STOP-BANG Questionnaire as a Screening Tool for Diagnosis of Obstructive Sleep Apnea by Unattended Portable Monitoring Sleep Study

Doshi, Viral; Walia, Reuben; Parker, Christopher P.; Awab, Ahmed; Jones, Kellie; Aston, Christopher E.

doi:10.1378/chest.2241058

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…Those with PSG data showing AHI <5 or with STOP‐BANG questionnaires showing low to intermediate risk were characterized as having no OSA. The STOP‐BANG questionnaire was recently compared and validated against traditional diagnostic sleep studies, which demonstrated that higher STOP‐BANG scores had a specificity and positive predictive value as high as 98.3% and 98.5%, respectively, in diagnosing OSA when compared with the gold standard, PSG 18 …”

Section: Methodsmentioning

confidence: 99%

Incidence of Lingual Tonsil Hypertrophy in Adults with and without Obstructive Sleep Apnea

Tang¹,

Friedman

2017

Otolaryngol.--head neck surg.

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Objectives To characterize the incidence of lingual tonsil hypertrophy (LTH) in adults with and without obstructive sleep apnea (OSA) and to determine any potential correlation between them. Study Design Retrospective chart review. Setting Single-center database, September 2016 to April 2017. Subject and Methods Lingual tonsil grade (LTG) determined by awake endoscopy was collected as well as other physical examination findings, such as Friedman tongue position, palatine tonsil size, and neck circumference. STOP-BANG scores and polysomnography data were collected to characterize OSA. Incidence of clinically meaningful LTH (defined as LTG 3 and LTG 4) was compared between OSA and non-OSA groups. Results Ninety-three patient charts were studied in total. There was no significant difference between patients with and without OSA in the incidence of clinically meaningful LTH (OSA, 13.5%; non-OSA, 14.6%; P = .872). Patients with and without OSA were compared by grade: LTG 1, 13.5% (OSA) vs 35.6% (non-OSA); LTG 2, 73.1% (OSA) vs 48.8% (non-OSA); LTG 3, 13.5% (OSA) vs 14.6% (non-OSA). There were no significant correlations between OSA status and LTG (ρ = 0.190, P = .069). Conclusion The incidence of LTH is uncommon, even among those with OSA, and does not seem to differ between patients with and without OSA. Neck circumference appears to be a better clinical indicator than lingual tonsil tissue for the likelihood of a patient having OSA.

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Section: Methodsmentioning

confidence: 99%

Incidence of Lingual Tonsil Hypertrophy in Adults with and without Obstructive Sleep Apnea

Tang¹,

Friedman

2017

Otolaryngol.--head neck surg.

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“…The STOP-BANG Questionnaire is a simple instrument which is useful for the assessment of OSA risk level. This instrument is had been validated as the screening tool for identification of OSA risk level, either in common population (Chung et al, 2016) or hospitalized patients population (Nagappa et al, 2015;Doshi et al, 2015). This instrument was had been applicated in Jakarta (Gunawan et al, 2013).…”

Section: Methodsmentioning

confidence: 99%

Obstructive Sleep Apnea Risk Level Affect Executive Function Rather than Attention

Harahap

Indrayana

2018

Kemas

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Obstructive sleep apnea (OSA) is a kind of sleep disorders which is associated with cognitive impairment, either independently or by its strong association with metabolic syndrome. OSA affected attention and executive functions. Since the diagnosis of OSA had limitation, the assessment of OSA risk level by using STOP-BANG Questionnaire instrument in common population is important. This was a cross-sectional study aimed to investigate the effect of OSA risk level determined based on STOP-BANG Questionnaire score to attention and executive functions in 82 subjects. The demographic and clinical characteristics data obtained were age, gender, level of education, hypertension, body mass index (BMI), neck circumference, OSA risk level, and attention and executive functions. Attention function was assessed by using Forward Digit Span and Trailmaking Test A (TMT-A) instruments, while executive function was assessed by using Backward Digit Span and Verbal Fluency Test instruments. The demographic and clinical characteristics data showed significant higher proportion of male gender, large neck circumference, and hypertension in high risk OSA group. The OSA risk level significantly impaired the executive function but did not impaired attention function.

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“…Instrumen STOP-BANG Questionnaire merupakan instrumen yang tepat untuk tujuan tersebut. Instrumen ini sudah tervalidasi pada populasi umum maupun pasien di rumah sakit (7)(8)(9). Instrumen ini juga telah digunakan pada populasi penduduk Asia (10).…”

Section: Pendahuluanunclassified

Hubungan Tingkat Risiko Obstructive Sleep Apnea dan Sindroma Metabolik dengan Fungsi Kognitif Global

Harahap

Indrayana

Lestari

2018

JKB

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<p><br />Obstructive sleep apnea (OSA) berhubungan dengan peningkatan risiko gangguan fungsi kognitif, dan gangguan fungsi kognitif tersebut juga terkait dengan komponen sindrom metabolik (hipertensi, diabetes melitus, obesitas sentral, dan dislipidemia). Penegakan diagnosis penyakit tersebut membutuhkan keahlian khusus, waktu pemeriksaan yang lama, dan mahal, oleh karena itu penapisan tingkat risiko OSA dengan instrumen sederhana sangat diperlukan. Penelitian ini bertujuan untuk menginvestigasi tingkat risiko OSA dan sindroma metabolik dengan fungsi kognitif global. Desain potong lintang dilakukan dengan melibatkan 89 subjek yang datang dalam acara Car Free Day dan memenuhi kriteria inklusi. Data yang dikumpulkan meliputi usia, jenis kelamin, riwayat hipertensi, dislipidemia, diabetes melitus, indeks massa tubuh (IMT), obesitas sentral, tingkat risiko OSA, dan fungsi kognitif global. Tingkat risiko OSA dinilai dengan menggunakan instrumen STOP-BANG Questionnaire dan fungsi kognitif global menggunakan instrumen Clock Drawing Test (CDT). Hasil penelitian menunjukkan terdapat perbedaan bermakna dalam hal frekuensi subjek dengan tingkat risiko tinggi OSA (p=0,042) dan subjek dengan diabetes melitus (p=0,04) antara kelompok subjek dengan status fungsi kognitif global normal dan menurun. Hasil penelitian juga menunjukkan bahwa hanya satu komponen sindroma metabolik, yaitu hipertensi yang berhubungan dengan tingkat risiko OSA (p<0,001), sedangkan diabetes melitus, obesitas sentral dan dislipidemia tidak. Dapat disimpulkan bahwa tingkat risiko OSA berhubungan dengan status fungsi kognitif global dan komponen sindroma metabolik yang berperan adalah diabetes melitus dan hipertensi.</p>

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STOP-BANG Questionnaire as a Screening Tool for Diagnosis of Obstructive Sleep Apnea by Unattended Portable Monitoring Sleep Study

Cited by 5 publications

References 12 publications

Incidence of Lingual Tonsil Hypertrophy in Adults with and without Obstructive Sleep Apnea

Incidence of Lingual Tonsil Hypertrophy in Adults with and without Obstructive Sleep Apnea

Obstructive Sleep Apnea Risk Level Affect Executive Function Rather than Attention

Hubungan Tingkat Risiko Obstructive Sleep Apnea dan Sindroma Metabolik dengan Fungsi Kognitif Global

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