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Routine Screening for Obstructive Sleep Apnea Risk in Hawaii’s Adults in the Primary Care Setting

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Title:Routine Screening for Obstructive Sleep Apnea Risk in Hawaii’s Adults in the Primary Care Setting
Authors:Nakano, Jenny
Contributors:Ayers-Kawakami, Jeanette (advisor)
Hensley, Patricia (instructor)
Keywords:Sleep apnea syndromes
obstructive sleep apnea
primary care
Medical screening
show 4 morescreening tool
STOP-Bang Questionnaire
Medical telematics
show less
Date Issued:21 May 2021
Abstract:Obstructive sleep apnea (OSA) is a highly prevalent sleep disorder affecting millions of US
adults, yet remains substantially underdiagnosed and undertreated. Untreated OSA can result in
significant health consequences, compromises quality of life, and increases the overall burden
upon public health. Early identification of undiagnosed OSA is essential, as those with OSA can
be effectively screened and identified prior to the manifestation of adverse outcomes. However,
there are often barriers to screening and early identification in primary care that contribute to the
prevalence of undiagnosed OSA. Current evidence calls for more effective screening at the
primary care level to identify patients at risk for OSA. This pilot project sought to increase
identification of Hawaii adults at risk for OSA through the implementation of an evidence-based
OSA screening tool as a routine screening measure in a primary care setting. One primary care
provider piloted implementation of the STOP-Bang Questionnaire (SBQ) as the selected
screening tool and screened adult patient participants for OSA risk during telehealth visits. The
change in OSA screening rates and identification of patients at risk, as well as the provider’s
perception of the project, was assessed following screening tool implementation. Data analysis
indicated increases in OSA screening and identification of patients at risk by 651.9% and 533%,
respectively, improving the quality of patient care and raising awareness of the prevalence of
Hawaii’s adults at risk for OSA. Early identification of patients at risk through routine screening
in the primary care setting can help to address the problem and extent of undiagnosed OSA
cases, and has the potential to lead to referrals to sleep specialists for early diagnosis and
treatment, thereby improving health outcomes and quality of life for those with OSA.
Appears in Collections: DNP Practice Inquiry Projects

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