Diagnostic Accuracy of Obstructive Airway Adult Test for Diagnosis of Obstructive Sleep Apnea

Table 3

Name: ————
Today’s date: ————
Your age (yrs): ————
Your sex (male = M; female = F): ————
#	Questions	10	8	4	1
1	Considering all nights, do you snore?	Always	Often	Sometimes	No
2	Your snoring is?	Very strong, it can be heard even from another room	Very strong	Slightly stronger than breath	I do not snore
3	Considering a standard night, how long do you snore?	All night long	Almost all night long	Sometimes during a night	Never
4	Have your snoring ever woken up other people?	Always	Often	Sometimes during a night	Never
5	Have you noticed or someone has reported to you breathing pauses during sleep? If so, how often?	Yes, every night with many episodes	Yes, many episodes but not every night	Sometimes with few episodes	Never
6	Do you wake up during the night?	Always, even several times during the night	Often	Sometimes	Never
7	Do you have headache or you feel tired in the morning?	Always	Often	Sometimes	Never
8	How many airway infections do you have during a year?	I’m always ill	Very often	Sometimes	Rarely or never
9	Do you have high blood pressure or current/previous cardiovascular diseases?	I have high blood pressure difficultly controllable with medications; in the past I had stroke, cerebral hemorrhages, or cardiac ischemias so that I had to be admitted to hospital	I have high blood pressure controllable with medications but in the past I went through ischemic diseases. Actually I take drugs for the therapy of the cardiovascular apparatus and for the control of the arterial pressure	I have high blood pressure in pharmacological therapy. I did not go through any cardiovascular event	I do not have high blood pressure or cardiovascular diseases
10	Do you have attention deficits at work or while driving?	Yes, frequently and I was rebuked; I also had an accident while driving	Rarely, but I was rebuked; I also had an accident while driving	Rarely I have episodes of drowsiness, but I have not had any accidents while driving	Never
11	In your daily life do you ever fall asleep suddenly?	Yes. These episodes occurred even when I was driving or talking with someone	Yes. These episodes occur even during repetitive activities such as reading newspapers, working on pc, and staying in a waiting room, and so forth	Yes. These episodes occur only after lunch even if I drank no alcohol	No
12	Do you practice sports that include running or prolonged muscular effort?	No, any physical activity is impossible for me because I get tired immediately	No, any physical activity is difficult for me because I suffered breathlessness	Not much, for laziness or because I have limited time available	Yes, always
Thank you for your cooperation!

For doctors only 
In order to obtain the total OAAT score it is necessary to sum all the scores you made for each one of the 12 questions. OAAT score can vary from 12 up to 120 and can be evaluated according to the following.
Diagnosis
Mild OSA (OAAT score 38)
Moderate OSA (OAAT score 57)
Severe OSA (OAAT score 73).