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Use of an Evidence-Based Protocol to Screen for Sleep-Disordered Breathing in a Heart Failure Disease Management Clinic

Garner, Shelby L. PhD, RN, CNE; Traverse, Ramona D. BSN, RN, CCRN, CHFN

doi: 10.1097/NCQ.0000000000000047
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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).

Baylor University, Louise Herrington School of Nursing, Dallas, Texas (Dr Garner); and The Medical Center of Plano: Cardiology, Plano, Texas (Ms Traverse).

Correspondence: Shelby L. Garner, PhD, RN, CNE, Baylor University, Louise Herrington School of Nursing, 3700 Worth St, Dallas, TX 75246 (Shelby_Garner@Baylor.edu).

The authors declare no conflict of interest.

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Accepted for publication: November 30, 2013

Published ahead of print: December 23, 2013

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins