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EU questionnaire to screen for obstructive sleep apnoea validated in Slovakia
Eva Feketeová1, Imrich Mucska2, Katarina Klobučníková3
1Department of Neurology, Faculty of Medicine, Pavol Jozef Safarik University in Kosice and Louis Pasteur University Hospital, Kosice, Slovak Republic.
Central European Journal of Public Health
|March 1, 2019
Summary
The validated Slovak Q-OSAS effectively screens for obstructive sleep apnoea syndrome (OSAS) and excessive daytime sleepiness (DS), crucial for driving fitness assessments.
Area of Science:
- Sleep Medicine
- Public Health
- Road Safety
Background:
- Obstructive sleep apnoea syndrome (OSAS) with excessive daytime sleepiness (DS) increases motor vehicle accident risk.
- EU legislation mandates driving fitness evaluations for OSAS patients since 2016.
Purpose of the Study:
- Translate and validate the Q-OSAS questionnaire for the Slovak population.
- Assess the Q-OSAS as a screening tool for OSAS and DS in driving license applicants.
Main Methods:
- Administered translated Q-OSAS to 311 Slovak patients before polysomnography.
- Evaluated diagnostic accuracy using ROC curve analysis for OSAS (AHI ≥ 15/h).
Main Results:
- Q-OSAS demonstrated moderate diagnostic accuracy.
- Optimal screening with modified interpretation (excluding ESS) showed 77% sensitivity and 50% specificity (AUC=0.637) at 8 points.
Conclusions:
- The Q-OSAS is a suitable screening tool for moderate to severe OSAS in Slovakia.
- Modified Q-OSAS interpretation can aid in evaluating sleepiness for driving fitness.
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