title: Use of an evidence-based protocol to screen for sleep-disordered breathing in a heart failure disease management clinic.
abstract: Undiagnosed and untreated sleep-disordered breathing can lead to negative health outcomes and increased utilization of health resources among patients with heart failure. The purpose of this evidence-based practice project was to implement and evaluate a new multifaceted sleep-disordered breathing screening protocol in a heart failure disease management clinic. The combined use of a symptoms questionnaire, the Epworth sleepiness scale, and overnight pulse oximetry was significantly more effective in identifying patients with a positive diagnosis of sleep-disordered breathing than using the Epworth sleepiness scale alone (P < .05).
authors.affiliation: Baylor University, Louise Herrington School of Nursing, Dallas, Texas (Dr Garner); and The Medical Center of Plano: Cardiology, Plano, Texas (Ms Traverse).
authors.forename: Shelby L
authors.initials: SL
authors.lastname: Garner
authors.forename: Ramona D
authors.initials: RD
authors.lastname: Traverse
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019468:Disease Management; D055317:Evidence-Based Practice; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010092:Oximetry; D017286:Polysomnography; D012891:Sleep Apnea Syndromes / Q000175:diagnosis*; D011795:Surveys and Questionnaires