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STOP-Bang Score and Prediction of Severity of Obstructive Sleep Apnea in a First Nation Community in Saskatchewan, Canada.

Authors :
Dosman, James A.
Karunanayake, Chandima P.
Fenton, Mark
Ramsden, Vivian R.
Seeseequasis, Jeremy
Mike, Delano
Seesequasis, Warren
Neubuhr, Marie
Skomro, Robert
Kirychuk, Shelley
Rennie, Donna C.
McMullin, Kathleen
Russell, Brooke P.
Koehncke, Niels
Abonyi, Sylvia
King, Malcolm
Pahwa, Punam
Source :
Clocks & Sleep; Dec2022, Vol. 4 Issue 4, p535-548, 14p
Publication Year :
2022

Abstract

The STOP-Bang questionnaire is an easy-to-administer scoring model to screen and identify patients at high risk of obstructive sleep apnea (OSA). However, its diagnostic utility has never been tested with First Nation peoples. The objective was to determine the predictive parameters and the utility of the STOP-Bang questionnaire as an OSA screening tool in a First Nation community in Saskatchewan. The baseline survey of the First Nations Sleep Health Project (FNSHP) was completed between 2018 and 2019. Of the available 233 sleep apnea tests, 215 participants completed the STOP-Bang score questionnaire. A proportional odds ordinal logistic regression analysis was conducted using the total score of the STOP-Bang as the independent variable with equal weight given to each response. Predicted probabilities for each score at cut-off points of the Apnea Hypopnea Index (AHI) were calculated and plotted. To assess the performance of the STOP-Bang questionnaire, sensitivity, specificity, positive predictive values (PPVs), negative predictive values (NPVs), and area under the curve (AUC) were calculated. These data suggest that a STOP-Bang score ≥ 5 will allow healthcare professionals to identify individuals with an increased probability of moderate-to-severe OSA, with high specificity (93.7%) and NPV (91.8%). For the STOP-Bang score cut-off ≥ 3, the sensitivity was 53.1% for all OSA and 72.0% for moderate-to-severe OSA. For the STOP-Bang score cut-off ≥ 3, the specificity was 68.4% for all OSA and 62.6% for moderate-to-severe OSA. The STOP-Bang score was modestly superior to the symptom of loud snoring, or loud snoring plus obesity in this population. Analysis by sex suggested that a STOP-Bang score ≥ 5 was able to identify individuals with increased probability of moderate-to-severe OSA, for males with acceptable diagnostic test accuracy for detecting participants with OSA, but there was no diagnostic test accuracy for females. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
26245175
Volume :
4
Issue :
4
Database :
Complementary Index
Journal :
Clocks & Sleep
Publication Type :
Academic Journal
Accession number :
160957422
Full Text :
https://doi.org/10.3390/clockssleep4040042