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See detailDevelopment and validation of a morphologic obstructive sleep apnea prediction score: The DES-OSA score
Deflandre, E.; Degey, S.; Brichant, Jean-Francois ULg et al

in Anesthesia and Analgesia (2016), 122(2), 363-372

BACKGROUND: Obstructive sleep apnea (OSA) is a common and underdiagnosed entity that favors perioperative morbidity. Several anatomical characteristics predispose to OSA. We developed a new clinical score ... [more ▼]

BACKGROUND: Obstructive sleep apnea (OSA) is a common and underdiagnosed entity that favors perioperative morbidity. Several anatomical characteristics predispose to OSA. We developed a new clinical score that would detect OSA based on the patient's morphologic characteristics only. METHODS: Patients (n = 149) scheduled for an overnight polysomnography were included. Their morphologic metrics were compared, and combinations of them were tested for their ability to predict at least mild, moderate-to-severe, or severe OSA, as defined by an apnea-hypopnea index (AHI) >5, >15, or >30 events/h. This ability was calculated using Cohen κ coefficient and prediction probability. RESULTS: The score with best prediction abilities (DES-OSA score) considered 5 variables: Mallampati score, distance between the thyroid and the chin, body mass index, neck circumference, and sex. Those variables were weighted by 1, 2, or 3 points. DES-OSA score >5, 6, and 7 were associated with increased probability of an AHI >5, >15, or >30 events/h, respectively, and those thresholds had the best Cohen κ coefficient, sensitivities, and specificities. Receiver operating characteristic curve analysis revealed that the area under the curve was 0.832 (95% confidence interval [CI], 0.762-0.902), 0.805 (95% CI, 0.734-0.876), and 0.834 (95% CI, 0.757-0.911) for DES-OSA at predicting an AHI >5, >15, and >30 events/h, respectively. With the aforementioned thresholds, corresponding sensitivities (95% CI) were 82.7% (74.5-88.7), 77.1% (66.9-84.9), and 75% (61.0-85.1), and specificities (95% CI) were 72.4% (54.0-85.4), 73.2% (60.3-83.1), and 76.9% (67.2-84.4). Validation of DES-OSA performance in an independent sample yielded highly similar results. CONCLUSIONS: DES-OSA is a simple score for detecting OSA patients. Its originality relies on its morphologic nature. Derived from a European population, it may prove useful in a preoperative setting, but it has still to be compared with other screening tools in a general surgical population and in other ethnic groups. © 2016 International Anesthesia Research Society. [less ▲]

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See detailPreoperative Adherence to Continuous Positive Airway Pressure among Obstructive Sleep Apnea Patients
Deflandre; Degey, S; BONHOMME, Vincent ULg et al

in Minerva Anestesiologica (2015), 81(9), 960-7

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See detailBelRAI IV : Recherche-action en préparation de l'implémentation de la méthode RAI en Belgique
Declercq, A; Gosset, Christiane ULg; Mello, J et al

Report (2010)

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See detailOnline assessment of the quality of care in elderly (Belgium)
Tancredi, A; Renard, Florence ULg; Degey, S et al

Conference (2009)

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See detailSteps Prior to the RAI Instrument Implementation in Belgium
Degey, S; Tancredi, A; Renard, F et al

Conference (2009)

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See detailInstrument BelRAI : Introduction générale et démonstration online
Tancredi, A; Degey, S; Gosset, Christiane ULg

Conference (2009)

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See detailBelRAI III : Onderzoek actie opdracht voorbereiding van de implementatie van de RAI methode in België
Declercq, A; Gosset, Christiane ULg; De Almeida Mella, J et al

Report (2009)

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See detailBelRAI : recherche-action ayant pour mission préparation de l'implémentation de la démarche RAI en Belgique
Declercq, A; Gosset, Christiane ULg; de Almeida Mello, J et al

Report (2009)

Detailed reference viewed: 20 (5 ULg)