Implementing protocol for obstructive sleep apnea screening in the primary care setting

被引:10
|
作者
Ononye, Tony [1 ]
Khoa Nguyen [1 ]
Brewer, Erica [2 ]
机构
[1] Houston Family Phys, 8968 Kirby Dr, Houston, TX 77054 USA
[2] Univ S Alabama, Coll Nursing, 5721 USA Dr N,Room 3068, Mobile, AL 36688 USA
关键词
Obstructive sleep apnea; Screening; Primary care; Adults; Outcomes; CLINICAL-PRACTICE GUIDELINE; STOP-BANG; ADULTS;
D O I
10.1016/j.apnr.2019.02.005
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Alin: 1) To implement obstructive sleep apnea (OSA) screening of at-risk patients in a primary care setting; 2) to evaluate and refer screened participants to sleep studies since early identification of OSA symptoms is an important initial step in reducing the burden of undiagnosed OSA disease. Method: Participants completed the STOP-Bang questionnaire and those considered to be at risk were referred for sleep studies for disease identification, categorization, and treatment. Results: Prevalent OSA screening and referral rates at the clinic prior to project implementation was 3% and 0% respectively, compared to the corresponding rates of 43% and 39% post project implementation. Out of 187 participants screened between January and April 2018, 61% had scores of 3 and higher on the STOP-Bang questionnaire, however, only 39% of the at-risk participants agreed to undergo sleep studies. Those who declined sleep study referrals were mostly participants who were not experiencing higher burden of sleep deprivation. Out of 45 participants who underwent sleep studies, 67% were diagnoses with moderate to severe OSA with recommendations to initiate continuous positive airway pressure (CPAP) machine therapy. Conclusion: Most primary care providers do not routinely screen at-risk patients for OSA despite existing clinical practice guideline recommending early and accurate diagnosis of OSA for this population. The Stop-Bang screening tool can reliably predict the presence of moderate to severe OSA. Early identification of OSA risks in the primary care setting through routing screening is very imperative in order to minimize its effects on cardiovascular morbidity and mortality. The obtained results highlight the potentially high unmet need for screening and treatment of OSA in the primary care setting.
引用
收藏
页码:67 / 71
页数:5
相关论文
共 50 条
  • [31] Efficacy of implementing a BRCA screening protocol in primary care
    Rivera-Nunez, Yasmin
    Smith, Diane L.
    JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS, 2024, 36 (01) : 12 - 16
  • [32] Clinical Prediction of Obstructive Sleep Apnea (OSA) in a Tertiary Care Setting
    Peruvemba, Hari Lakshmanan
    Thazhepurayil, Rajagopal
    Ponneduthamkuzhi, James
    Chetambath, Ravindran
    JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2012, 6 (05) : 835 - 838
  • [33] The role of the primary care physician in recognizing obstructive sleep apnea
    Kramer, NR
    Cook, TE
    Carlisle, CC
    Corwin, RW
    Millman, RP
    ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (09) : 965 - 968
  • [34] Pediatric Obstructive Sleep Apnea Update for the Primary Care Provider
    Ngai, Pakkay
    Chee, Michael
    PEDIATRIC CLINICS OF NORTH AMERICA, 2022, 69 (02) : 261 - 274
  • [35] Obstructive sleep apnea: A better Dx model for primary care
    Grover, Michael
    Mookadam, Martina
    Chang, Yu-Hui
    Parish, James M.
    JOURNAL OF FAMILY PRACTICE, 2018, 67 (11): : E1 - E7
  • [36] Prevalence of obstructive sleep apnea in primary care patients with hypertension
    Hamano, Jun
    Tokuda, Yasuharu
    JOURNAL OF GENERAL AND FAMILY MEDICINE, 2019, 20 (01): : 39 - 42
  • [37] Management of obstructive Sleep Apnea is also successful in Primary Care
    Krome, Susanne
    PNEUMOLOGIE, 2019, 73 (02): : 68 - 68
  • [38] A Wider Approach to Obstructive Sleep Apnea in Primary Health Care
    Baia, Catarina
    de Abreu, Isabel Ralha
    ACTA MEDICA PORTUGUESA, 2020, 33 (06): : 442 - 442
  • [39] Detecting sleep apnea in older adults in the primary care setting
    Bailes, S
    Libman, E
    Baltzan, M
    Morin, N
    Ilana, S
    Creti, L
    Benjamin, E
    Laroche, V
    Fichten, C
    SLEEP, 2004, 27 : 129 - 129
  • [40] Prospective Screening for Primary Aldosteronism in Patients With Suspected Obstructive Sleep Apnea
    Chee, Min Ru
    Hoo, Jesse
    Libianto, Renata
    Gwini, Stella M.
    Hamilton, Garun
    Narayan, Om
    Young, Morag J.
    Fuller, Peter J.
    Yang, Jun
    HYPERTENSION, 2021, 77 (06) : 2094 - 2103