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STOP-BANG: a method to detect obstructive sleep apnea and discriminate for severity in primary care
- Source :
- General practice and primary care.
- Publication Year :
- 2019
- Publisher :
- European Respiratory Society, 2019.
-
Abstract
- Introduction: A STOP-BANG questionnaire (SBQ) score of ≥3 may detect obstructive sleep apnea (OSA) but is not well studied in primary care (PC) Aims and Objectives: Assess the ability of SBQ to predict OSA severity in PC Methods: 30 to 70 year-olds attending any of 4 PC centres in a 22-month period were randomly selected. PC physician did the SBQ. A home respiratory polygraphy (HRP) was done when scores of ≥3 were found and an attended polysomnography (PSG) when apnea-hypopnea index (AHI) was Results: Of included patients (565), 38.2% had SBQ≥3. Of these, 93.1% were diagnosed with OSA (Figure 1). All cases with SBQ≥6 had an AHI≥5/h. SBQ discriminated patients with severe OSA (AHI≥30/h)(n=70, AUC=0.697, 95% CI:0.621-0.773): moderate in women (n=23, AUC=0.733, 95% CI:0.605-0.860) and lower in men (n=47, AUC=0.679, 95% CI:0.583-0.766). In these cases, SBQ≥5 in women had a sensitivity (Sn) of 52.2%, specificity (Sp) of 85.7%, positive likelihood ratio (LR+) of 3.65 and negative likelihood ratio (LR-) of 0.56; and SBQ≥6 in men gave Sn of 44.7%, Sp of 86.7%, LH+ of 3.35 and LH- of 0.64 Conclusions: SB≥3 may adequately screen for OSA in PC. Scores of SB≥5 in women and ≥6 in men could be good opportunistic predictors of severe OSA in PC.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
Primary care
Polysomnography
medicine.disease
Likelihood ratios in diagnostic testing
Respiratory polygraphy
Obstructive sleep apnea
03 medical and health sciences
0302 clinical medicine
030228 respiratory system
Internal medicine
Medicine
Stop bang
030212 general & internal medicine
business
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- General practice and primary care
- Accession number :
- edsair.doi...........457309572992332fc743d66270464f06