{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:55:23Z","timestamp":1789779323959,"version":"4.0.1"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T00:00:00Z","timestamp":1732579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Sleep\u2010disordered breathing is common in stroke and may negatively affect its outcome. Screening for sleep\u2010disordered breathing in this setting is of interest but poorly studied. We aimed to evaluate the performance of eight obstructive sleep apnea screening questionnaires to predict sleep\u2010disordered breathing in acute stroke or transient ischaemic attack patients, and to assess the impact of stroke\/transient ischaemic attack\u2010specific factors on sleep\u2010disordered breathing prediction. We analysed acute stroke\/transient ischaemic attack patients (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u2009195) from a prospective cohort (\u201cSleep Deficiency and Stroke Outcome study\u201d). Assessments included anthropometrics, stroke\u2010specific parameters, sleep history, an in\u2010hospital respiratory polygraphy within the first week after stroke, and obstructive sleep apnea screening questionnaires (Berlin Questionnaire, Epworth Sleepiness Scale, STOP\u2010BANG, NoSAS, Sleep Apnea Clinical Score, No\u2010Apnea, Sleep Obstructive apnea score optimized for Stroke, SLEEP\u2010IN). In a binary classification task for respiratory event index \u2265\u200915 per hr, we evaluated the performance of the above\u2010mentioned questionnaires. We used logistic regression to identify predictors for sleep\u2010disordered breathing in this cohort. The areas under the curve for respiratory event index\u2005\u2265\u200915 per hr were: Berlin Questionnaire 0.60; STOP\u2010BANG 0.72; NoSAS 0.69; No\u2010Apnea 0.69; Sleep Apnea Clinical Score 0.75; Epworth Sleepiness Scale 0.50; Sleep Obstructive apnea score optimized for Stroke 0.58; and SLEEP\u2010IN 0.67. The No\u2010Apnea had the lowest false omission rate (0.13), a sensitivity of 0.97 and a specificity of 0.12. In multiple logistic regression analysis (respiratory event index\u2005\u2265\u200915 per hr), age, neck circumference, National Institutes of Health Stroke Scale at admission, prior stroke, cardioembolic stroke aetiology and observed apneas were associated with sleep\u2010disordered breathing. The logistic regression model performed similar (area under the curve 0.80) to Sleep Apnea Clinical Score (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.402) and STOP\u2010BANG (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.127), but outperformed the other questionnaires. Neither existing questionnaires nor our statistical model are sufficient to accurately diagnose sleep\u2010disordered breathing after stroke, thus requiring sleep study evaluation. The No\u2010Apnea questionnaire may help to identify patients amenable to sleep testing.\n                  <\/jats:p>","DOI":"10.1111\/jsr.14416","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:19:13Z","timestamp":1732666753000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Performance of questionnaires to predict sleep\u2010disordered breathing in acute stroke patients"],"prefix":"10.1111","volume":"34","author":[{"given":"Martijn Petrus Josephus","family":"Dekkers","sequence":"first","affiliation":[{"name":"Department of Neurology Bern University Hospital (Inselspital) and University Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2859-232X","authenticated-orcid":false,"given":"Christian Michael","family":"Horvath","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Allergology and Clinical Immunology, Inselspital Bern University Hospital, University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa S.","family":"Woerz","sequence":"additional","affiliation":[{"name":"Department of Neurology Bern University Hospital (Inselspital) and University Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrado","family":"Bernasconi","sequence":"additional","affiliation":[{"name":"Department of Neurology Bern University Hospital (Inselspital) and University Bern  Bern Switzerland"},{"name":"Interdisciplinary Sleep\u2010Wake\u2010Epilepsy\u2010Center Bern University Hospital (Inselspital) and University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone B.","family":"Duss","sequence":"additional","affiliation":[{"name":"Department of Neurology Bern University Hospital (Inselspital) and University Bern  Bern Switzerland"},{"name":"Interdisciplinary Sleep\u2010Wake\u2010Epilepsy\u2010Center Bern University Hospital (Inselspital) and University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus H.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Neurology Bern University Hospital (Inselspital) and University Bern  Bern Switzerland"},{"name":"Interdisciplinary Sleep\u2010Wake\u2010Epilepsy\u2010Center Bern University Hospital (Inselspital) and University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1849-7196","authenticated-orcid":false,"given":"Mauro","family":"Manconi","sequence":"additional","affiliation":[{"name":"Neurocenter of Southern Switzerland Ospedale Regionale di Lugano  Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Kathrin","family":"Brill","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Allergology and Clinical Immunology, Inselspital Bern University Hospital, University of Bern  Bern Switzerland"},{"name":"Interdisciplinary Sleep\u2010Wake\u2010Epilepsy\u2010Center Bern University Hospital (Inselspital) and University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio L. 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