Cutoff points in STOP-Bang questionnaire for obstructive sleep apnea
ABSTRACT Background: Obstructive Sleep Apnea Syndrome (OSAS) is a public health problem of high prevalence and impacts on quality of life, anesthetic complications and cardiovascular diseases. In view of the difficulty in accessing the polysomnography, it is necessary to validate other methods for...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/pdf/anp/v78n9/1678-4227-anp-78-09-561.pdf |
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| author | Jose Apolinário Silva NEVES JUNIOR Ana Paula Andrade FERNANDES Maria Angela TARDELLI Américo Massafuni YAMASHITA Sônia Maria Pereira Guimarães Togeiro MOURA Sérgio TUFIK Helga Cristina Almeida da SILVA |
| author_facet | Jose Apolinário Silva NEVES JUNIOR Ana Paula Andrade FERNANDES Maria Angela TARDELLI Américo Massafuni YAMASHITA Sônia Maria Pereira Guimarães Togeiro MOURA Sérgio TUFIK Helga Cristina Almeida da SILVA |
| author_sort | Jose Apolinário Silva NEVES JUNIOR |
| collection | DOAJ |
| description | ABSTRACT Background: Obstructive Sleep Apnea Syndrome (OSAS) is a public health problem of high prevalence and impacts on quality of life, anesthetic complications and cardiovascular diseases. In view of the difficulty in accessing the polysomnography, it is necessary to validate other methods for OSAS diagnostic screening in clinical practice in our country, such as the STOP-Bang questionnaire. Objective: To validate the STOP-Bang questionnaire in Brazilians and evaluate optimal cutoff points. Methods: After translation and back-translation, STOP-Bang questionnaire was applied to 71 individuals previously submitted to polysomnography and classified into control, mild, moderate or severe OSAS. Results: The majority of patients was male (59.2%), white (79%), aged 48.9±13.9 years, and with neck circumference >40 centimeters (73.8%). STOP-Bang score was higher in OSAS mild (median/inter-quartis 25-75%: 5/3.5-6), moderate (4.5/4-5) and severe (5/4-6), versus control (2.5/1-4). The receiver operating characteristic (ROC) curve indicate that scores 3, 4 and 6, present the best specificity values (100, 80 and 92.9%) with acceptable sensitivity (60, 66.7 and 50%) in the mild, moderate and severe OSAS subgroups, respectively. In OSAS group analysis (Apnea Hypopnea Index [AHI] ≥5, <15, ≥15 - <30, ≥30), STOP-Bang cutoff point of 6 was optimal to detect OSAS. Conclusion: STOP-Bang Brazilian version identified OSAS patients with lower sensitivity and higher specificity compared to previous studies. Different cutoff points would improve the performance to detect patients with more severe OSAS. |
| first_indexed | 2024-12-22T01:20:59Z |
| format | Article |
| id | doaj.art-1ea63dbd38bd434eba426a018f98ea70 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-12-22T01:20:59Z |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-1ea63dbd38bd434eba426a018f98ea702022-12-21T18:43:44ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422710.1590/0004-282x20200086Cutoff points in STOP-Bang questionnaire for obstructive sleep apneaJose Apolinário Silva NEVES JUNIORAna Paula Andrade FERNANDESMaria Angela TARDELLIAmérico Massafuni YAMASHITASônia Maria Pereira Guimarães Togeiro MOURASérgio TUFIKHelga Cristina Almeida da SILVAABSTRACT Background: Obstructive Sleep Apnea Syndrome (OSAS) is a public health problem of high prevalence and impacts on quality of life, anesthetic complications and cardiovascular diseases. In view of the difficulty in accessing the polysomnography, it is necessary to validate other methods for OSAS diagnostic screening in clinical practice in our country, such as the STOP-Bang questionnaire. Objective: To validate the STOP-Bang questionnaire in Brazilians and evaluate optimal cutoff points. Methods: After translation and back-translation, STOP-Bang questionnaire was applied to 71 individuals previously submitted to polysomnography and classified into control, mild, moderate or severe OSAS. Results: The majority of patients was male (59.2%), white (79%), aged 48.9±13.9 years, and with neck circumference >40 centimeters (73.8%). STOP-Bang score was higher in OSAS mild (median/inter-quartis 25-75%: 5/3.5-6), moderate (4.5/4-5) and severe (5/4-6), versus control (2.5/1-4). The receiver operating characteristic (ROC) curve indicate that scores 3, 4 and 6, present the best specificity values (100, 80 and 92.9%) with acceptable sensitivity (60, 66.7 and 50%) in the mild, moderate and severe OSAS subgroups, respectively. In OSAS group analysis (Apnea Hypopnea Index [AHI] ≥5, <15, ≥15 - <30, ≥30), STOP-Bang cutoff point of 6 was optimal to detect OSAS. Conclusion: STOP-Bang Brazilian version identified OSAS patients with lower sensitivity and higher specificity compared to previous studies. Different cutoff points would improve the performance to detect patients with more severe OSAS.http://www.scielo.br/pdf/anp/v78n9/1678-4227-anp-78-09-561.pdfObstructive Sleep ApneaPolysomnographySurveys and Questionnaires |
| spellingShingle | Jose Apolinário Silva NEVES JUNIOR Ana Paula Andrade FERNANDES Maria Angela TARDELLI Américo Massafuni YAMASHITA Sônia Maria Pereira Guimarães Togeiro MOURA Sérgio TUFIK Helga Cristina Almeida da SILVA Cutoff points in STOP-Bang questionnaire for obstructive sleep apnea Arquivos de Neuro-Psiquiatria Obstructive Sleep Apnea Polysomnography Surveys and Questionnaires |
| title | Cutoff points in STOP-Bang questionnaire for obstructive sleep apnea |
| title_full | Cutoff points in STOP-Bang questionnaire for obstructive sleep apnea |
| title_fullStr | Cutoff points in STOP-Bang questionnaire for obstructive sleep apnea |
| title_full_unstemmed | Cutoff points in STOP-Bang questionnaire for obstructive sleep apnea |
| title_short | Cutoff points in STOP-Bang questionnaire for obstructive sleep apnea |
| title_sort | cutoff points in stop bang questionnaire for obstructive sleep apnea |
| topic | Obstructive Sleep Apnea Polysomnography Surveys and Questionnaires |
| url | http://www.scielo.br/pdf/anp/v78n9/1678-4227-anp-78-09-561.pdf |
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