The Value Of ESS,SBQ And NoSAS For OSAHS Screening In The Elderly

ObjectiveCompare the effects of Epworth Sleepiness Scale(ESS),STOP-Bang Questionnaire(SBQ),and No SAS scores in screening elderly obstructive sleep apnea hypopnea syndrome(OSAHS)and the three scales in evaluating the severity of the disease Value and compare the three screening tools.MethodThis article selected 42 patients who were admitted to Tianjin Medical University General Hospital Health Care Department from January 2018 to December2019 and were older than 65 years of age who underwent polysomnography(PSG)overnight.All the subjects before the monitoring were Voluntarily completed the Epworth Sleepiness Scale(ESS),STOP-Bang Questionnaire(SBQ),and No SAS scores.Finally,according to the results of polysomnography(PSG),it was divided into simple snoring group(AHI<5 times/h),mild OSAHS group(5 times/h≤AHI≤15times/h),moderate OSAHS group(15 times/h<AHI≤30 times/h),severe OSAHS group(AHI>30 times/h).Gender was determined by the exact probability method of Fisher in chi-square test for OSAHS disease;the four groups used single-factor analysis of variance on BMI,neck circumference and ESS score,SBQ score,and No SAS score;AHI≥5 times/h,AHI>15 times/h,AHI>30 times/h as the diagnostic criteria of Epworth sleepiness scale,STOP-Bang questionnaire,and No SAS score and polysomnography(PSG)results were compared using receiver operating characteristic curve(ROC Curve)analysis,and calculate the sensitivity,specificity,positive predictive value and negative predictive value of each scale in the form of four grid tables.ResultAmong the 42 patients,28 were male and 14 were female.The average age was(83.76±8.82)years,BMI(25.21±4.90)Kg/m~2,and neck circumference(39.2±3.86)cm.Divided into four groups:simple hysteria group(AHI<5 times/h),mild OSAHS group(5 times/h≤AHI≤15 times/h),and moderate OSAHS group(15 times/h<AHI≤30 times/h),severe OSAHS group(AHI>30 times/h).There was no significant difference in gender.The four groups also had no significant differences in BMI,neck circumference,and ESS scores,but there were significant differences in SBQ scores and No SAS scores.With AHI≥5 times/h as the criterion for diagnosing OSAHS,the area under the ROC curve of Epworth drowsiness was 0.566,the STOP-Bang questionnaire was 0.805,and the No SAS score was 0.764.With AHI>15times/h as the diagnostic criteria for OSAHS,the area under the ROC curve of Epworth drowsiness was 0.541,the STOP-Bang questionnaire was 0.859,and the No SAS score was 0.820.With AHI>30 times/h as the criterion for diagnosing OSAHS,the area under the ROC curve of Epworth drowsiness was 0.697,the STOP-Bang questionnaire was 0.837,and the No SAS score was 0.761.The criteria for diagnosing OSAHS were AHI≥5 times/h,AHI>15 times/h,and AHI>30 times/h.The sensitivity and specificity of Epworth sleepiness were 0.406 and 0.700,0.421 and O.652,0.556 and 0.667;the sensitivity and specificity of the STOP-Bang questionnaire were 0.969 and 0.200,0.947 and 0.087,1.000 and 0.091;the sensitivity and specificity of the No SAS score were 0.844 and 0.600,0.895 and 0.391,0.889 and0.303。ConclusionGender is not a risk factor for whether the elderly suffer from OSAHS.The size of BMI and neck circumference cannot be used to evaluate the severity of disease in elderly OSAHS patients.The STOP-Bang questionnaire and No SAS score can be used to assess the severity of disease in elderly OSAHS patients,but the Epworth sleepiness scale cannot be used to assess the severity of disease.Compared with the results of polysomnography(PSG)AHI,the STOP-Bang questionnaire and No SAS score were superior to the Epworth sleepiness scale in screening elderly OSAHS.