International Journal of Head and Neck Surgery

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VOLUME 10 , ISSUE 1 ( January-March, 2019 ) > List of Articles

Special Issue 1: Invited Article

Sleep History Taking and Examination

Himanshu Garg

Keywords : Sleep apnea, Sleep diary, Sleep history taking, Sleep questionnaires

Citation Information : Garg H. Sleep History Taking and Examination. Int J Head Neck Surg 2019; 10 (1):9-17.

DOI: 10.5005/jp-journals-10001-1363

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Sleep is the essence of productive and a healthy life. This chapter provides a comprehensive outlook for patient assessment including sleep history taking, detailed examination through general assessment as well as sleep diary. Special focus has been laid upon common and useful questionnaires which are not only inexpensive but also validated to be used in sleep apnea patients. Sleep history needs to be corroborated from the bed partner along with detailed examination from the patient. It is important to conduct the physical examination which constitutes various parameters like BMI, neck circumference, upper airway examination, etc. Efficient sleep history serves as a good predictor of sleep apnea and should not be missed before a patient undergoes polysomnography test. Usage of sleep diary has been largely underplayed in general practice, but if administered correctly it provides key information about patient's sleep hygiene and practices.

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  1. G Stores. Clinical diagnosis and misdiagnosis of sleep disorders. J Neurol Neurosurg Psychiatry. 2007 Dec; 78(12):1293–1297.
  2. Walker HK, Hall WD, et al. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition;1990.
  3. Clete Kushida. Sleep Medicine Clinics, Evaluation of Sleep Complaints, An Issue of Sleep Medicine Clinics, e-Book. 2014 Dec;9(4).
  4. Harrison G Bloom, Imran Ahmed, et al. Evidence-Based Recommendations for the Assessment and Management of Sleep Disorders in Older Persons. J Am Geriatr Soc. 2009 May; 57(5):761–789.
  5. Schellenberg JB, Maislin G, et al. Physical findings and the risk for obstructive sleep apnea. The importance of oropharyngeal structures. Am J Respir Crit Care Med. 2000 Aug;162(2 Pt 1):740–748.
  6. Pushkar Mehra, Larry M. Wolford. Surgical management of obstructive sleep apnea. Proc (Bayl Univ Med Cent). 2000 Oct;13(4): 338–342.
  7. Abel Romero-Corral, Sean M Caples, et al. Interactions between Obesity and Obstructive Sleep Apnea. Implications for Treatment. Chest. 2010 Mar;137(3):711–719.
  8. Colleen E Carney, Daniel J Buysse, et al. The Consensus Sleep Diary: Standardizing Prospective Sleep Self-Monitoring. Sleep. 2012 Feb 1; 35(2): 287–302.
  9. Colleen E Carney, Daniel J Buysse, et al. The Consensus Sleep Diary: Standardizing Prospective Sleep Self-Monitoring. Sleep. 2012 Feb 1; 35(2):287–302.
  10. Viral Doshi, Reuben Walia, et al. STOP-BANG questionnaire as a screening tool for diagnosis of obstructive sleep apnea by unattended portable monitoring sleep study. Springerplus. 2015; 4: 795.
  11. Use of the Berlin Questionnaire to screen at-risk patients for obstructive sleep apnea. B-ENT 2014 April;10(1):21–25.
  12. l Iman HassanEl-Sayed. Comparison of four sleep questionnaires for screening obstructive sleep apnea. Egyptian Journal of Chest Diseases and Tuberculosis. 2012 Oct;61(4):433–441.
  13. Epworth Sleepiness Scale (ESS)
  14. Martin JL, Hakim AD. Wrist actigraphy Chest. 2011 Jun;139(6):1514-1527.
  15. Timothy Morgenthaler, Cathy Alessi, et al. Practice Parameters for the Use of Actigraphy in the Assessment of Sleep and Sleep Disorders: An Update for 2007 Standards of Practice Committee. American Academy of Sleep Medicine.
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