North American Journal of Medical Sciences

ORIGINAL ARTICLE
Year
: 2015  |  Volume : 7  |  Issue : 12  |  Page : 553--557

A pilot study of the inability to fit hands around neck as a predictor of obstructive sleep apnea


Peter J Edmonds1, Lee C Edmonds2 
1 SUNY Upstate Medical University, Syracuse, USA
2 Basset Medical Center, Sleep Disorder Center, Bassett Research Institute Cooperstown, NY, USA

Correspondence Address:
Peter J Edmonds
One Atwell Road, Cooperstown, New York - 13326
USA

Background: Considering the high estimates of undiagnosed and untreated obstructive sleep apnea (OSA), there is a need for simple and accurate diagnostic tests. Neck circumference has long been correlated with OSA, but its usefulness as a diagnostic tool has been limited. Aims: We proposed to evaluate the value of a simple neck grasp test to help identify OSA. We hypothesized that the inability of a patient in a sleep clinic to fit their hands around their neck is predictive of OSA. Materials and Methods: A retrospective review of medical records of patients evaluated in a general sleep clinic was performed. Easy sleep apnea predictor (ESAP) positive was defined as the inability to place the hands around the neck with digits touching in the anterior and posterior. ESAP negative was the ability to place hands around the neck. Positive for OSA in this symptomatic sleep clinic population was defined as an apnea-hypopnea index (AHI) of ≥5. Results: A total of 47 subjects (36% female) had ESAP data available, which were reviewed. The mean age was 51.6 years (SD 14.4, range 29-81 years). The mean body mass index (BMI) was 38.8 (SD 9.9, range 20.4-69.5). Review showed 87.2% (N = 41) tested positive for OSA by AHI of ≥5. The sensitivity and specificity of ESAP were 68.3% and 100%, respectively. The positive predictive power was 100% and the negative predictive power was 31.6%. Conclusion: As we hypothesized, ESAP positive (inability to span neck) was predictive of OSA in a population of sleep clinic patients. An ESAP positive test was 100% predictive of the presence of OSA (AHI of ≥5). ESAP shows promise for ease of clinical use to predict the presence of OSA in a general sleep clinic population.


How to cite this article:
Edmonds PJ, Edmonds LC. A pilot study of the inability to fit hands around neck as a predictor of obstructive sleep apnea .North Am J Med Sci 2015;7:553-557


How to cite this URL:
Edmonds PJ, Edmonds LC. A pilot study of the inability to fit hands around neck as a predictor of obstructive sleep apnea . North Am J Med Sci [serial online] 2015 [cited 2021 Oct 19 ];7:553-557
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2015;volume=7;issue=12;spage=553;epage=557;aulast=Edmonds;type=0