A validation study on three screening questionnaires for obstructive sleep apnea in a Korean community sample

Jeon, Hong Jun; Bang, Young Rong; Yoon, Il

doi:10.1007/s11325-018-1748-x

Cited by 26 publications

(21 citation statements)

References 27 publications

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“…After title and abstract screening, 2267 studies were excluded because predetermined eligibility criteria were not met. From the remaining 18 articles, we excluded 11 studies after full-text review for various reasons (Supplementary Table 1) [28][29][30][31][32][33][34][35][36][37][38]. Seven studies were included with a total of 8770 subjects: five in the general population (n = 8585) [39][40][41][42][43] and two in commercial drivers (n = 185) [44,45].…”

Section: Search Results and Selection Processmentioning

confidence: 99%

Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis

et al. 2021

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Purpose Obstructive sleep apnea (OSA) is a critical occupational health concern, but is often undiagnosed in the general population and commercial drivers. The STOP-Bang questionnaire is a simple, reliable tool to screen for OSA, which could improve public health in a cost-effective manner. The objective of this systematic review and meta-analysis is to assess the validity of the STOP-Bang questionnaire to detect OSA in these key populations. Methods We searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, PsycINFO, Journals @ Ovid, Web of Science, Scopus, and CINAHL for relevant articles from 2008 to March 2020. The quality of studies was appraised using Cochrane Methods criteria. To calculate pooled predictive parameters, we created 2 × 2 contingency tables and performed random-effects meta-analyses. Results Of 3871 citations, five studies that evaluated STOP-Bang in the general population (n = 8585) and two in commercial drivers (n = 185) were included. In the general population, prevalence of all OSA (AHI ≥ 5), moderate-to-severe OSA (AHI ≥ 15), and severe OSA (AHI ≥ 30) was 57.6%, 21.3%, and 7.8% respectively. In commercial drivers, the prevalence of moderate-to-severe OSA was 37.3%. The trends of high sensitivity and negative predictive value of a STOP-Bang score ≥ 3 illustrates that the questionnaire helps detect and rule out clinically significant OSA in the general population and commercial drivers. Conclusion This meta-analysis demonstrates that the STOP-Bang questionnaire is a valid and effective screening tool for OSA in the general population and commercial drivers. Trial registration PROSPERO No. CRD42020200379; 08/22/2020

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Section: Search Results and Selection Processmentioning

confidence: 99%

Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis

et al. 2021

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“…The STOP-Bang questionnaire has been developed and validated to screen patients for undiagnosed OSA in a preoperative setting. The Korean version of the questionnaire was also validated 18,19 . The questionnaire consists of a total of eight 'yes' or 'no' questions (snoring, tiredness, observed apnea, high blood pressure, body mass index [BMI] > 35 kg/m 2 , age > 50 years, neck circumference > 40 cm, and the male gender).…”

Section: Methodsmentioning

confidence: 99%

Prediction of cardiopulmonary events using the STOP-Bang questionnaire in patients undergoing bronchoscopy with moderate sedation

