High STOP-Bang score indicates a high probability of obstructive sleep apnoea.
High STOP-Bang score indicates a high probability of obstructive sleep apnoea.
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DOI：
10.1093/bja/aes022
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发表时间：
2012-05
影响因子：
9.8
通讯作者：
Sun Y
中科院分区：
文献类型：
--
作者：
Chung F;Subramanyam R;Liao P;Sasaki E;Shapiro C;Sun Y
STOP-Bang问卷用于筛查阻塞性睡眠呼吸暂停（OSA）患者。我们评估了STOP-Bang评分与OSA概率之间的相关性。在机构审查委员会批准后，与前往术前诊所接受计划住院手术的患者进行了知情同意。患者回答STOP问卷，并接受实验室或便携式多导睡眠图（PSG）。PSG记录手动评分。记录BMI、年龄、颈围和性别（Bang）。超过4年，6369例患者进行了接触，1312（20.6%）同意。其中，930例完成了PSG，746例患者的PSG和STOP-Bang问卷数据完整，纳入数据分析。746例患者的中位年龄为60岁，49%为男性，BMI 30 kg m−2，颈围39 cm。OSA的发生率为68.4%，其中轻度29.9%，中度20.5%，重度18.0%。当STOP-Bang评分为5分时，中度/重度和重度OSA的比值比（OR）分别为4.8和10.4。对于STOP-Bang 6，中度/重度和重度OSA的OR分别为6.3和11.6。对于STOP-Bang 7和8，中度/重度和重度OSA的OR分别为6.9和14.9。随着STOP-Bang评分从3分增加到7分和8分，中度/重度OSA的预测概率从0.36增加到0.60。在手术人群中，STOP-Bang评分为5-8的患者患有中度/重度阻塞性睡眠呼吸暂停综合症的可能性很高。STOP-Bang评分可以帮助医疗团队对未识别的OSA患者进行分层，实施围手术期预防措施，或对患者进行诊断和治疗。
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. 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. 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. 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.
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影响因子：
5.6
作者：
Santos-Silva, Rogerio;Sartori, Denis E.;Bittencourt, Lia R. A.
通讯作者：
Bittencourt, Lia R. A.
影响因子：
2.5
作者：
Ong, Thun How;Raudha, Siti;Hsu, A. A. L.
通讯作者：
Hsu, A. A. L.
影响因子：
9.6
作者：
Kaw, R;Michota, F;Golish, J
通讯作者：
Golish, J
影响因子：
8.8
作者：
Gali, Bhargavi;Whalen, Francis X.;Plevak, David J.
通讯作者：
Plevak, David J.
影响因子：
8.8
作者：
Chung, Frances;Yegneswaran, Balaji;Shapiro, Colin M.
通讯作者：
Shapiro, Colin M.