Simplifying STOP-BANG: use of a simple questionnaire to screen for OSA in an Asian population
Simplifying STOP-BANG: use of a simple questionnaire to screen for OSA in an Asian population
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DOI：
10.1007/s11325-010-0350-7
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发表时间：
2010-12-01
影响因子：
2.5
通讯作者：
Hsu, A. A. L.
中科院分区：
文献类型：
--
作者：
Ong, Thun How;Raudha, Siti;Hsu, A. A. L.
我们的目的是评估一种简单易用的8点问卷在筛查中度重度阻塞性睡眠呼吸暂停（美国）中的效用，并评估该问卷中用于评分体重指数（BMI）的截止值的有效性。方法对接受诊断性多导睡眠图（PSG）检查的患者进行问卷调查，问卷采用简单的8点二分法，以助记符STOP-BANG表示。在满分为8分的情况下，如果得分在3分或以上，则表明存在阻塞性睡眠呼吸暂停综合症的风险较高。然后将这些结果与夜间监测的PSG结果进行评估。结果348例患者接受了夜间PSG诊断，其中319例（91.2%）完成了问卷调查。74例（22.7%）归为低危，252例（77.3%）归为高危。STOP-BANG筛查工具对AHI为>5、>15和>30的敏感性分别为86.1%、92.8%和95.6%，对中度和重度USA的阴性预测值分别为84.5%和93.4%。使用30或35作为BMI评分的截止值并没有显著改变筛查工具的性能。结论STOP-BANG是一种临床有用的工具，具有较高的灵敏度，可用于筛查中重度USA患者。使用BMI为30，颈围为40厘米，年龄为50岁的截止值简化了工具的应用，而不会影响性能。
Objective We aim to assess the utility of a simple-to-use 8-point questionnaire in screening for moderate severe obstructive sleep apnea (USA) and to assess the validity of cutoffs used to score body mass index (BMI) in this questionnaire.Methods Patients undergoing diagnostic polysomnography (PSG) were asked to fill in a questionnaire with a simple dichotomized 8-point questionnaire, represented by the mnemonic STOP-BANG. A score of 3 or more out of a possible 8 was taken to indicate high risk for presence of OSA. These were then evaluated versus results from the overnight, monitored PSG.Results Three hundred and forty-eight patients underwent overnight diagnostic PSG, of whom 319 (91.2%) completed the questionnaire. Seventy-four (22.7%) were classified as being at low risk of USA and 252 (77.3%) were classified as being high risk. The sensitivities of the STOP-BANG screening tool for an AHI of >5, >15, and >30 were 86.1%, 92.8%, and 95.6%, respectively, with negative predictive values of 84.5% and 93.4% for moderate and severe USA, respectively. Using cutoffs of 30 or 35 for scoring the BMI did not significantly change the performance of the screening tool.Conclusion STOP-BANG is a clinically useful tool with high sensitivity that can be used to screen patients for moderate and severe USA. Using cutoffs of 30 for BMI, 40 cm for neck circumference, and 50 years for age simplifies the application of the tool without affecting performance.