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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

241
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
241

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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Predicting perinatal outcomes with an obstructive sleep apnea screening tool.

Dara J Seybold1, Luis A Bracero2, Peter Power3

  • 1CAMC Institute for Academic Medicine, USA.

Journal of Medical Screening
|October 4, 2021
PubMed
Summary

The STOP Questionnaire, screening for obstructive sleep apnea, showed potential in predicting adverse perinatal outcomes like preterm delivery and NICU admissions. While not a standalone tool, it may improve prediction when combined with other factors.

Keywords:
Obstructive sleep apneaperinatal outcomespregnancypreterm birthscreening test

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Area of Science:

  • Obstetrics and Gynecology
  • Sleep Medicine
  • Perinatal Health

Background:

  • Obstructive sleep apnea (OSA) is increasingly recognized as a risk factor for adverse perinatal outcomes.
  • The STOP Questionnaire is a validated screening tool for OSA in the general population.
  • Its utility in predicting perinatal complications in pregnant individuals is not well-established.

Discussion:

  • A prospective observational study involving 442 pregnant women utilized the STOP Questionnaire for OSA screening.
  • Positive STOP screens were associated with increased odds of preterm delivery and neonatal intensive care unit (NICU) admissions.
  • Logistic regression analysis identified previous preterm delivery, STOP screen results, and nulliparity as predictors for preterm delivery.

Key Insights:

  • A positive STOP screen was the sole significant predictor for NICU admissions (OR 2.5, 95% CI 1.1-5.7, p=0.036).
  • For preterm delivery, previous preterm delivery (OR 4.2), a positive STOP screen (OR 2.8), and nulliparity (OR 2.3) were significant predictors.
  • The STOP Questionnaire demonstrated high specificity but low sensitivity for predicting various adverse perinatal outcomes.

Outlook:

  • The STOP Questionnaire, as a standalone tool, has limitations in predicting adverse perinatal outcomes due to low sensitivity.
  • Combining the STOP Questionnaire with other clinical factors may enhance its predictive capabilities for preterm delivery and NICU admissions.
  • Further research is warranted to explore multi-factorial prediction models for perinatal complications in OSA patients.