Cho

Choi

Park

et al. 2020

Sci Rep

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the objective was to evaluate the prevalence of patients at a high risk of having oSA by using a screening questionnaire and to investigate whether the questionnaire can predict patients who are at risk of cardiopulmonary events occurring during a bronchoscopy under sedation. We prospectively enrolled consecutive adult patients who underwent flexible bronchoscopies under moderate sedation. The snoring, tiredness, observed apnea, high blood pressure-body mass index, age, neck circumference and gender (Stop-Bang) questionnaire was used to identify patients at a high (score ≥ 3 of 8) or low risk (score < 3 of 8) of having OSA. The cardiopulmonary events included hypoxemia and hypotension. Multivariable logistic regression was performed with variables selected by the least absolute shrinkage and selection operator. The prevalence of a STOP-Bang score of ≥ 3 was 67.2% (195/290), and 36.9% (107/290) experienced cardiopulmonary events. The multivariable analysis adjusting for chronic obstructive pulmonary disease, chronic kidney disease, baseline Spo 2 , and procedure time revealed that a STOP-Bang score of ≥ 3 was significantly associated with cardiopulmonary events in a subgroup of patients without a history of cerebrovascular disease (adjusted odds ratio, 1.94; 95% confidence interval, 1.06-3.54). The STOP-Bang questionnaire can predict cardiopulmonary events occurring during this procedure. Trial registration: NCT03325153. Obstructive sleep apnea (OSA) is characterized by repetitive episodes of complete or partial upper airway obstruction occurring during sleep 1. It is suggested that about 1 billion adults worldwide may be affected by OSA 2. The prevalence of OSA-defined as more than five apneas or hypopneas per hour of sleep plus excessive daytime sleepiness-was 12.5% in men and 5.9% in women in the middle to old age general population 3,4. Overnight polysomnography is the gold standard for the diagnosis of OSA. However, it is time-consuming, labor-intensive, and costly 5,6. Although patients with OSA are at an increased risk of developing perioperative cardiac and pulmonary complications 7-10 , approximately 60% of those with moderate to severe OSA are not recognized preoperatively 11,12. Patients with OSA may experience obstructive episodes during procedures while under moderate sedation 13. However, the rate of adverse events in undiagnosed OSA patients undergoing bronchoscopies under moderate sedation remains poorly described. In early 2000, Sharma et al. reported that OSA was detected in threequarters of 23 patients without a previous diagnosis of sleep apnea while undergoing outpatient bronchoscopy or colonoscopy 14. Recently, a study with obese patients having bronchoscopy under moderate sedation showed that the incidences of procedural complications were similar between obese and non-obese patients. However, a subset (7%) of patients with previous polysomnography-proven OSA were more likely to have earlier termination

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“…A number of studies reported the diagnostic performance of the STOP-Bang questionnaire in different Asian ethnic groups using either the standard BMI (35 kg/m 2 ) or a lower BMI threshold. [9][10][11][12][13][14][15][16][17][18][19][20][21] These studies followed younger patients, most of whom had been referred to sleep clinics. The diagnostic performance of the STOP-Bang questionnaire in the older surgical patients of the different Asian groups remained unknown.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic performance of the STOP-Bang questionnaire as a screening tool for obstructive sleep apnea in different ethnic groups

Waseem

Chan

Wang

et al. 2021

Journal of Clinical Sleep Medicine

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Study Objectives: The STOP-Bang questionnaire is a concise and easy screening tool for obstructive sleep apnea (OSA). Using modified body mass index (BMI), we assessed the diagnostic performance of the STOP-Bang questionnaire in predicting OSA in ethnically different groups of patients undergoing surgery. Methods: This was a multicenter prospective cohort study involving patients with cardiovascular risk factors who were undergoing major noncardiac surgery. Patients underwent home sleep apnea testing. All patients completed the STOP-Bang questionnaire. The predictive parameters of STOP-Bang scores were calculated against the apnea-hypopnea index. Results: From 4 ethnic groups 1,205 patients (666 Chinese, 161 Indian, 195 Malay, and 183 Caucasian) were included in the study. The mean BMI ranged from 25 ± 4 to 30 ± 6 kg/m 2 and mean age ranged from 64 ± 8 to 71 ± 10 years. For the Chinese and Indian patients, diagnostic parameters are presented using BMI threshold of 27.5 kg/m 2 with the area under curve to predict moderate-to-severe OSA being 0.709 (0.665-0.753) and 0.722 (0.635-0.808), respectively. For the Malay and Caucasian, diagnostic parameters are presented using BMI threshold of 35 kg/m 2 with the area under curve for predicting moderate-to-severe OSA being 0.645 (0.572-0.720) and 0.657 (0.578-0.736), respectively. Balancing the sensitivity and specificity, the optimal STOP-Bang thresholds for the Chinese, Indian, Malay, and Caucasian groups were determined to be 4 or greater. Conclusions: For predicting moderate-to-severe OSA, we recommend BMI threshold of 27.5 kg/m 2 for Chinese and Indian patients and 35 kg/m 2 for Malay and Caucasian patients. The optimal STOP-Bang threshold for the Chinese, Indian, Malay and Caucasian groups is 4 or greater.

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A validation study on three screening questionnaires for obstructive sleep apnea in a Korean community sample

Cited by 26 publications

References 27 publications

Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis

Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis

Prediction of cardiopulmonary events using the STOP-Bang questionnaire in patients undergoing bronchoscopy with moderate sedation

Diagnostic performance of the STOP-Bang questionnaire as a screening tool for obstructive sleep apnea in different ethnic groups

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