H. Volkan ACAR, Abdülaziz KAYA, Fatoş GENÇ, Murat ERDEM, Ayşegül CEYHAN, Fuat ÖZGEN, Bayazıt DİKMEN

Berlin formu, obstrüktif uyku apnesi tarama testi olarak kullanılabilir mi?

Amaç: Obstrüktif uyku apnesi (OUA) tarama testi olarak kullanılan Berlin formunun Türk popülasyonunda geçerlilik testlerinin gerçekleştirilmesi. Yöntem: OUA şüphesiyle Uyku Laboratuarında polisomnografi uygulanacak 98 erişkin hastada apne-hipopne indeksi (AHI) değeri saptanmış ve Berlin soru formu doldurularak duyarlılık, özgüllük, pozitif belirleyici değer, negatif belirleyici değer ve olasılık oranları hesaplanmıştır. Bulgular: Berlin formuna göre hastaların % 13.3ü düşük, % 86.7si yüksek OUA riskliydi. OUA için düşük ve yüksek riskli hastalar arasında, yaş ve cinsiyet açısından fark saptanmazken, yüksek OUA riskli grupta vücut kitle indeksi (VK) değeri daha yüksekti (p=0.003). OUA tanısı konan (AHI >5) ve OUA tanısı konmayan (AHI ≤5) hastalar arasında, yaş, cinsiyet ve VK açısından fark yokken, OUA tanısı konan hastalarda AHI değerinin daha yüksek olduğu saptandı (p

Can berlin questionnaire be used as a screening test for obstructive sleep apnea ?

Objective: To perform validation tests of Berlin questionnaire which is used as obstructive sleep apnea (OSA) screening test in Turkish population. Method: In 98 adult patients who were admitted to Sleep Clinic for polysomnography with an initial diagnosis of obstructive sleep apnea, apnea-hypopnea index (AHI) value was detected and Berlin questionnaire was used for calculation of sensitivity, specificity, negative predictive value, positive predictive value and likelihood ratios. Results: Berlin questionnaire showed that 13.3% of patients had low risk of having OSA while 86.7% of them had high risk of having OSA. While there was no significant difference in age and sex between low-risk OSA patients and high-risk OSA patients, body mass index (BMI) was higher among patients with high risk of OUA (p=0.003). No significant difference was noted in age, sex and BMI between OSA (AHI >5) and non-OSA (AHI ≤5) patients, while AHI was higher in OSA patients (p<0.001). Sensitivity, specifity and positive predictive values of Berlin questionnaire was 87.9%, 15.6% and 68.2% respectively. When the severity of OSA was increased, positive predictive value was in a trend of decrease while negative predictive value was in a trend of increase. Conclusion: Berlin questionnaire with its moderate sensitivity is a suitable bedside screening test for OSA.

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