Predicting obstructive sleep apnea using the STOP-Bang questionnaire in the general population
| Autor: | Yan Yi Cheung, Rob M. van Dam, Chi-Hang Lee, Linda W.L. Tan, Jason Dean-Chen Yin, Adeline Tan |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Neck circumference medicine.medical_specialty Population Sensitivity and Specificity Severity of Illness Index Body Mass Index Cohort Studies Young Adult 03 medical and health sciences Sex Factors 0302 clinical medicine Surveys and Questionnaires Internal medicine Prevalence medicine Humans Mass Screening Cutoff Stop bang education Singapore Sleep Apnea Obstructive education.field_of_study business.industry Snoring Age Factors Organ Size General Medicine Middle Aged Prognosis medicine.disease Predictive value respiratory tract diseases Obstructive sleep apnea 030228 respiratory system Cohort Physical therapy Female business Body mass index Neck 030217 neurology & neurosurgery |
| Zdroj: | Sleep Medicine. :66-71 |
| ISSN: | 1389-9457 |
| DOI: | 10.1016/j.sleep.2016.06.034 |
| Popis: | Objective The STOP-Bang questionnaire was developed as a quick and simple screening tool for obstructive sleep apnea (OSA) in preoperative clinics. We aimed to evaluate the validity of the STOP-Bang questionnaire to predict moderate-to-severe and severe OSA in the general population. Methods A sample of 242 subjects selected from a population-based cohort in Singapore completed home-based sleep testing with a type 3 monitor. Subjects were asked to complete the STOP questionnaire while body mass index (BMI), age, neck circumference, and sex were recorded. A score of ≥3 on the questionnaire indicated high risk of OSA. Results A total of 68 subjects (28.1%) and 26 subjects (10.7%) had an apnea−hypopnea index (AHI) of ≥15 and ≥30 events per hour, respectively. Of the subjects, 89 (36.8%) were classified as high risk based on the questionnaire. The sensitivity of a STOP-Bang score of ≥3 was 66.2% to detect AHI ≥15 and 69.2% to detect AHI ≥30. The specificities were 74.7% and 67.1%, respectively. The negative predictive values were 85% for moderate-to-severe OSA and 94.8% for severe OSA. The corresponding positive predictive values were 50.6% and 20.2%, respectively. Using BMI cutoffs of 30 and 27.5 for Asians compared to the original cutoff of 35 did not improve the questionnaire performance significantly. Conclusion The STOP-Bang questionnaire can be used as a screening tool in the general population in view of its moderate sensitivity and high negative predictive value for subjects with moderate-to-severe and severe OSA. The cutoff of BMI >35 can be used in Asians, as lower BMI cutoffs did not improve questionnaire performance. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect