Validation of the STOP-Bang Questionnaire: an Obstructive Sleep Apnoea Screening Tool in Turkish Population

Acar, H. Volkan; Kaya, Abdulaziz; Yücel, Fatih; Erdem, Murat; Günal, Solmaz; Özgen, Fuat; Dikmen, Bayazıt

doi:10.5152/tjar.2013.46

Cited by 27 publications

(36 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…BMI, age (>50 years old), neck circumference, and gender score have very high PPV for OSA (nearly 100% at AHI > 5). Specificity was found lower as in Acar et al study [19].…”

Section: Discussionmentioning

confidence: 53%

The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

Mergen

Altındağ

Uçar

et al. 2019

Cureus

View full text Add to dashboard Cite

Background The prevalence of obstructive sleep apnea (OSA) is high in the obese population. In this study, it was aimed to fulfill the STOP-Bang questionnaire which is a concise and easy-to-use questionnaire for OSA screening in obese patients. Materials & methods This is a retrospective study where the patients, who planned polysomnography, were referred to sleep clinic. Patients were screened for OSA by the STOP-Bang questionnaire. Laboratory polysomnography was performed in 275 patients. Patients with BMI ≥ 30 were taken into study. The screening test was evaluated by three different risk analysis such as, a STOP score, a STOP-Bang score and a modified STOP-Bang score. The predictive parameters (sensitivity, specificity, and positive and negative predictive values) for alternative scoring models in obese patients were analyzed. Results In 217 obese patients, a STOP score cutoff of 3 and a STOP-Bang score cutoff of 4 provides a better balance of sensitivity and specificity for all OSA (apnea-hypopnea index [AHI] ≥ 5). The STOP questionnaire revealed a sensitivity of 87.9% and a positive predictive value of 99.5% for patients with all OSA (p: 0.005). The STOP-Bang scoring model revealed a sensitivity of 95.3% and a positive predictive value of 99.5% for patients with all OSA (p < 0.001). The modified STOP-Bang scoring revealed a sensitivity of 95.8% and a positive predictive value of 99.5% for patients with all OSA (p < 0.001). The area under the curve of the STOP-Bang for identifying mild, moderate and severe OSA was 0.581, 0.652 and 0.675, respectively. Whereas according to the STOP-Bang, all morbid obese patients (obesity class III, n: 47) were at high risk of OSA. Conclusion This study suggests that the STOP-Bang questionnaire for obstructive sleep apnea screening in obese patients is a high sensitivity and appropriate screening test.

show abstract

“…BMI, age (>50 years old), neck circumference, and gender score have very high PPV for OSA (nearly 100% at AHI > 5). Specificity was found lower as in Acar et al study [19].…”

Section: Discussionmentioning

confidence: 53%

The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

Mergen

Altındağ

Uçar

et al. 2019

Cureus

View full text Add to dashboard Cite

show abstract

“…The other limitation is that a non-English study was excluded even though it showed high sensitivity for the STOP-Bang questionnaire. [ 40 ] There is significant correlation between sensitivity and specificity with clinical screening tools, and our statistical approach does not account for overestimation of overall diagnostic test accuracy related to interpretation of each measure individually. More advanced methods utilizing bivariate or Bayesian frameworks may be necessary to address this limitation.…”

Section: Discussionmentioning

confidence: 99%

Validation of the STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea among Different Populations: A Systematic Review and Meta-Analysis

et al. 2015

View full text Add to dashboard Cite

BackgroundDiagnosing obstructive sleep apnea (OSA) is clinically relevant because untreated OSA has been associated with increased morbidity and mortality. The STOP-Bang questionnaire is a validated screening tool for OSA. We conducted a systematic review and meta-analysis to determine the effectiveness of STOP-Bang for screening patients suspected of having OSA and to predict its accuracy in determining the severity of OSA in the different populations.MethodsA search of the literature databases was performed. Inclusion criteria were: 1) Studies that used STOP-Bang questionnaire as a screening tool for OSA in adult subjects (>18 years); 2) The accuracy of the STOP-Bang questionnaire was validated by polysomnography—the gold standard for diagnosing OSA; 3) OSA was clearly defined as apnea/hypopnea index (AHI) or respiratory disturbance index (RDI) ≥ 5; 4) Publications in the English language. The quality of the studies were explicitly described and coded according to the Cochrane Methods group on the screening and diagnostic tests.ResultsSeventeen studies including 9,206 patients met criteria for the systematic review. In the sleep clinic population, the sensitivity was 90%, 94% and 96% to detect any OSA (AHI ≥ 5), moderate-to-severe OSA (AHI ≥15), and severe OSA (AHI ≥30) respectively. The corresponding NPV was 46%, 75% and 90%. A similar trend was found in the surgical population. In the sleep clinic population, the probability of severe OSA with a STOP-Bang score of 3 was 25%. With a stepwise increase of the STOP-Bang score to 4, 5, 6 and 7/8, the probability rose proportionally to 35%, 45%, 55% and 75%, respectively. In the surgical population, the probability of severe OSA with a STOP-Bang score of 3 was 15%. With a stepwise increase of the STOP-Bang score to 4, 5, 6 and 7/8, the probability increased to 25%, 35%, 45% and 65%, respectively.ConclusionThis meta-analysis confirms the high performance of the STOP-Bang questionnaire in the sleep clinic and surgical population for screening of OSA. The higher the STOP-Bang score, the greater is the probability of moderate-to-severe OSA.

show abstract

“…The positive predictive values were found to be 66·3% for the STOP‐BANG questionnaire (Acar et al . ,b). For the Berlin questionnaire, the study sensitivity, specificity and positive predictive values were found to be 87·9, 15·6 and 68·2% respectively (Acar et al .…”

Section: The Studymentioning

confidence: 99%

Is there a difference between the STOP‐BANG and the Berlin Obstructive Sleep Apnoea Syndrome questionnaires for determining respiratory complications during the perioperative period?

Gokay

Taştan

Orhan

2016

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

Validation of the STOP-Bang Questionnaire: an Obstructive Sleep Apnoea Screening Tool in Turkish Population

Cited by 27 publications

References 13 publications

The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

The Predictive Performance of the STOP-Bang Questionnaire in Obstructive Sleep Apnea Screening of Obese Population at Sleep Clinical Setting

Validation of the STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea among Different Populations: A Systematic Review and Meta-Analysis

Is there a difference between the STOP‐BANG and the Berlin Obstructive Sleep Apnoea Syndrome questionnaires for determining respiratory complications during the perioperative period?

Contact Info

Product

Resources

About