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Related Experiment Video

Updated: Jul 29, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Improving the screening process for obstructive sleep apnea in the primary care setting.

Sarah J Soni1

  • 1Rutgers School of Nursing, New Brunswick, New Jersey.

Journal of the American Association of Nurse Practitioners
|May 23, 2023
PubMed
Summary

Routine screening for obstructive sleep apnea (OSA) using the STOP-Bang Questionnaire identified high-risk patients in primary care. This improves early detection and management of OSA, a condition linked to serious health issues.

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Area of Science:

  • Primary Care Medicine
  • Sleep Medicine
  • Public Health

Background:

  • Obstructive sleep apnea (OSA) is highly prevalent in primary care but significantly underdiagnosed.
  • Untreated OSA poses risks for cardiovascular, cerebrovascular, and metabolic health.
  • A New Jersey primary care clinic identified a gap in routine OSA screening for high-risk patients.

Purpose of the Study:

  • To implement the STOP-Bang Questionnaire for screening asymptomatic patients with hypertension and/or obesity.
  • To determine OSA risk levels in this population.
  • To facilitate referrals for diagnostic testing based on screening results.

Main Methods:

  • The validated STOP-Bang Questionnaire was administered to assess OSA risk.
  • Screening targeted asymptomatic patients with hypertension and/or obesity.
  • Provider discretion guided referrals for confirmatory testing.

Main Results:

  • Out of 100 patients assessed, 32 were identified as high risk for OSA.
  • 36 participants were referred for confirmatory diagnostic testing following screening.

Conclusions:

  • The STOP-Bang Questionnaire is recommended for annual screening of asymptomatic, high-risk patients, particularly those with obesity or hypertension.
  • Utilizing a screening tool aids in early disease detection and management.
  • Early detection and treatment of OSA can delay disease progression and improve health outcomes.