High STOP-Bang score indicates a high probability of obstructive sleep apnoea
TLDR
In the surgical population, a STOP-Bang score of 5–8 identified patients with high probability of moderate/severe OSA and can help the healthcare team to stratify patients for unrecognized OSA, practice perioperative precautions, or triage patients for diagnosis and treatment.Abstract:
Background The STOP-Bang questionnaire is used to screen patients for obstructive sleep apnoea (OSA). We evaluated the association between STOP-Bang scores and the probability of OSA. Methods After Institutional Review Board approval, patients who visited the preoperative clinics for a scheduled inpatient surgery were approached for informed consent. Patients answered STOP questionnaire and underwent either laboratory or portable polysomnography (PSG). PSG recordings were scored manually. The BMI, age, neck circumference, and gender (Bang) were documented. Over 4 yr, 6369 patients were approached and 1312 (20.6%) consented. Of them, 930 completed PSG, and 746 patients with complete data on PSG and STOP-Bang questionnaire were included for data analysis. Results The median age of 746 patients was 60 yr, 49% males, BMI 30 kg m−2, and neck circumference 39 cm. OSA was present in 68.4% with 29.9% mild, 20.5% moderate, and 18.0% severe OSA. For a STOP-Bang score of 5, the odds ratio (OR) for moderate/severe and severe OSA was 4.8 and 10.4, respectively. For STOP-Bang 6, the OR for moderate/severe and severe OSA was 6.3 and 11.6, respectively. For STOP-Bang 7 and 8, the OR for moderate/severe and severe OSA was 6.9 and 14.9, respectively. The predicted probabilities for moderate/severe OSA increased from 0.36 to 0.60 as the STOP-Bang score increased from 3 to 7 and 8. Conclusions In the surgical population, a STOP-Bang score of 5–8 identified patients with high probability of moderate/severe OSA. The STOP-Bang score can help the healthcare team to stratify patients for unrecognized OSA, practice perioperative precautions, or triage patients for diagnosis and treatment.read more
Citations
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Journal ArticleDOI
Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: An American academy of sleep medicine clinical practice guideline
Vishesh K. Kapur,Dennis Auckley,Susmita Chowdhuri,David Kuhlmann,Reena Mehra,Kannan Ramar,Christopher G. Harrod +6 more
TL;DR: 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 guidelines on the evaluation and treatment of sleep-disordered breathing in adults.
Journal ArticleDOI
STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea.
TL;DR: The snoring, tiredness, observed apnea, high BP, BMI, age, neck circumference, and male gender (STOP-Bang) questionnaire was specifically developed to meet the need for a reliable, concise, and easy-to-use screening tool.
Journal ArticleDOI
Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations.
Daniel T. Engelman,Walid Ben Ali,Judson B. Williams,Louis P. Perrault,V. Seenu Reddy,Rakesh C. Arora,Eric E. Roselli,Ali Khoynezhad,Marc W. Gerdisch,Jerrold H. Levy,Kevin W. Lobdell,N. Fletcher,Matthias Kirsch,Gregg Nelson,Richard M. Engelman,Alexander J. Gregory,Edward M. Boyle +16 more
TL;DR: In this paper, the authors present consensus recommendations for the optimal perioperative management of patients undergoing cardiac surgery based on a review of meta-analyses, randomized clinical trials, large nonrandomized studies, and reviews.
Journal ArticleDOI
Management of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians
TL;DR: This guideline grades the evidence and recommendations using ACP's clinical practice guidelines grading system and recommends that all overweight and obese patients diagnosed with OSA should be encouraged to lose weight.
Journal ArticleDOI
Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations
Anders Thorell,Andrew D. MacCormick,Sherif Awad,Sherif Awad,N Reynolds,Didier Roulin,Nicolas Demartines,M Vignaud,Adrian Alvarez,Preet Mohinder Singh,Dileep N. Lobo +10 more
TL;DR: A comprehensive evidence-based consensus was reached and is presented in this review by the enhanced recovery after surgery (ERAS) Society and based on the evidence available in the literature for each of the elements of the multimodal perioperative care pathway for patients undergoing bariatric surgery.
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Stop questionnaire: a tool to screen patients for obstructive sleep apnea
Frances Chung,Balaji Yegneswaran,Pu Liao,Sharon A. Chung,Santhira Vairavanathan,Sazzadul Islam,Ali Khajehdehi,Colin M. Shapiro +7 more
TL;DR: The STOP questionnaire is a concise and easy-to-use screening tool for OSA that has been developed and validated in surgical patients at preoperative clinics and had a high sensitivity, especially for patients with moderate to severe OSA.