Screening and assessment for obstructive XXXX in primary care.

@entity1 @entity27 @entity25 @entity387
UNASSIGNED: @entity27 ( @entity27 ) is the most common @entity387 and contributes to increased morbidity and compromised cardiovascular outcomes. @entity25 are common but rarely reported and addressed by primary health providers. An American Academy of Sleep Medicine task force (2015) released quality measures for the care of adult @entity1 with @entity27 ; the first outcome is improved detection and categorization of @entity27 symptoms and severity to promote assessment and diagnosis of the disorder. This state of the science integrative review aimed to evaluate the screening and assessment for @entity27 in primary care settings including the psychometric properties of @entity27 screening measures. Studies that met inclusion criteria were fourteen non-experimental and three experimental designs. @entity27 screening measurements (Berlin questionnaire, @entity25 scale, STOP Bang) with extensive validation studies were examined. Conclusions are that the current practice model of screening and assessment for @entity27 in primary care is fragmented and ineffective. Primary care providers encounter @entity1 with @entity27 symptoms but do not routinely screen, assess, or refer to a sleep specialist. More psychometric research is needed for the @entity27 screening measurements in primary care. The results of these studies can be translated into practice to increase detection of @entity27 .
