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World J Methodol. Jun 20, 2026; 16(2): 114192
Published online Jun 20, 2026. doi: 10.5662/wjm.v16.i2.114192
Obstructive sleep apnea: Proposed scoring system
Arkiath Veettil Raveendran, Jothydev Kesavadev, Banshi Saboo, Sunny George
Arkiath Veettil Raveendran, Department of Internal Medicine, Govt Medical College, Kozhikode 673010, Kerala, India
Jothydev Kesavadev, Department of Diabetes, Jothydev’s Diabetes and Research Center, Thiruvananthapuram 695032, Kerala, India
Banshi Saboo, Department of Diabetology, Dia Care Hormone Clinic, Ahmedabad 380015, Gujarāt, India
Sunny George, Department of Pulmonary Medicine, Government Medical College, Kochi 683106, Kerala, India
Author contributions: Raveendran AV, Kesavadev J, and George S contributed to key revisions of the manuscript; Raveendran AV contributed to the conceptualization, methodology, data collection, manuscript drafting, and writing; Kesavadev J contributed to the literature review of the manuscript; Saboo B contributed to the manuscript methodological support and manuscript review; George S contributed to data analysis. All authors performed the final approval of the manuscript, and all authors thoroughly reviewed and endorsed the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Arkiath Veettil Raveendran, MD, Chief Physician, FRCP, Department of Internal Medicine, Govt Medical College, Medical College Junction, Mavoor Road, Kozhikode 673010, Kerala, India. raveendranav@yahoo.co.in
Received: September 15, 2025
Revised: November 25, 2025
Accepted: January 20, 2026
Published online: June 20, 2026
Processing time: 222 Days and 9.6 Hours
Abstract

Obstructive sleep apnea is a common yet under-recognized condition. 80% of sleep apnea cases go undiagnosed, and it is a common contributor to sudden death. Therefore, a simple and sensitive screening tool is the need of the hour. We developed a simple, more convenient, and user-friendly 3-question screening tool to identify individuals at risk of obstructive sleep apnea.

Keywords: Obstructive sleep apnea; Screening tool; Diagnosis; Epworth Sleepiness Scale; STOP-BANG; Cardiovascular disease

Core Tip: Individuals with obstructive sleep apnea have an increased risk of hypertension, cardiovascular events, premature death, pulmonary hypertension, atrial fibrillation, neurocognitive dysfunction, awakening headache, motor vehicle accidents, and poor quality of life. However, the majority remain undiagnosed and untreated, leading to an increased risk of multiple health complications. Therefore, early identification is crucial, highlighting the importance of a screening tool that is both sensitive and user-friendly to identify people at risk. Our newly proposed screening tool for obstructive sleep apnea is expected to be highly beneficial for practicing clinicians worldwide, and the self-assessment version for the general public.