The STOP-BANG questionnaire and the risk of perioperative respiratory complications in urgent surgery patients: A prospective, observational study

Chudeau, Nicolas; Raveau, Tommy; Carlier, Laurence; Leblanc, Damien; Bouhours, G; Gagnadoux, Frédéric; Rineau, Emmanuel; Lasocki, Sigismond

doi:10.1016/j.accpm.2016.01.006

Cited by 17 publications

(19 citation statements)

References 27 publications

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“…Several studies demonstrated the positive association of STOP-Bang scores with perioperative complications [16–25]. When compared to surgical patients with STOP-Bang scores 0, 1 or 2 (low risk of OSA), those with scores three or greater (high risk of OSA) had an increased rate of perioperative complications [19,21,25], respiratory complications [16,22,23], critical care admission [27], prolonged length of hospital stay [16,22,23], and ‘one in four’ chance of having an adverse event [19].…”

Section: Stop-bang and Perioperative Complicationsmentioning

confidence: 99%

“…When compared to surgical patients with STOP-Bang scores 0, 1 or 2 (low risk of OSA), those with scores three or greater (high risk of OSA) had an increased rate of perioperative complications [19,21,25], respiratory complications [16,22,23], critical care admission [27], prolonged length of hospital stay [16,22,23], and ‘one in four’ chance of having an adverse event [19]. The increase in the rates of complications in patients at high risk of OSA justifies the implementation of perioperative strategies that use STOP-Bang as a tool for triage.…”

Section: Stop-bang and Perioperative Complicationsmentioning

confidence: 99%

“…Several studies have shown that high-risk OSA (STOP-Bang ≥3) patients identified by the STOP-Bang questionnaire have higher BMI [18,23], higher ASA physical status [16,18,23], and increased comorbidities [16,18,23,37]. High-risk OSA (STOP-Bang ≥3) patients were older, had higher incidence of ischemic heart disease, heart failure, hypertension, dyslipidemia, arrhythmia, chronic obstructive pulmonary disease, hypothyroidism and diabetes mellitus [16,18,23,37].…”

Section: Stop-bang and Its Association With Medical Diseasesmentioning

confidence: 99%

“…High-risk OSA (STOP-Bang ≥3) patients were older, had higher incidence of ischemic heart disease, heart failure, hypertension, dyslipidemia, arrhythmia, chronic obstructive pulmonary disease, hypothyroidism and diabetes mellitus [16,18,23,37]. Screening with STOP-Bang and the knowledge of the association of OSA and comorbid diseases may decrease the rate of perioperative complications thus improving patients’ safety.…”

Section: Stop-bang and Its Association With Medical Diseasesmentioning

confidence: 99%

“…The STOP-Bang questionnaire is a validated screening tool to identify the patients with high-risk OSA during the perioperative period [13,14,15 ▪▪ ]. Using the STOP-Bang questionnaire, several studies found that patients who were at risk for OSA (STOP-Bang ≥3) had a higher rate of perioperative complications versus patients with low-risk OSA (STOP-Bang 0–2) [16–25]. The STOP-Bang questionnaire demonstrated a positive association between high-risk OSA (STOP-Bang ≥3) and increased risk of desaturation, critical care admission, and difficulty airway [20,26,27].…”

Section: Introductionmentioning

confidence: 99%

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An update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine

Nagappa

Wong

Singh

et al. 2017

Current Opinion in Anaesthesiology

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Purpose of reviewThe present review aims to provide an update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine.Recent findingsThe STOP-Bang questionnaire was originally validated as a screening tool to identify surgical patients who are at high-risk of obstructive sleep apnea (OSA). A recent meta-analysis confirmed that STOP-Bang is validated for use in the sleep clinic, surgical, and general population. Patients with a STOP-Bang score of 0--2 can be classified as low-risk for moderate-to-severe OSA. Those with a score of 5--8 can be classified as high-risk for moderate-to-severe OSA. In patients with a score of 3 or 4, a specific combination of a STOP score at least 2 + BMI more than 35 kg/m2 or STOP score at least 2 + male or STOP score at least 2 + neck circumference more than 40 cm indicates higher risk for moderate-to-severe OSA. Further, patients with a STOP-Bang score at least 3 can be classified as high risk for moderate-to-severe OSA if the serum HCO3- at least 28 mmol/l. STOP-Bang can be used as a novel tool for perioperative risk stratification because it easily identifies patients who are at increased risk of perioperative complications.SummarySTOP-Bang at least 3 was recommended previously to identify the suspected or undiagnosed OSA. To reduce the false positive cases and to improve its specificity, a stepwise stratification is recommended to identify the patients at high risk of moderate-to-severe OSA. Because of its practical application, STOP-Bang is a useful screening tool for patients with suspected or undiagnosed OSA.

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Section: Stop-bang and Perioperative Complicationsmentioning

confidence: 99%

Section: Stop-bang and Perioperative Complicationsmentioning

confidence: 99%

Section: Stop-bang and Its Association With Medical Diseasesmentioning

confidence: 99%

Section: Stop-bang and Its Association With Medical Diseasesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

An update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine

Nagappa

Wong

Singh

et al. 2017

Current Opinion in Anaesthesiology

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

116

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Clinical use of the STOP‐BANG questionnaire to determine postoperative risk in veterans

et al. 2018

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The STOP-BANG questionnaire and the risk of perioperative respiratory complications in urgent surgery patients: A prospective, observational study

Cited by 17 publications

References 27 publications

An update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine

An update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine

International Consensus Statement on Obstructive Sleep Apnea

Clinical use of the STOP‐BANG questionnaire to determine postoperative risk in veterans

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