Validity and reliability of the Berlin questionnaire for the detection of moderate or severe obstructive sleep apnea in patients aged 40 years or older detected from primary care.

Berlin questionnaire home respiratory polygraphy obstructive sleep apnea primary care questionnaire reliability screening validity

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2023
Historique:
received: 27 05 2023
accepted: 21 07 2023
medline: 30 8 2023
pubmed: 30 8 2023
entrez: 30 8 2023
Statut: epublish

Résumé

The obstructive sleep apnea syndrome (OSA) is a highly prevalent condition. In Spain and other countries, only 5%-9% of patients with OSA have been diagnosed and treated. The lack of accessibility to diagnosis is considered the main cause of this situation through easy-to-use screening instruments, it is necessary to check their validity and reliability in the context where they are to be used. To validate the Spanish translation of the Berlin questionnaire for screening for moderate or severe OSA in patients aged 40 years or more detected in primary care. A descriptive observational study, with a first qualitative phase of transcultural adaptation to Spanish using the translation-back-translation method. Setting: primary care level of the Spanish National Health System. A total of 255 patients recruited from 7 healthcare centers completed the study. The Berlin questionnaire was administered to the recruited patients, and subsequently, a respiratory polygraphy was performed to confirm the diagnosis of OSA. The concurrent criterion validity of the questionnaire and its reliability in terms of internal consistency and reproducibility (intra-observer agreement) were analyzed. The patients' mean age was 54.76 years (SD: 6.57; 95% CI: 53.53-54.99), and 54.12% were men (95% CI: 47.96-60.27). We found that 61.57% (95% CI: 55.57-67.57) presented OSA (apnea-hypopnea index-AHI >5), and 45.5% (95% CI: 17.05-57.92) presented moderate or severe (AHI >15) OSA. The Berlin questionnaire, with a cut-off point of 4.5, showed a sensitivity of 76.77% (95% CI: 67.94-85.59), a specificity of 74.49% (95% CI: 65.35-83.63), a positive predictive value of 75.25% (95% CI: 66.34-84.16), a negative predictive value of 76.04% (95% CI: 66.98-85.10), and an area under the curve of 0.786 (95% CI: 0.721-0.851). Cronbach's alpha coefficient was 0.730 (95% CI: 0.668-0.784), and the Kappa index was 0.739 (95% CI, 0.384-1.000). The Spanish adaptation of the Berlin questionnaire has good validity and reliability as a test for the diagnostic screening of moderate or severe OSA in patients aged 40 years or older. The findings of our study confirm that primary care physicians should use such screening tools to predict OSA.

Sections du résumé

Background UNASSIGNED
The obstructive sleep apnea syndrome (OSA) is a highly prevalent condition. In Spain and other countries, only 5%-9% of patients with OSA have been diagnosed and treated. The lack of accessibility to diagnosis is considered the main cause of this situation through easy-to-use screening instruments, it is necessary to check their validity and reliability in the context where they are to be used.
Objective UNASSIGNED
To validate the Spanish translation of the Berlin questionnaire for screening for moderate or severe OSA in patients aged 40 years or more detected in primary care.
Methods UNASSIGNED
A descriptive observational study, with a first qualitative phase of transcultural adaptation to Spanish using the translation-back-translation method. Setting: primary care level of the Spanish National Health System. A total of 255 patients recruited from 7 healthcare centers completed the study. The Berlin questionnaire was administered to the recruited patients, and subsequently, a respiratory polygraphy was performed to confirm the diagnosis of OSA. The concurrent criterion validity of the questionnaire and its reliability in terms of internal consistency and reproducibility (intra-observer agreement) were analyzed.
Results UNASSIGNED
The patients' mean age was 54.76 years (SD: 6.57; 95% CI: 53.53-54.99), and 54.12% were men (95% CI: 47.96-60.27). We found that 61.57% (95% CI: 55.57-67.57) presented OSA (apnea-hypopnea index-AHI >5), and 45.5% (95% CI: 17.05-57.92) presented moderate or severe (AHI >15) OSA. The Berlin questionnaire, with a cut-off point of 4.5, showed a sensitivity of 76.77% (95% CI: 67.94-85.59), a specificity of 74.49% (95% CI: 65.35-83.63), a positive predictive value of 75.25% (95% CI: 66.34-84.16), a negative predictive value of 76.04% (95% CI: 66.98-85.10), and an area under the curve of 0.786 (95% CI: 0.721-0.851). Cronbach's alpha coefficient was 0.730 (95% CI: 0.668-0.784), and the Kappa index was 0.739 (95% CI, 0.384-1.000).
Conclusion UNASSIGNED
The Spanish adaptation of the Berlin questionnaire has good validity and reliability as a test for the diagnostic screening of moderate or severe OSA in patients aged 40 years or older. The findings of our study confirm that primary care physicians should use such screening tools to predict OSA.

Identifiants

pubmed: 37644989
doi: 10.3389/fmed.2023.1229972
pmc: PMC10461081
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1229972

Informations de copyright

Copyright © 2023 Navarrete-Martínez, Muñoz-Gómez, Serrano-Merino, Perula-de Torres, Vaquero-Abellán, Silva-Gil, Roldán-Villalobos, Martín-Rioboó, Ruiz-Moruno, Romero-Rodríguez, González-Lama and Montes-Redondo.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Esther Navarrete-Martínez (E)

Marchena Health Center, Osuna Sanitary Area, Seville, Spain.
Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.

Rafaela Muñoz-Gómez (R)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Sector Sur Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.

Jesús Serrano-Merino (J)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Sector Sur Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.

Luis Angel Perula-de Torres (LA)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Program of Preventive Activities and Health Promotion (PAPPS), semFYC, Barcelona, Spain.

Manuel Vaquero-Abellán (M)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Faculty of Medicine and Nursing, University of Córdoba, Córdoba, Spain.

Fátima Silva-Gil (F)

Pedro Abad Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.

Ana Roldán-Villalobos (A)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Carlos Castilla del Pino Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.

Enrique Martín-Rioboó (E)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Sector Sur Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.
Poniente Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.

Javier Ruiz-Moruno (J)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Aeropuerto Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.

Esperanza Romero-Rodríguez (E)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Carlos Castilla del Pino Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.

Jesús González-Lama (J)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Program of Preventive Activities and Health Promotion (PAPPS), semFYC, Barcelona, Spain.
Cabra Health Center, Sanitary Management Area South of Córdoba, Córdoba, Spain.
Group/Program Communication and Health, semFYC, Barcelona, Spain.

Gertrudis Montes-Redondo (G)

Maimonides Institute for Biomedical Research of Córdoba (IMIBIC)/Reina Sofía Hospital/University of Córdoba, Córdoba, Spain.
Santa Rosa Health Center, Córdoba-Guadalquivir Health District, Córdoba, Spain.

Classifications MeSH