Dissertation
Impact of the STOP-Bang Questionnaire on the assessment of sleep apnea in hospitalized adults with acute decompensated heart failure (ADHF)
Doctor of Nursing Practice (D.N.P.), Drexel University
Sep 2018
DOI:
https://doi.org/10.17918/f26v-zg62
Abstract
Background: Over half the patients diagnosed heart failure have co-existing sleep apnea. New guidelines in the treatment of heart failure recommend early recognition and assessment of sleep apnea. Evidence shows that adequate treatment of sleep apnea decreases morbidity and mortality in high-risk patients with heart failure. Using a valid and reliable assessment tool like the STOP-Bang(c) Sleep Apnea Questionnaire can help identify patients in need of further assessment. Current practice at the bedside does not use a systematic approach to screen patients with heart failure for sleep apnea. Methods: An evidence-based project was piloted consisting of educational sessions on the use of the STOP-Bang(c) Sleep Apnea Questionnaire followed by the implementation of the tool on two cardiac telemetry units. A retrospective chart review was conducted to determine the impact of the questionnaire on referrals to the sleep center when compared to current standard practice. Evaluation: The DNP student compared the number of referrals to the sleep center pre and post implementation of the STOP-Bang(c) Sleep Apnea Questionnaire over a three-week pilot. Conclusion: Early assessment of sleep apnea with a validated questionnaire allows for an increase number of referrals for polysomnograms leading to early identification and differentiation of sleep disorders. Based on risk, health care providers can formulate appropriate referrals for better outcomes. Further research to evaluate outcomes such as mortality and readmissions based on sleep apnea treatment is needed. Keywords: sleep apnea, heart failure, STOP-Bang(c) questionnaire, obstructive sleep apnea, central sleep apnea.
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Details
- Title
- Impact of the STOP-Bang Questionnaire on the assessment of sleep apnea in hospitalized adults with acute decompensated heart failure (ADHF)
- Creators
- Rebeca Kane - DU
- Contributors
- Linda Wilson (Advisor) - DU
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 78 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 8208; 991014632518304721