Gender Differences in Obstructive Sleep Apnea: The Value of Sleep Questionnaires with a Separate Analysis of Cardiovascular Patients.

Athens Insomnia Scale Berlin Epworth Fatigue Scale Stop Bang gender questionnaires sleep apnea

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
03 Jan 2020
Historique:
received: 24 10 2019
revised: 18 12 2019
accepted: 31 12 2019
entrez: 18 1 2020
pubmed: 18 1 2020
medline: 18 1 2020
Statut: epublish

Résumé

Gender affects the clinical presentation of obstructive sleep apnea (OSA). The classic OSA symptoms, such as sleepiness, snoring, and apnea, are not so frequent in women. To evaluate possible gender differences in questionnaires used for OSA prediction, such as the Epworth Sleepiness Scale (ESS), STOP, STOP Bang (SB), Berlin Questionnaire (BQ), Athens Insomnia Scale (AIS), and Fatigue Scale (FS). 350 males were matched with 350 women referred to a sleep clinic, according to OSA severity. All responded to the questionnaires and underwent a sleep study. Cardiovascular disease (CVD) patients were separately analyzed. ESS did not differ between genders. SB was higher in males, whereas STOP, BQ, AIS, and FS were higher in females. BQ presented the highest sensitivity in both genders, whereas STOP exhibited the highest specificity in males and ESS in females. AIS and FS were more sensitive and SB more specific in females, whereas BQ was more specific in males. For severe OSA, the predictive values of SB and BQ were almost similar for both genders; however AIS and FS were higher in women. CVD patients presented higher scores, independent of gender, except for AIS, which was higher in females. Gender-specific evaluation of questionnaires is necessary to prevent OSA under-diagnosis.

Sections du résumé

BACKGROUND BACKGROUND
Gender affects the clinical presentation of obstructive sleep apnea (OSA). The classic OSA symptoms, such as sleepiness, snoring, and apnea, are not so frequent in women.
OBJECTIVES OBJECTIVE
To evaluate possible gender differences in questionnaires used for OSA prediction, such as the Epworth Sleepiness Scale (ESS), STOP, STOP Bang (SB), Berlin Questionnaire (BQ), Athens Insomnia Scale (AIS), and Fatigue Scale (FS).
METHODS METHODS
350 males were matched with 350 women referred to a sleep clinic, according to OSA severity. All responded to the questionnaires and underwent a sleep study. Cardiovascular disease (CVD) patients were separately analyzed.
RESULTS RESULTS
ESS did not differ between genders. SB was higher in males, whereas STOP, BQ, AIS, and FS were higher in females. BQ presented the highest sensitivity in both genders, whereas STOP exhibited the highest specificity in males and ESS in females. AIS and FS were more sensitive and SB more specific in females, whereas BQ was more specific in males. For severe OSA, the predictive values of SB and BQ were almost similar for both genders; however AIS and FS were higher in women. CVD patients presented higher scores, independent of gender, except for AIS, which was higher in females.
CONCLUSION CONCLUSIONS
Gender-specific evaluation of questionnaires is necessary to prevent OSA under-diagnosis.

Identifiants

pubmed: 31947711
pii: jcm9010130
doi: 10.3390/jcm9010130
pmc: PMC7019723
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Athanasia Pataka (A)

Respiratory Failure Unit, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.

Seraphim Kotoulas (S)

Respiratory Failure Unit, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.

George Kalamaras (G)

Respiratory Failure Unit, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.

Sofia Schiza (S)

Sleep Disorders Unit, Department of Respiratory Medicine, Medical School, University of Crete, 71110 Heraklion, Greece.

Konstantinos Sapalidis (K)

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Dimitirios Giannakidis (D)

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Nikolaos Michalopoulos (N)

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Charilaos Koulouris (C)

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Zoi Aidoni (Z)

Anesthesiology Department, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Aikaterini Amaniti (A)

Anesthesiology Department, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Izoldi Bouloukaki (I)

Sleep Disorders Unit, Department of Respiratory Medicine, Medical School, University of Crete, 71110 Heraklion, Greece.

Evangelos Chatzopoulos (E)

Respiratory Failure Unit, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.

Konstantinos Romanidis (K)

Second Department of Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece.

Panagoula Oikonomou (P)

Second Department of Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece.

Paschalis Steiropoulos (P)

Department of Pneumonology, Democritus University of Thrace, 68100 Alexandroupolis, Greece.

Georgia Trakada (G)

Division of Pulmonology, Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Alexandra Hospital, 11528 Athens, Greece.

Anastasios Vagionas (A)

Oncology Department, General Hospital of Kavala, 65500 Kavala, Greece.

Aris Ioannidis (A)

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Iason Nikolaos Katsios (IN)

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Alexandru Marian Goganau (AM)

General Surgery Clinic 1, University of Medicine and Pharmacy of Craiova, Craiova County Emergency Hospital, 200009 Craiova, Romania.

Pavlos Zarogoulidis (P)

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Christoforos Kosmidis (C)

3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.

Classifications MeSH