The STOP-Bang Test Is Useful for Predicting the Severity of Obstructive Sleep Apnea
| Autor: | Noriaki Ito, Hideto Oshita, Yasuyuki Mitama, Kunihiko Funaishi, Misato Senoo, Ken Okusaki |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis medicine.diagnostic_test business.industry sleep-disordered breathing Polysomnography medicine.disease nervous system diseases respiratory tract diseases Test (assessment) Obstructive sleep apnea apnea hypopnea index STOP-Bang test stomatognathic system Apnea–hypopnea index Internal medicine medicine Stop bang Original Research Article Risk factor business obstructive sleep apnea Rank correlation |
| Zdroj: | JMA Journal |
| ISSN: | 2433-3298 2433-328X |
| Popis: | Introduction: The STOP-Bang test was used to detect patients at high risk of obstructive sleep apnea (OSA). We evaluated the usefulness of the STOP-Bang test for predicting the severity of OSA in Japanese patients. Methods: We retrospectively evaluated the patients who performed full polysomnography at the Mihara Medical Association Hospital. We evaluated the correlation between the STOP-Bang score and the apnea hypopnea index (AHI) using Spearman's rank correlation analysis. We then used multivariate analyses to examine the independent risk factor for severe OSA (AHI ≥ 30/hr). Results: One hundred seven patients were diagnosed as no (n = 5), mild (n = 17), moderate (n = 30), and severe (n = 55) OSA. The median age was 67 years old (range: 35-84), and 73 of the 107 patients were males. The correlation coefficient between the STOP-Bang score and AHI was 0.701 (P < 0.001). A STOP-Bang score ≥ 5 had sensitivity of 80.0% and specificity of 76.9% for detecting severe OSA. A STOP-Bang score ≥ 5 and BMI ≥ 30 kg/m2 were the independent risk factor for severe OSA. Conclusions: The STOP-Bang score correlates with AHI and is useful for predicting OSA severity. Polysomnography should be performed actively for the patients with high STOP-Bang scores. |
| Databáze: | OpenAIRE |
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