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Are the International Classification of Functioning, Disability and Health (ICF) domains considered in the obstructive sleep apnea instruments? An integrative review

  • Epidemiology • Review
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Abstract

Purpose

Obstructive Sleep Apnea (OSA) is related to cardiovascular, metabolic, and neurocognitive diseases. Furthermore, OSA symptoms, such as excessive sleepiness, fatigue, and mood disorders, may interfere in functioning. The assessment of this aspect in patients with OSA is not frequent and no specific instrument is available in the literature. Our aim is to identify if the International Classification of Functioning, Disability and Health (ICF) domains are considered in the validated instruments used to assess patients with OSA.

Methods

In this integrative literature review, three databases were searched: Pubmed, Embase, and LILACS. Bibliographic survey was carried out in 2020, between March and July. Articles published in English, Portuguese, and Spanish with validated tools to assess OSA in adults were included.

Results

Thirty instruments have undergone a process of concept extraction and coding according to the ICF, generating a total of 769 significant concepts. It was observed that the function domain was the most prevalent, making 42% (n = 323) of the concepts, followed by domains of activity (16%), participation (10%), environmental factors (5%), personal factor (5%), and structure (1%). Only one instrument, the “Sleep Apnea Quality of Life Index (SAQLI),” encompasses all domains of the ICF in its constructs.

Conclusion

In the analyzed instruments, the function domain prevails, with most concepts related to sleep functions. Only one validated instrument included in this research covered all the ICF domains. This instrument closely matched the recommended way of assessing functioning, though it approached the domains in an unbalanced way.

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Acknowledgments

The authors would like to acknowledge Coordenação de Aperfeiçoamento de Pessoal de Nível Superior–Brazil (CAPES).

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Authors and Affiliations

  1. Master Program in Physiotherapy and Functioning, Federal University of Ceará, Rua Coronel Nunes de Melo, 1127, Rodolfo Teófilo, Fortaleza, Ceará, 60430-275, Brazil

    Francisca Soraya Lima Silva, Ana Cecília Silva de Oliveira, Shamyr Sulyvan de Castro & Camila Ferreira Leite

  2. Department of Physical Therapy, Federal University of Ceará, Fortaleza, Ceará, Brazil

    João Paulo da Silva Bezerra & Beatriz Carneiro Mota

  3. Department of Clinical Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil

    Manoel Alves Sobreira-Neto

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  1. Francisca Soraya Lima Silva
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  4. Ana Cecília Silva de Oliveira
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FSLS: Acquisition of data and drafting of manuscript. JPSB, BCM, and ACSO: Acquisition of data, analysis, and interpretation of data. MASN: revised the work critically for important intellectual content. CFL and SSC: drafted and made substantial contributions to the conception of the work and revised it critically.

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Silva, F.S.L., Bezerra, J.P.d., Mota, B.C. et al. Are the International Classification of Functioning, Disability and Health (ICF) domains considered in the obstructive sleep apnea instruments? An integrative review. Sleep Breath 25, 1089–1100 (2021). https://doi.org/10.1007/s11325-020-02173-3

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