Sleep apnea in adults: How accurate is clinical prediction?
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Questionnaires, physical examination, and clinical prediction rules estimate the pretest probability of obstructive sleep apnea hypopnea syndrome (OSAHS), but are not specific enough to make the diagnosis (strength of recommendation [SOR]: B, meta- analyses, prospective cross-sectional studies). The Epworth Sleepiness Scale is a reliable measure of daytime sleepiness (SOR: B, factor analysis). The Berlin Questionnaire, Mallampati score, and truncal obesity can be used to assess pretest probability of OSAHS (SOR: B, multivariate analyses, cross-sectional studies).
Journal of Family Practice, 58(6) 2009: 327-328.