The STOP-BANG questionnaire: reliability and validity of the Persian version in sleep clinic population

Sadeghniiat-Haghighi, Khosro; Montazeri, Ali; Khajeh-Mehrizi, Ahmad; Ghajarzadeh, Mahsa; Alemohammad, Zahra Banafsheh; Aminian, Omid; Sedaghat, Mojtaba

doi:10.1007/s11136-015-0923-9

Cited by 67 publications

(60 citation statements)

References 22 publications

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“…62 We identified ten studies, involving primarily middle-aged, obese males suspected of OSA that evaluated the performance of STOP-BANG questionnaire against PSG in the identification patients with OSA. 42,[49][50][51][52][63][64][65][66][67] The overall findings reveal that the STOP-BANG questionnaire had high sensitivity, but low specificity for the detection of OSA. These findings became more pronounced when higher levels of OSA category cutoffs were considered.…”

Section: Stop-bang Questionnairementioning

confidence: 99%

Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

Kapur

Auckley

Chowdhuri

et al. 2017

Journal of Clinical Sleep Medicine

2,124

1,498

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Introduction: This guideline establishes clinical practice recommendations for the diagnosis of obstructive sleep apnea (OSA) in adults and is intended for use in conjunction with other American Academy of Sleep Medicine (AASM) guidelines on the evaluation and treatment of sleep-disordered breathing in adults. Methods: The AASM commissioned a task force of experts in sleep medicine. A systematic review was conducted to identify studies, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process was used to assess the evidence. The task force developed recommendations and assigned strengths based on the quality of evidence, the balance of benefits and harms, patient values and preferences, and resource use. In addition, the task force adopted foundational recommendations from prior guidelines as "good practice statements", that establish the basis for appropriate and effective diagnosis of OSA. The AASM Board of Directors approved the final recommendations. Recommendations:The following recommendations are intended as a guide for clinicians diagnosing OSA in adults. Under GRADE, a STRONG recommendation is one that clinicians should follow under most circumstances. A WEAK recommendation reflects a lower degree of certainty regarding the outcome and appropriateness of the patient-care strategy for all patients. The ultimate judgment regarding propriety of any specific care must be made by the clinician in light of the individual circumstances presented by the patient, available diagnostic tools, accessible treatment options, and resources. Good Practice Statements:Diagnostic testing for OSA should be performed in conjunction with a comprehensive sleep evaluation and adequate follow-up. Polysomnography is the standard diagnostic test for the diagnosis of OSA in adult patients in whom there is a concern for OSA based on a comprehensive sleep evaluation. Recommendations:1. We recommend that clinical tools, questionnaires and prediction algorithms not be used to diagnose OSA in adults, in the absence of polysomnography or home sleep apnea testing. (STRONG) 2. We recommend that polysomnography, or home sleep apnea testing with a technically adequate device, be used for the diagnosis of OSA in uncomplicated adult patients presenting with signs and symptoms that indicate an increased risk of moderate to severe OSA. (STRONG) 3. We recommend that if a single home sleep apnea test is negative, inconclusive, or technically inadequate, polysomnography be performed for the diagnosis of OSA. (STRONG) 4. We recommend that polysomnography, rather than home sleep apnea testing, be used for the diagnosis of OSA in patients with significant cardiorespiratory disease, potential respiratory muscle weakness due to neuromuscular condition, awake hypoventilation or suspicion of sleep related hypoventilation, chronic opioid medication use, history of stroke or severe insomnia. (STRONG) 5. We suggest that, if clinically appropriate, a split-night diagnostic protocol, rather than a full-night diagnostic protoc...

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Section: Stop-bang Questionnairementioning

confidence: 99%

Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

Kapur

Auckley

Chowdhuri

et al. 2017

Journal of Clinical Sleep Medicine

2,124

1,498

View full text Add to dashboard Cite

show abstract

“…In previous studies, the agreement of the STOP questionnaire was across a high range of 88-96%. 6,14 In conclusion, we demonstrated that the STOP-Bang or STOP questionnaire represents a useful screening tool for identification of Korean RBD patients at high risk for OSA.…”

Section: Discussionmentioning

confidence: 73%

STOP-Bang Questionnaire in Patients with Rapid Eye Movement Sleep Behavior Disorder

