Sleep apnea hypopnea syndrome screening in workers. Epworth versus Stop-Bang questionnaire and related variables
Cribado del síndrome de apnea/hipopnea del sueño en trabajadores. Cuestionario Epworth frente a Stop-Bang y variables relacionadas
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Introduction: Obstructive sleep apnea-hypopnea syndrome (OSAS) is the most common sleep disorder. For initial diagnosis in screening procedures, several self-administered ques- tionnaires are used to quantify the severity of drowsiness.
It is the objective of this study to know the risk in workers and the influence of sociodemographic and labour variables on the prevalence of OSAS detected.
MATERIALS AND METHODS: Cross-sectional epidemiological study in workers of companies in the service sector of the Spanish Public Administration during the periodic health surveillance surveys. The risk of apnea is assessed using the Epworth questionnaire and the Stop-Bang and the influence of variables such as age, sex, social class, type of work and tobacco consumption.
RESULTS: The average number of hours of sleep per day is 6.90 hours. According to Stop-Bang, 77% of patients have a low OSAS risk and 23% intermediate-high risk. With Epworth, 74% have a mild, 11% moderate and 2% severe risk. 13% of patients had no risk. 1.62% use continuous positive airway pressure (CPAP) and most of them have regular control.
The Epworth questionnaire shows statistically significant results in all variables, except in the smoking habit. The Stop-Bang questionnaire only shows significant results in the variables age and sex.
CONCLUSION: The two questionnaires used may be effective in the detection of risk in healthy and undiagnosed workers or treated for sleep problems. The Stop-Bang questionnaire seems to be better adapted to job evaluations.
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