Files and links (1)
Free to read and download, Open Access
Dissertation
STOP-Bang: Improving Screening for Obstructive Sleep Apnea Risk with Dyslipidemia Patients in the Primary Care Setting
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Obstructive sleep apnea (OSA) is a common sleep-related breathing disorder that causes abnormal physiology which leads to increased comorbidities. Dyslipidemia is one common comorbidity. Early treatment of OSA can avoid resulting sequelae. Very few patients are screened for OSA risk in primary care, so it remains vastly underdiagnosed and undertreated. Studies relating dyslipidemia to OSA are limited. Purpose: To evaluate the effectiveness of implementing the STOP-Bang screening questionnaire in adult patients with dyslipidemia. Three measurable objectives were addressed: identify the number of patients with dyslipidemia who have a level of risk for OSA, increase the number of patients referred for a sleep study test after being screened, and increase primary care provider (PCP) knowledge about the STOP-Bang. Methods: Participants were adult patients with dyslipidemia and without OSA diagnosis at a rural primary care clinic in Midwestern USA. Clinic staff and the PCP completed the STOP-Bang questionnaires at clinic visits. Patients with any level of risk were recommended to have a sleep study test to diagnose OSA. The PCP was given a knowledge test. Findings: Identification of level of risk for OSA and referral rates with STOP-Bang both increased 100% compared to pre-intervention usual care. All 106 patients showed a minimum of one risk factor for OSA, and were referred to a sleep study test. As the severity of risk increased, acceptance of referral also increased. PCP knowledge test score increased to 100% after using STOP-Bang. Discussion: STOP-Bang successfully identified level of risk for OSA with subsequent referral to a sleep study test in patients with dyslipidemia. Provider familiarity with STOP-Bang increased with regular use. Findings are generalizable to a similar population. STOP-Bang is widely available and easy to use in the primary care setting to screen for OSA risk.
Details
- Title: Subtitle
- STOP-Bang: Improving Screening for Obstructive Sleep Apnea Risk with Dyslipidemia Patients in the Primary Care Setting
- Creators
- Kathryn Ann Heins-Erickson - University of Iowa
- Contributors
- Larry Newman (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Adult/Gerontological Nurse Practitioner (Primary Care)
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Kathryn Ann Heins-Erickson
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627256302771
Metrics
2 File views/ downloads
10 Record Views