Kang

2017

Sleep Med Res

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Background and ObjectiveaaThe snoring, tiredness, observed apnea, and high blood pressurebody mass index, age, neck circumference, and gender (STOP-Bang) questionnaire is known as a simple but useful tool for the diagnosis of high-risk obstructive sleep apnea (OSA). However, the utility of STOP-Bang questionnaire in rapid eye movement (REM) sleep behavior disorder (RBD) populations is not validated. This study aimed to determine the diagnostic value of the STOP-Bang questionnaire in patients with RBD at high risk for OSA. MethodsaaWe collected data from 65 consecutive patients who were diagnosed with RBD in a tertiary sleep center (20 women; mean age, 64.3 ± 12.5 years). All the patients visited sleep center with complaints of abnormal behavior during sleep, and underwent testing with STOP-Bang questionnaire and polysomnography. The diagnosis of RBD was based on the International Classification of Sleep Disorders, second edition. We diagnosed OSA when apnea-hypopnea index (AHI) was at least 5/h. The receiver operating characteristic (ROC) curves were plotted. ResultsaaThe mean AHI was 18.2 ± 16.5/h, and 75.4% (n = 49) had an AHI ≥ 5. The STOP-Bang (threshold ≥ 3) identified 70.7% of patients as high risk for OSA, and sensitivity, specificity, positive and negative predictive values were 81.6, 62.5, 87, and 52.6%, respectively. The area under the ROC curve (AUC) was 0.79 (p < 0.001). The STOP (threshold ≥ 2) identified 70.7% of patients at high risk for OSA, and sensitivity, specificity, positive and negative predictive values were 75.5, 87.5, 94.9, and 53.8%, respectively. The AUC was 0.86 (p < 0.001). A pairwise comparison of ROC curve between STOP-Bang and STOP was insignificant (p = 0.145). ConclusionsaaIn RBD population, the STOP-Bang or STOP questionnaire is a useful screening tool to identify patients at high risk for OSA.

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“…Three or more positive answers from eight items is considered a sign of high risk OSA during sleep (abnormal status). The psychometric properties of the Persian version of STOP-BANG was verified by Sadeghniat, et al 39 Safety Performance Both reactive and proactive measures of safety performance were collected. Occupational incidents were measured by asking participants to report any occupational accidents or near-misses they had experienced in the past month-lagging indicator, and reactive measure of safety performance.…”

Section: Socio-demographic and Work-related Variablesmentioning

confidence: 99%

Excessive Daytime Sleepiness and Safety Performance: Comparing Proactive and Reactive Approaches

Gharibi

Mokarami

Cousins

et al. 2020

Int J Occup Environ Med

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Background: Sleep disorders and excessive daytime sleepiness negatively affect employees' safety performance. Objective: To investigate the relationship between excessive daytime sleepiness with obstructive sleep apnea and safety performance at an oil construction company in Iran. Methods: 661 employees consented to participate in this study. Excessive daytime sleepiness was measured with the STOP-BANG questionnaire and Epworth Sleepiness Scale (ESS). To determine how sleepiness would affect the studied occupational incidents, accidents causing injury and near misses, both reactive data and proactive safety performance indices were measured. Demographic and predictor variables were analyzed with hierarchical multiple linear regression. Results: Employees who met the criteria of excessive daytime sleepiness and obstructive sleep apnea had significantly poorer safety performance indicators. STOP-BANG and ESS were significant predictors of safety compliance (β 0.228 and 0.370, respectively), safety participation (β 0.210 and 0.144, respectively), and overall safety behavior (β 0.332 and 0.213, respectively). Further, occupational incidents were 2.5 times higher in workers with indicators of excessive daytime sleepiness and 2 times higher in those with obstructive sleep apnea compared with those without. Conclusion: These findings confirmed that excessive daytime sleepiness is a serious safety hazard, and that both reactive and proactive measures are important to understand the relative contribution of predictor variables.

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The STOP-BANG questionnaire: reliability and validity of the Persian version in sleep clinic population

Abstract: Persian version of the STOP-BANG performs similar to its original version and is an easy-to-use questionnaire which could be considered as a reliable and valid tool for OSA screening.

Cited by 67 publications

References 22 publications

Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

STOP-Bang Questionnaire in Patients with Rapid Eye Movement Sleep Behavior Disorder

Excessive Daytime Sleepiness and Safety Performance: Comparing Proactive and Reactive Approaches

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