Suspected obstructive sleep apnoea

Referred with suspected obstructive sleep apnoea.

Sleep history:
Snoring: [nightly, and whether reported by a bed partner]
Witnessed apnoeas or choking or gasping at night: []
Waking unrefreshed, morning headache, dry mouth: []
Nocturia: [times per night]
Usual bedtime and rising time, and hours actually asleep: []
Shift work: []
Naps: []
Insomnia symptoms, and whether sleep onset or maintenance: []
Restless legs or limb movements: []
Alcohol in the evening: [units and timing]
Sedatives or opioids: []

Sleepiness:
Epworth Sleepiness Scale [] out of 24
Impact on work, home and mood: []

Driving:
Holds a driving licence: [no, group 1, or group 2]
Occupational driver: [yes or no]
Has fallen asleep or come close to it while driving: []
Advice given about not driving while sleepy, and about the duty to notify
the licensing authority if excessive sleepiness is present: [given]

Risk factors and consequences:
Weight [] kg, height [] cm, BMI [], collar size []
Weight change: []
Neck, jaw and airway: [Mallampati, retrognathia, tonsils, nasal patency]
Hypertension, and how many agents: []
Atrial fibrillation, ischaemic heart disease, stroke: []
Type 2 diabetes: []
Hypothyroidism: []
Acromegaly: []
Resistant hypertension or unexplained polycythaemia: []

Screening score:
STOP-BANG [] out of 8

Considered instead of, or as well as, obstructive sleep apnoea:
Obesity hypoventilation: [daytime SpO2, bicarbonate]
Neuromuscular or chest wall disease: []
COPD, and possible overlap: []
Narcolepsy or other central hypersomnia: []
Depression, anaemia, thyroid disease: []

Plan:
1. [home oximetry, home respiratory polygraphy, or inpatient polysomnography]
2. Priority: [urgent if occupational driver, or symptomatic with high
Epworth, or significant comorbidity]
3. Weight, alcohol, sleep timing and positional advice given: []
4. Follow-up with results: []