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Published on: December 6, 2016
Use of an evidence-based protocol to screen for sleep-disordered breathing in a heart failure disease management
Shelby L Garner1, Ramona D Traverse
1Baylor University, Louise Herrington School of Nursing, Dallas, Texas (Dr Garner); and The Medical Center of Plano: Cardiology, Plano, Texas (Ms Traverse).
Abstract:
Undiagnosed and untreated sleep-disordered breathing can lead to negative health outcomes and increased utilization of health resources among patients with heart failure. The purpose of this evidence-based practice project was to implement and evaluate a new multifaceted sleep-disordered breathing screening protocol in a heart failure disease management clinic. The combined use of a symptoms questionnaire, the Epworth sleepiness scale, and overnight pulse oximetry was significantly more effective in identifying patients with a positive diagnosis of sleep-disordered breathing than using the Epworth sleepiness scale alone (P < .05).
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