Correlation between the STOP-Bang Score and the Severity of Obstructive Sleep Apnea

Chung, Frances; Liao, Pu; Farney, Robert M.

doi:10.1097/aln.0000000000000665

Cited by 31 publications

(20 citation statements)

References 6 publications

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“…22 The correlation between STOP-Bang score and severity of OSA as diagnosed by PSG has been further validated in several studies with large sample sizes. 23–25 The STOP-Bang Questionnaire has been widely used in the general population, including with medical, surgical, and psychiatric patients. 32 …”

Section: Methodsmentioning

confidence: 99%

Association of Obstructive Sleep Apnea with Episodic Memory and Cerebral Microvascular Pathology: A Preliminary Study

Kerner

Roose

Pelton

et al. 2017

The American Journal of Geriatric Psychiatry

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Objectives Evaluate the impact of obstructive sleep apnea (OSA) on neurocognitive function and brain morphology in older adults with depression and cognitive impairment. Methods We prospectively screened OSA with the STOP-Bang questionnaire in the last 25 patients enrolled into the Donepezil Treatment of Cognitive Impairment and Depression (DOTCODE) trial. High and low probability of OSA were defined as a STOP-Bang score of ≥5 (h-OSA) and of <5 (l-OSA). Baseline MRI was used to evaluate brain morphology. The initial 16 weeks of antidepressant treatment were part of the DOTCODE trial. Results After 16 weeks of antidepressant treatment, the h-OSA group performed significantly worse on the Selective Reminding Test (SRT) delayed recall task than the l-OSA group, controlling for baseline performance (F=19.1, df=1,22, p<0.001). In nineteen out of 25 participants who underwent brain MRI, the h-OSA group had significantly greater volumes of MRI hyperintensities in deep white matter, periventricular white matter, and subcortical gray matter compared to the l-OSA group. There was no significant association between OSA and hippocampal or entorhinal cortex volumes in our sample, even after controlling for intracranial volume. Conclusions OSA is associated with impaired verbal episodic memory and microvascular damage in older adults with depression and cognitive impairment. One possibility is that by contributing to cerebral microvascular damage, OSA may exacerbate progressive memory decline.

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Section: Methodsmentioning

confidence: 99%

Association of Obstructive Sleep Apnea with Episodic Memory and Cerebral Microvascular Pathology: A Preliminary Study

Kerner

Roose

Pelton

et al. 2017

The American Journal of Geriatric Psychiatry

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“…In surgical patients, a greater STOP-Bang score is associated with a greater probability of moderate-to-severe OSA. 116 , 117 , 145 , 146 A combination of a STOP score ≥ 2 + BMI > 35 kg/m 2 or male sex is associated with a greater risk of OSA. 145 , 147 The inverse relationship between sensitivity and specificity at increasing STOP-Bang diagnostic thresholds influences the relative rates of missed diagnoses and wasted resource utilization in diagnosing OSA.…”

Section: Preoperative Assessment For Osamentioning

confidence: 99%

“…Because screening instruments perform better in patients with greater OSA severity, screen-positive patients with greater threshold values should be assumed to have moderate-to-severe OSA in the absence of diagnostic polysomnography. 116 , 117 , 145 , 146 The inclusion of preoperative serum bicarbonate level may improve the predictive accuracy of the screening instrument. 163 Although AHI is the most commonly used metric of OSA severity, 21 other parameters such as oxygen desaturation index, or cumulated duration of oxygen desaturation <90% may improve prediction of postoperative complications.…”

Section: Preoperative Assessment For Osamentioning

confidence: 99%

Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients With Obstructive Sleep Apnea

Chung

Memtsoudis

Ramachandran

et al. 2016

Anesthesia &Amp; Analgesia

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295

241

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“…The available data in the literature support that there is a correlation existing between a higher STOP-Bang score and the severity of OSA. Experts argue that the SBQ should be considered the optimal screening tool at the present time and that the score can be used for making more reasoned clinical decisions (30).…”

Section: Discussionmentioning

confidence: 99%

Screening for obstructive sleep apnea syndrome in asthma patients: a prospective study based on Berlin and STOP-Bang questionnaires

Lu¹,

Fu²,

Li³

et al. 2017

J. Thorac. Dis.

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Background: The bidirectional relationship of asthma and obstructive sleep apnea (OSA) has been confirmed in recent years. However, in the clinical practice, majority of asthma patients did not pay adequate attention to their sleep apnea condition. Berlin questionnaire (BQ) and STOP-Bang questionnaire (SBQ) are two most common OSA screening questionnaires to screen high-risk patients for OSA. This study aimed at evaluating the predictive performance of BQ and SBQ for OSA in asthma patients.Methods: Asthma outpatients of Zhongshan Hospital were enrolled into the study. All patients were asked to fill in the BQ and SBQ and clinical characteristics and asthma characteristics were recorded. Univariate and multivariate logistic regression analyses were applied to identify risk factors of OSA in asthma patients.With the gold standard of laboratory-based overnight polysomnography (PSG), the predictive performance of SBQ and BQ was evaluated and compared. The probability of OSA severity was predicted by various SBQ scores in asthma patients.Results: A total of 123 asthma patients (average age 47.56±12.12 years; 57.72% males) were enrolled and underwent PSG diagnosis overnight at Sleep Center. Logistic regression analyses showed that rhinitis (adjusted OR =4.30; 95% CI: 1.50-12.37, P=0.007) and dyslipidemia (adjusted OR =2.75; 95% CI: 1.16-6.51, P=0.021) were associated with OSA in asthma patients after adjusting for known OSA risk factors. No asthma functional characteristic differences were found to be associated with OSA severity in the study. The prevalence of moderate-to-severe OSA (AHI ≥15) in the asthmatic population sample was 36.59% (45/123).Questionnaires predictive results showed that compared with BQ, SBQ has higher diagnostic sensitivity (84.4% vs. 60%), lower specificity (79.5% vs. 91%) lower positive predictive value (PPV): (70.4% vs. 79.4%) and higher negative predictive value (NPV) (90% vs. 80%) to detect moderate-to-severe OSA at the cutoff as AHI of 15/h. OSA probability results showed that with the increasing of the questionnaire scores, the moderate and severe OSA probability of SBQ rose significantly.Conclusions: SBQ is a preferable sleep questionnaire better than BQ for detecting moderate and severe OSA in asthma patients which should be validated in larger population sample.

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Correlation between the STOP-Bang Score and the Severity of Obstructive Sleep Apnea

Cited by 31 publications

References 6 publications

Association of Obstructive Sleep Apnea with Episodic Memory and Cerebral Microvascular Pathology: A Preliminary Study

Association of Obstructive Sleep Apnea with Episodic Memory and Cerebral Microvascular Pathology: A Preliminary Study

Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients With Obstructive Sleep Apnea

Screening for obstructive sleep apnea syndrome in asthma patients: a prospective study based on Berlin and STOP-Bang questionnaires

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