The STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea in Pregnancy

Pearson, Fiona; Batterham, Alan M.; Cope, Sean

doi:10.5664/jcsm.7754

Cited by 20 publications

(17 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In that study, hypertension prevalence was found low despite other studies reported hypertension 8-50%. In our study, hypertension was found statistically significant at AHI > 5 cut-off with gender and age [23].…”

Section: Discussionsupporting

confidence: 57%

The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

Mergen

Altındağ

Uçar

et al. 2019

Cureus

View full text Add to dashboard Cite

Background The prevalence of obstructive sleep apnea (OSA) is high in the obese population. In this study, it was aimed to fulfill the STOP-Bang questionnaire which is a concise and easy-to-use questionnaire for OSA screening in obese patients. Materials & methods This is a retrospective study where the patients, who planned polysomnography, were referred to sleep clinic. Patients were screened for OSA by the STOP-Bang questionnaire. Laboratory polysomnography was performed in 275 patients. Patients with BMI ≥ 30 were taken into study. The screening test was evaluated by three different risk analysis such as, a STOP score, a STOP-Bang score and a modified STOP-Bang score. The predictive parameters (sensitivity, specificity, and positive and negative predictive values) for alternative scoring models in obese patients were analyzed. Results In 217 obese patients, a STOP score cutoff of 3 and a STOP-Bang score cutoff of 4 provides a better balance of sensitivity and specificity for all OSA (apnea-hypopnea index [AHI] ≥ 5). The STOP questionnaire revealed a sensitivity of 87.9% and a positive predictive value of 99.5% for patients with all OSA (p: 0.005). The STOP-Bang scoring model revealed a sensitivity of 95.3% and a positive predictive value of 99.5% for patients with all OSA (p < 0.001). The modified STOP-Bang scoring revealed a sensitivity of 95.8% and a positive predictive value of 99.5% for patients with all OSA (p < 0.001). The area under the curve of the STOP-Bang for identifying mild, moderate and severe OSA was 0.581, 0.652 and 0.675, respectively. Whereas according to the STOP-Bang, all morbid obese patients (obesity class III, n: 47) were at high risk of OSA. Conclusion This study suggests that the STOP-Bang questionnaire for obstructive sleep apnea screening in obese patients is a high sensitivity and appropriate screening test.

show abstract

Section: Discussionsupporting

confidence: 57%

The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

Mergen

Altındağ

Uçar

et al. 2019

Cureus

View full text Add to dashboard Cite

show abstract

“…A large proportion of study population reported day time sleepiness (71.4%) and tiredness (66.6%) which is similar to a study by Fiona Pearson et al 15 Patients also had history of choking episodes which is predominantly seen in patients with BMI greater than 35. Few patients reported early morning headache and nocturnal enuresis.…”

Section: Discussionsupporting

confidence: 84%

Study on assessment of Obstructive sleep apnea (OSA) risk in Obese pregnant women

Durga¹,

Yuvarajan²,

Radhakrishnan³

et al. 2020

IJIRM

View full text Add to dashboard Cite

Obstructive sleep apnea is a major public health concern which is associated with cardiovascular and cerebrovascular comorbidities. Eventhough association of OSA with adverse fetomaternal outcomes is documented, screening for OSA in pregnancy is a challenging task. So the purpose of our study is to assess the risk of OSA in obese pregnant ladies by using established STOP BANG Questionnare for OSA. Materials and Methods: This cross sectional study on assessment of obstructive sleep apnea risk among the obese pregnant women was done in tertiary care centre in the rural population of Puducherry. Results: 21 obese pregnant women were included in our study. The mean age of our study population was 29.5 years. Most of the study subjects (85.7%) had history of snoring both reported by them and their bed partners. History of tiredness was reported by 14 patients (66.6%).Chocking or history of gasping was reported by only 4 patients (19%). Results of our study showed that 42.9% of the obese pregnant women had high risk, 42.9% had intermediate risk and 14.3% for OSA as per the STOP BANG scoring. Conclusion: Thus our study subjects were having higher risk of OSA which needed further evaluation with polysomnography. Thus the STOPBANG questionnaire can be used to screen for obstructive sleep apnea (OSA) in obese women during pregnancy.

show abstract

“…In addition, the STOP-Bang questionnaire uses only eight items to calculate the risk of OSA. The eight items include BMI, gender, age, neck circumference, hypertension under treatment, daily drowsiness, snoring, and apnea during sleep [9,10]. Therefore, the STOP-Bang score was selected as an index correlated with SpO 2 in relation to hypoxia during sedation, since all items can be easily confirmed in advance with preoperative anesthesia evaluation without additional monitoring devices.…”

Section: A B Cmentioning

confidence: 99%

“…The STOP-Bang questionnaire uses only eight items to calculate the risk of OSA. The eight items include the patient's body mass index (BMI, gender , age, neck circumference, hypertension under treatment, daily drowsiness, snoring, and apnea during sleep [9,10]. It does not require such a long time, and patients feel more comfortable with it.…”

Section: Introductionmentioning

confidence: 99%

The correlation between the STOP-Bang score and oxygen saturation during spinal anesthesia with dexmedetomidine sedation

et al. 2021

View full text Add to dashboard Cite

Background: The STOP-BANG questionnaire is a simple screening tool with high sensitivity for the detection of severe obstructive sleep apnea (OSA). Predicting airway obstruction would allow the safe management of sedative patients to prevent intraoperative hypoxia. This study was designed to check the correlation between the STOP-BANG score and oxygen saturation (SpO2) during sedation and confirm the availability of the STOP-BANG questionnaire as a preoperative exam for predicting the incidence of hypoxia in sedative patient management.Methods: This study included 56 patients who received spinal anesthesia. The pre-anesthesia evaluation was conducted using the STOP-Bang questionnaire. The patients were under spinal anesthesia with an average block level of T10. Dexmedetomidine was infused with a loading dose of 1 μg/kg over 10 min and a maintenance dose of 0.5 μg/kg/h until the end of the procedure. The SpO2 of the patients was recorded every 5 min.Results: The STOP-Bang score was negatively correlated with the lowest SpO2 (coefficient = –0.774, 95% confidence interval [CI]: –0.855 to –0.649, standard error [SE] = 0.054, P < 0.001). The item of “observed apnea” was the most correlated one with hypoxic events (odds ratio = 6.00, 95% CI: 1.086 to 33.145).Conclusions: The STOP-BANG score was significantly correlated with the lowest SpO2 during spinal anesthesia, which enabled the prediction of meaningful hypoxia before it occurred in the sedated patients.

show abstract

The STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea in Pregnancy

Cited by 20 publications

References 39 publications

The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

Study on assessment of Obstructive sleep apnea (OSA) risk in Obese pregnant women

The correlation between the STOP-Bang score and oxygen saturation during spinal anesthesia with dexmedetomidine sedation

Contact Info

Product

Resources

About