High STOP-Bang score indicates a high probability of obstructive sleep apnoea
By F. Chung, R. Subramanyam, P. Liao, E. Sasaki, C. Shapiro, Y. Sun. British Journal of Anaesthesia, 2012
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Background The STOP-Bang questionnaire is used to screen patients for obstructive sleep apnoea (OSA). We evaluated the association between STOP-Bang scores and the probability of OSA. Methods After Institutional Review Board approval, patients who visited the preoperative clinics for a scheduled inpatient surgery were approached for informed consent. Patients answered STOP questionnaire and underwent either laboratory or portable polysomnography (PSG). PSG recordings were scored manually. The BMI, age, neck circumference, and gender (Bang) were documented. Over 4 yr, 6369 patients were approached and 1312 (20.6%) consented. Of them, 930 completed PSG, and 746 patients with complete data on PSG and STOP-Bang questionnaire were included for data analysis. Results The median age of 746 patients was 60 yr, 49% males, BMI 30 kg m−2, and neck circumference 39 cm. OSA was present in 68.4% with 29.9% mild, 20.5% moderate, and 18.0% severe OSA. For a STOP-Bang score of 5, the odds ratio (OR) for moderate/severe and severe OSA was 4.8 and 10.4, respectively. For STOP-Bang 6, the OR for moderate/severe and severe OSA was 6.3 and 11.6, respectively. For STOP-Bang 7 and 8, the OR for moderate/severe and severe OSA was 6.9 and 14.9, respectively. The predicted probabilities for moderate/severe OSA increased from 0.36 to 0.60 as the STOP-Bang score increased from 3 to 7 and 8. Conclusions In the surgical population, a STOP-Bang score of 5–8 identified patients with high probability of moderate/severe OSA. The STOP-Bang score can help the healthcare team to stratify patients for unrecognized OSA, practice perioperative precautions, or triage patients for diagnosis and treatment.
Subfields: Endocrine and Autonomic Systems, Experimental and Cognitive Psychology, Physiology
View Paper: https://www.semanticscholar.org/paper/80541541805700397aa03d7fc9b44432e3e487fe
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In Endocrine and Autonomic Systems
In Experimental and Cognitive Psychology
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Citations in the corpus
- Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017, neutral): “62 52, 63– 67 The overall findings reveal that the STOP-BANG The quality of evidence for the use of the STOP-BANG questionnaire ranged from low to high across different AHI cutoffs was after being downgraded due to either indirectness, inconsistency, or imprecision.”
- STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea. (2016, background): “Bang ¼ BMI, age, neck circumference, and male gender; NPV ¼ negative predictive value; PPV ¼ positive predictive value; STOP ¼ snoring, tiredness, observed apnea, and high BP. (Adapted with permission Chung et al.43) 634 Commentary [ 1 4 9 # 3 CHES T MA R C H 2 0 1 6 ] OSA without meeting criteria o”
- Validation of the STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea among Different Populations: A Systematic Review and Meta-Analysis (2015, methodology): “([18])Chung(2012) Canadian population (746) Prospective Lab/ portable level 2 PSG 68.”