The STOP-Bang Test Is Useful for Predicting the Severity of Obstructive Sleep Apnea

Oshita, Hideto; Ito, Noriaki; Senoo, Misato; Funaishi, Kunihiko; Mitama, Yasuyuki; Okusaki, Ken

doi:10.31662/jmaj.2020-0002

Cited by 7 publications

(4 citation statements)

References 17 publications

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“…A dependent variable was defined by the STOP-Bang score, which reflects OSA risk using an 8-item questionnaire 7 , 30 . Polysomnography (PSG), a time and money-intensive complex procedure, is performed to diagnose OSA.…”

Section: Methodsmentioning

confidence: 99%

Association between smoking and obstructive sleep apnea based on the STOP-Bang index

Jang

Nerobkova

Hurh

et al. 2023

Sci Rep

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Smoking is a risk factor for respiratory diseases, and it worsens sleep quality due to nicotine stimulation and sudden nicotine withdrawal during sleep. This can increase the severity of OSA through alterations upper airway inflammation and neuromuscular function, arousal mechanisms, and sleep architecture. Therefore, it may lead to sleep-disrupted breathing, particularly obstructive sleep apnea (OSA). Herein, this study aims to research the association between smoking and OSA through the STOP-Bang index. In this study, total sample of 3442 participants (1465 men and 1977 women) were analyzed. We used data from the Korea National Health and Nutrition Examination Survey in 2020 by classifying adults into current, ex-, and non-smokers. A multiple logistic regression analysis was used to investigate the association between smoking and OSA. Furthermore, multinomial regression analysis was used to investigate the effect of smoking cessation. For males, compared to the non-smokers, the odds ratios (OR) for the OSA were significantly higher in the ex-smokers (OR: 1.53, 95% confidence interval(CI) 1.01–2.32) and current smokers (OR: 1.79, 95% CI 1.10–2.89). In females, higher ORs were observed for OSA risk, similar to the non-smokers, smoking cessation, and pack-years. Among men, OSA was significantly associated with a moderate risk for ex-smokers (OR: 1.61, 95% CI 1.05–2.48) and a severe risk for current smokers (OR: 1.88, 95% CI 1.07–3.29). This study observed that smoking might contribute to OSA risk among adults. Smoking cessation can help to manage sleep quality properly.

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Section: Methodsmentioning

confidence: 99%

Association between smoking and obstructive sleep apnea based on the STOP-Bang index

Jang

Nerobkova

Hurh

et al. 2023

Sci Rep

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“…The OSA risk was evaluated using the STOP-Bang questionnaire [ 32 ]. This score includes eight dichotomous “yes” or “no” questions, referring to the clinical features of sleep apnea (snoring, observed apnea, fatigue, hypertension, age, NC, BMI and male gender).…”

Section: Methodsmentioning

confidence: 99%

Associations of Chronic Diabetes Complications and Cardiovascular Risk with the Risk of Obstructive Sleep Apnea in Patients with Type 2 Diabetes

Timofticiuc

Vladu

Ștefan³

et al. 2022

JCM

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Background: Type 2 diabetes mellitus (T2DM) is associated with increased mortality and morbidity, including cardiovascular diseases and obstructive sleep apnea (OSA). The aim of this study was to assess the associations between cardiovascular risk, chronic diabetes complications and the risk of OSA in adult patients with T2DM. Methods: The study included 529 patients with T2DM in whom moderate-to-severe OSA risk was assessed using the STOP-Bang questionnaire, dividing the subjects into two groups: group 1: STOP-Bang score <5, and group 2: STOP-Bang score ≥5, respectively. In all the subjects, cardiovascular risk was assessed using the UKPDS risk engine. Statistical analysis was performed using SPSS 26.0, the results being statistically significant if p value was <0.05. Results: 59% of the subjects scored ≥5 on the STOP-Bang questionnaire. We recorded statistically significant differences between the two groups regarding diabetes duration, HbA1c, HOMA-IR, albuminuria, as well as cardiovascular risk at 10 years for both coronary heart disease (CHD) and stroke (p < 0.05). Furthermore, through logistic regression, adjusting for confounding factors, we demonstrated that the STOP-Bang score ≥ 5 is a risk factor for 10-year fatal and nonfatal CHD risk. Conclusions: It is extremely important to screen and diagnose OSA in patients with T2DM, in order to improve the primary and secondary prevention of cardiovascular events in these patients.

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“…According to a previous study by Oshita et al [ 14 ] and the pilot data from our center, we assumed that the correlation between the STOP-Bang score and the lowest SpO 2 was 0.4 in calculating sample size. Assuming an attrition rate of 10%, a sample size of 51 patients were determined to be an adequate sample size to aim for 80% power and 5% type-1 error.…”

Section: Methodsmentioning

confidence: 99%

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

et al. 2021

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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.

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The STOP-Bang Test Is Useful for Predicting the Severity of Obstructive Sleep Apnea

Cited by 7 publications

References 17 publications

Association between smoking and obstructive sleep apnea based on the STOP-Bang index

Association between smoking and obstructive sleep apnea based on the STOP-Bang index

Associations of Chronic Diabetes Complications and Cardiovascular Risk with the Risk of Obstructive Sleep Apnea in Patients with Type 2 Diabetes

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

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