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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1994-10-20
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pubmed:abstractText |
Although questionnaires have been developed to assess symptoms of obstructive sleep apnea (OSA), their overall reliability and utility have not been established. We have evaluated the ability of a questionnaire to identify increased apnea activity (IAA) in 465 participants in an epidemiologic study of OSA. Subjects and their roommates each completed a questionnaire and underwent in-home sleep studies. Responses to 56 questions about sleep habits, sleepiness, and daytime performance were analyzed with factor analysis, logistic regression, and receiver-operator curves (ROCs). Factor analysis demonstrated that 16 questions, grouped into five factors (functional impact of sleepiness, self-reported breathing disturbances, roommate-observed breathing disturbances, driving impairment, and insomnia) explained 67% of the variance in the questionnaire data. Symptom questions demonstrated internal consistency (Cronbach correlations: 0.91 to 0.98). Moderate levels of agreement were observed between self- and roommate-reported responses for nine of ten questions asked of both the subject and his/her partner (kappa statistics: 0.34 to 0.57). Logistic regression analysis demonstrated that IAA could be best predicted by three questions about intensity of snoring, roommate-observed choking, and having fallen asleep while driving (ROC area: 0.78). Use of symptoms with data on gender and body mass index (BMI) improved predictive ability by 10% (ROC area: 0.87). Thus, questionnaire data provide a valid means of characterizing symptom distributions in population surveys of OSA. Predictive ability is not significantly improved with multiple questions or a separate roommate questionnaire, but is improved with consideration of data on BMI and gender.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1073-449X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
150
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
735-41
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:8087345-Adult,
pubmed-meshheading:8087345-Chi-Square Distribution,
pubmed-meshheading:8087345-Factor Analysis, Statistical,
pubmed-meshheading:8087345-Female,
pubmed-meshheading:8087345-Humans,
pubmed-meshheading:8087345-Logistic Models,
pubmed-meshheading:8087345-Male,
pubmed-meshheading:8087345-Middle Aged,
pubmed-meshheading:8087345-Ohio,
pubmed-meshheading:8087345-Polysomnography,
pubmed-meshheading:8087345-Prognosis,
pubmed-meshheading:8087345-Questionnaires,
pubmed-meshheading:8087345-ROC Curve,
pubmed-meshheading:8087345-Reproducibility of Results,
pubmed-meshheading:8087345-Sleep Apnea Syndromes
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pubmed:year |
1994
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pubmed:articleTitle |
Assessment of the validity and utility of a sleep-symptom questionnaire.
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pubmed:affiliation |
Department of Medicine, Case Western Reserve University, Cleveland, Ohio.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.
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