Application of the Kushida morphometric model in patients with sleep-disordered breathing.
The morphometric model is a useful screening test to investigate the possibility of OSAS in patients during initial office visits.


OBJECTIVE
To evaluate the clinical applicability of the Kushida morphometric model in a sample of patients with sleep-disordered breathing, and to define a cutoff value to differentiate patients with mild, moderate and severe apnea.


METHODS
A sample of 80 patients with sleep respiratory disorder was studied. Patients were aged between 18 and 75 years, of both genders and had been submitted previously to polysomnography. The model cutoff value to distinguish between patients with or without apnea is 70.


RESULTS
In this sample, the model cutoff value in all four groups was less than 70. It was impossible to establish a cutoff value according to the gravity of the condition, due to the proximity and the nonlinear increase in the values presented by the nonapneic group and those with mild and moderate apnea.


CONCLUSIONS
The Kushida morphometric model can be applied in clinical practice to a selected sample and it was impossible to establish a cutoff value to separate patients with obstructive sleep apnea-hypopnea syndrome according to severity.
Soares
Maria Claudia Mattos
MC
UNIFESP, Otorhinolaryngology and Head & Neck Surgery Unit, Sao Paulo Federal University, Brazil.
de Azeredo Bittencourt
Lia Rita
LR
Zonato
Adriane Iurck
AI
Gregório
Luis Carlos
LC
D000293:Adolescent; D000328:Adult; D000368:Aged; D015992:Body Mass Index; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D009333:Neck / Q000033:anatomy & histology; D010159:Palate / Q000033:anatomy & histology; D017286:Polysomnography; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis*