Prevalence and Prediction of Obstructive Sleep Apnea Prior to Bariatric Surgery-Gender-Specific Performance of Four Sleep Questionnaires.

Horvath, Christian; Jossen, Juri; Kröll, Dino; Nett, Philipp C.; Baty, Florent; Brill, Anne-Kathrin; Ott, Sebastian Robert (2018). Prevalence and Prediction of Obstructive Sleep Apnea Prior to Bariatric Surgery-Gender-Specific Performance of Four Sleep Questionnaires. Obesity surgery, 28(9), pp. 2720-2726. Springer-Verlag 10.1007/s11695-018-3222-z

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PURPOSE Bariatric surgery (BS) is a treatment option for morbid obesity leading to substantial and sustained weight loss in adults. As obstructive sleep apnea (OSA) is highly prevalent in obese subjects and may increase the perioperative risk, screening for OSA is recommended prior to BS. In clinical routine, BS is performed more frequently in women. Therefore, we sought to assess the gender-specific performance of four sleep questionnaires (Epworth Sleepiness Scale (ESS), Fatigue Severity Scale (FSS), STOPBang, and NoSAS) to predict moderate to severe OSA in the morbidly obese population. MATERIAL AND METHODS We applied all four questionnaires to patients scheduled for BS with polygraphic OSA screening at our institution between 2012 and 2015 and performed gender-specific sensitivity analyses. RESULTS We included 251 bariatric patients (76% female, median age 39 years, median BMI 42.0 kg/m). OSA (AHI > 5/h; AHI > 15/h) was present in 43% (females 35%, males 68%; p < 0.001) and 21% (females 13%, males 45%; p < 0.001). STOPBang and NoSAS performed markedly better than ESS and FSS. With the exception of the ESS, all sleep questionnaires allowed better OSA prediction in women than in men. CONCLUSION In obese patients scheduled for BS, a gender-specific difference was observed in the performance of the evaluated OSA screening questionnaires. This needs to be considered when these questionnaires are used. Our results underline the need for better gender-specific OSA screening algorithms in morbidly obese patients.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Pneumology

UniBE Contributor:

Horvath, Christian; Kröll, Dino; Nett, Philipp C.; Brill, Anne-Kathrin and Ott, Sebastian Robert

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0960-8923

Publisher:

Springer-Verlag

Language:

English

Submitter:

Rahel Holderegger

Date Deposited:

07 Feb 2019 15:19

Last Modified:

07 Feb 2019 15:27

Publisher DOI:

10.1007/s11695-018-3222-z

PubMed ID:

29616468

Uncontrolled Keywords:

Bariatric surgery Obesity Obstructive sleep apnea Sleep-disordered breathing

BORIS DOI:

10.7892/boris.123146

URI:

https://boris.unibe.ch/id/eprint/123146

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