Patient preference of level I, II and III sleep diagnostic tests to diagnose obstructive sleep apnoea among pregnant women in early to mid-gestation.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2024-08-21 DOI:10.1007/s11325-024-03114-0

Frances Clements, Hima Vedam, Yewon Chung, Nathaniel S Marshall, Kerri Melehan, Annemarie Hennessy, Angela Makris

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Abstract

Purpose: There is a paucity of data on preferences for obstructive sleep apnoea (OSA) diagnostic tests during pregnancy. Simple test completion rates fail to capture patient preference or experience of completing sleep diagnostic tests. We assessed preference, ease of use, convenience, and the repeatability of level I, II and III sleep diagnostic tests, using questionnaires, in pregnant women in early to mid-gestation.

Methods: Pregnant women with signs or symptoms of OSA, or at high risk of cardiometabolic disorders of pregnancy completed level I, II and III sleep studies by 24 weeks gestation. Participants then completed a questionnaire to rank test preference. Additional questionnaires assessed ease of use, convenience, and acceptability to repeat test, using 5-point Likert scale questions, yes/no response and optional linked text fields.

Results: Of fifty-two consented participants, 43 completed any questionnaire (mean age 32.7 ± 5.4 years, BMI 32.7 ± 5.4, median gestation at Level I polysomnography (PSG) of 14.2 weeks (interquartile range (IQR) 13.5-17.6)). Of the 29 respondents who completed test ranking questionnaire, level III was the preferred test ((n = 21 / 29, 75%)), followed by level 1 (n = 6 / 29, 20.7%) and level II (n = 2 / 29, 7.1%) (p for diff < 0.001). Level III was reported the easiest test (very easy to complete) (n = 16, 51.6%), followed by level I(n = 10, 33.3%), and level II (n = 9, 9.1%) (p for diff < 0.001)). Level III was reported most convenient test (very convenient to complete) (n = 16, 51.6%), followed by level I (n = 4, 13.3%) and level II (n = 4, 13.3%) (p for diff < 0.001)). Level III was reported most acceptable to repeat (very acceptable to repeat) (n = 13, 41.9%), followed by level I (n = 3, 10.0%) and level II (n = 3, 10.0%) (p for diff < 0.001)).

Conclusion: Pregnant women being assessed for OSA by 24 weeks gestation preferred to undertake level III sleep studies and found level III easier to use, more convenient and most acceptable to repeat than Level I and II studies. Given autonomy is an important principle, patient preference of sleep diagnostic tests should be taken into consideration in sleep clinical services and research involving pregnant women.

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妊娠早中期孕妇对用于诊断阻塞性睡眠呼吸暂停的 I、II 和 III 级睡眠诊断测试的偏好。

目的：有关孕期阻塞性睡眠呼吸暂停（OSA）诊断测试偏好的数据很少。简单的测试完成率无法反映患者对完成睡眠诊断测试的偏好或体验。我们采用问卷调查的方式，评估了妊娠早中期孕妇对 I、II 和 III 级睡眠诊断测试的偏好、易用性、便利性和可重复性：方法：有 OSA 体征或症状的孕妇，或妊娠期心脏代谢疾病的高危孕妇，在妊娠 24 周前完成 I、II 和 III 级睡眠检查。然后，参与者填写了一份问卷，对测试偏好进行排序。附加问卷采用 5 点李克特量表问题、是/否回答和可选链接文本字段，评估重复测试的易用性、便利性和可接受性：在 52 名获得同意的参与者中，43 人完成了任何问卷调查（平均年龄为 32.7 ± 5.4 岁，体重指数为 32.7 ± 5.4，一级多导睡眠图（PSG）的妊娠中位数为 14.2 周（四分位距（IQR）为 13.5-17.6））。在 29 名填写了测试排名问卷的受访者中，III 级是首选测试（（n = 21 / 29，75%）），其次是 1 级（n = 6 / 29，20.7%）和 II 级（n = 2 / 29，7.1%）（P 为差异结论：在妊娠 24 周前接受 OSA 评估的孕妇更愿意接受三级睡眠研究，并认为三级研究比一级和二级研究更容易使用、更方便，而且最容易接受重复。鉴于自主权是一项重要原则，在涉及孕妇的睡眠临床服务和研究中应考虑患者对睡眠诊断测试的偏好。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.