Predicting sleep apnea and excessive day sleepiness in the severely obese: Indicators for polysomnography

• Published in: Chest Vol. 123; no. 4; pp. 1134 - 1141
• Main Authors: DIXON, John B, SCHACHTER, Linda M, O'BRIEN, Paul E
• Format: Journal Article
• Language: English
• Published: Northbrook, IL American College of Chest Physicians 01.04.2003
• Subjects: Adult; Biological and medical sciences; Body mass index; Female; Gastrointestinal surgery; Health surveys; Hemoglobin; Humans; Insulin resistance; Linear Models; Logistic Models; Male; Medical sciences; Metabolic diseases; Metabolic syndrome; Obesity; Obesity - complications; Obesity - epidemiology; Patient Selection; Polysomnography; Pulse oximetry; Risk Assessment; Risk Factors; Sensitivity and Specificity; Sleep apnea; Sleep Apnea Syndromes - diagnosis; Sleep Apnea Syndromes - epidemiology; Sleep Apnea Syndromes - etiology; Sleep Apnea, Obstructive - diagnosis; Sleep Apnea, Obstructive - epidemiology; Sleep Apnea, Obstructive - etiology; Variance analysis; Human; Obesity; Sleep apnea syndrome; insulin; Respiratory disease; Decision making; Nutrition disorder; Sleep disorder; Exploration; sleepiness; Polysomnography; neck; sleep; Electrodiagnosis; Somnolence; Concomitant disease; Risk factor; Diagnosis; Predictive factor; sleep apnea; Nutritional status; metabolic

Obstructive sleep apnea (OSA) is common in severely obese subjects (body mass index [BMI] > 35). Overnight polysomnography (OPS) is the "gold standard" method of evaluating this condition; however, it is time-consuming, inconvenient, and expensive. Selection of patients for OPS would be...