The utility of neck/thyromental ratio in defining low-risk patients with obstructive sleep apnea in sleep clinics

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dc.authorid0000-0003-2594-4887
dc.authorscopusid35273995200
dc.authorscopusid23993910900
dc.authorscopusid54892706700
dc.authorscopusid23969216400
dc.authorscopusid23993665100
dc.authorwosidFIRAT, ibrahim Hikmet/E-3047-2017
dc.authorwosidyüceege, melike/K-2487-2013
dc.contributor.authorYüceege, Melike
dc.contributor.authorFırat, Hikmet
dc.contributor.authorAltıntaş, Nejat
dc.contributor.authorMutlu, Murad
dc.contributor.authorArdıç, Sadık
dc.date.accessioned2022-05-11T14:39:47Z
dc.date.available2022-05-11T14:39:47Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Göğüs Hastalıkları Ana Bilim Dalı
dc.description.abstractWe aimed to evaluate the importance of neck/thyromental distance in the diagnosis of moderate to severe obstructive sleep apnea (OSA) in sleep clinics. 185 patients (122 males, 63 females) referred to our sleep clinic with OSA symptoms were enrolled to the study. The patients had level-1 polysomnography (PSG). The neck circumference (N), thyromental distance (T), and STOP test were recorded in all patients. Using an obstructive AHI > 15 event/h on PSG as the cut-off, the best N/T ratio to find patients with OSA was calculated with the receiver operator curve analyses. The best cut-off for N/T was chosen as 4.6. We used Modified STOP test: STO-NT test in which P (for hypertension item) was replaced with N/T ratio. N/T ratio > 4.6 was scored as positive. Two positives out of four questions in STO-NT were scored as high risk for OSA. The OSA prevalence was 60 % for AHI > 15. The mean ratio of N/T was significantly different between groups with AHI > 15 and AHI a parts per thousand currency sign 15. N and N/T ratio were moderately correlated with AHI. Sensitivity, specificity, negative predictive value, positive predictive value, and negative likelihood ratio of STOP test for AHI > 15 were 88.5, 28.4, 61.8, 65.4 % and 0.40, whereas 97.3, 23, 85, 65.9 % and 0.12 for STO-NT test, respectively. STO-NT test seems better than STOP test in determining patients who do not likely to have moderate to severe OSA in sleep clinics so can be preferred to decide on therapies other than CPAP in a short time.
dc.identifier.doi10.1007/s00405-014-3062-y
dc.identifier.endpage2581
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue9en_US
dc.identifier.pmid24777565
dc.identifier.scopus2-s2.0-84905845242
dc.identifier.scopusqualityQ1
dc.identifier.startpage2575
dc.identifier.urihttps://doi.org/10.1007/s00405-014-3062-y
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8719
dc.identifier.volume271
dc.identifier.wosWOS:000339973800033
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAltıntaş, Nejat
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectSleep apnea
dc.subjectObstructive
dc.subjectQuestionnaire
dc.subjectNeck
dc.subjectSTOP test
dc.subjectThyromental
dc.subjectBerlin Questionnaire
dc.subjectThyromental Distance
dc.subjectNeck Circumference
dc.subjectIdentify Patients
dc.subjectIntubation
dc.subjectPredictors
dc.subjectObesity
dc.subjectScreen
dc.titleThe utility of neck/thyromental ratio in defining low-risk patients with obstructive sleep apnea in sleep clinics
dc.typeArticle

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