ophthalmology · 2024Article
- OSApredictor: A tool for prediction of moderate to severe obstructive sleep apnea-hypopnea using readily available patient characteristics.Computers in biology and medicine · 2024Article
- Obstructive sleep apnea and diabetes.Journal of diabetes · 2023Article
- Comparison of the value of the STOP-BANG questionnaire with oxygen desaturation index in screening obstructive sleep apnea in Germany.Sleep & breathing = Schlaf & Atmung · 2023Article
- Effect of Simultaneous Multiplane Surgery on Cardiopulmonary Function in Patients with Moderate to Severe Obstructive Sleep Apnea-Hypopnea Syndrome and Its Curative Effect.BioMed research international · 2022Article
- Development and Validation of a Nomogram for Predicting Obstructive Sleep Apnea in Patients with Pulmonary Arterial Hypertension.Nature and science of sleep · 2022Article
- Comparison of six assessment tools to screen for obstructive sleep apnea in patients with hypertension.Clinical cardiology · 2021Article
- Towards Validating the Effectiveness of Obstructive Sleep Apnea Classification from Electronic Health Records Using Machine Learning.Healthcare (Basel, Switzerland) · 2021Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the performance of the NoSAS (neck, obesity, snoring, age, sex) score, the STOP-Bang (snoring, tiredness, observed apneas, blood pressure, body mass index, age, neck circumference, gender) questionnaire, and the Epworth sleepiness score (ESS) as a screening tool for obstructive sleep apnea (OSA) severity based on the apnea-hypopnea index (AHI) and the oxygen desaturation index (ODI).
methodsData from 235 patients who were monitored by ambulant polysomnography (PSG) were retrospectively analyzed. OSA severity was classified based on the AHI; similar classification categories were made based on the ODI. Discrimination was assessed by the area under the curve (AUC), while predictive parameters were calculated by four-grid contingency tables.
resultsThe NoSAS score and the STOP-Bang questionnaire were both equally adequate screening tools for the AHI and the ODI with AUC ranging from 0.695 to 0.767 and 0.684 to 0.767, respectively. Both questionnaires perform better when used as a continuous variable. The ESS did not show adequate discrimination for screening for OSA (AUC ranging from 0.450 to 0.525). Male gender, age, and BMI proved to be the strongest individual predictors in this cohort.
conclusionThis is the first study to evaluate the predictive performance of three different screening instruments with respect to both the AHI and the ODI. This is important, due to increasing evidence that the ODI may have a higher reproducibility in the clinical setting. The NoSAS score and the STOP-Bang questionnaire proved to be equally adequate to predict OSA severity based on both the AHI and the ODI.
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