STOP-Bang Questionnaire

Sep 18, 2015Chest

Using the STOP-Bang Questionnaire to Easily Identify Obstructive Sleep Apnea

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Circadian Biology on OpenScience ↗PubMed ↗DOI ↗

Abstract

The STOP-Bang score is 93% sensitive for detecting moderate to severe obstructive sleep apnea (OSA) with a score of 3 or higher.

A high prevalence of OSA exists in the general population, with many cases undiagnosed.
The STOP-Bang questionnaire includes eight yes/no items to assess clinical features of sleep apnea.
Patients can be classified into risk categories for OSA based on their STOP-Bang scores, which range from 0 to 8.
The probability of moderate to severe OSA increases from 18% to 60% as the STOP-Bang score rises from 0-2 to 7-8.
A score of 0-2 indicates low risk, while a score of 5-8 indicates high risk for moderate to severe OSA.
Further criteria are needed for patients scoring 3 or 4 to determine their risk level.

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There exists a high prevalence of OSA in the general population, a great proportion of which remains undiagnosed. The snoring, tiredness, observed apnea, high BP, BMI, age, neck circumference, and male gender (STOP-Bang) questionnaire was specifically developed to meet the need for a reliable, concise, and easy-to-use screening tool. It consists of eight dichotomous (yes/no) items related to the clinical features of sleep apnea. The total score ranges from 0 to 8. Patients can be classified for OSA risk based on their respective scores. The sensitivity of STOP-Bang score ≥ 3 to detect moderate to severe OSA (apnea-hypopnea index [AHI] > 15) and severe OSA (AHI > 30) is 93% and 100%, respectively. Corresponding negative predictive values are 90% and 100%. As the STOP-Bang score increases from 0 to 2 up to 7 to 8, the probability of moderate to severe OSA increases from 18% to 60%, and the probability of severe OSA rises from 4% to 38%. Patients with a STOP-Bang score of 0 to 2 can be classified as low risk for moderate to severe OSA whereas those with a score of 5 to 8 can be classified as high risk for moderate to severe OSA. In patients whose STOP-Bang scores are in the midrange (3 or 4), further criteria are required for classification. For example, a STOP-Bang score of ≥ 2 plus a BMI > 35 kg/m(2) would classify that patient as having a high risk for moderate to severe OSA. In this way, patients can be stratified for OSA risk according to their STOP-Bang scores.

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STOP-Bang Questionnaire

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