Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in Brazil
ABSTRACT Objective: To validate the Portuguese-language version of the STOP-Bang (acronym for Snoring, Tiredness, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, and Gender) questionnaire, culturally adapted for use in Brazil, as a means of screening for obstructive s...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pneumologia e Tisiologia
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| Series: | Jornal Brasileiro de Pneumologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000600456&lng=en&tlng=en |
| _version_ | 1811204392008810496 |
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| author | Ricardo Luiz de Menezes Duarte Lorena Barbosa de Moraes Fonseca Flavio José Magalhães-da-Silveira Erika Aparecida da Silveira Marcelo Fouad Rabahi |
| author_facet | Ricardo Luiz de Menezes Duarte Lorena Barbosa de Moraes Fonseca Flavio José Magalhães-da-Silveira Erika Aparecida da Silveira Marcelo Fouad Rabahi |
| author_sort | Ricardo Luiz de Menezes Duarte |
| collection | DOAJ |
| description | ABSTRACT Objective: To validate the Portuguese-language version of the STOP-Bang (acronym for Snoring, Tiredness, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, and Gender) questionnaire, culturally adapted for use in Brazil, as a means of screening for obstructive sleep apnea (OSA) in adults. Methods: In this validation study, we enrolled patients ≥ 18 years of age, recruited between May of 2015 and November of 2016. All patients completed the STOP-Bang questionnaire and underwent overnight polysomnography. To evaluate the performance of the questionnaire, we used contingency tables and areas under the (receiver operating characteristic) curve (AUCs). Results: We included 456 patients. The mean age was 43.7 ± 12.5 years, and 291 (63.8%) of the patients were male. On the basis of the apnea-hypopnea index (AHI), we categorized OSA as mild/moderate/severe (any OSA; AHI ≥ 5 events/h), moderate/severe (AHI ≥ 15 events/h), or severe (AHI ≥ 30 events/h). The overall prevalence of OSA was 78.3%, compared with 52.0%, and 28.5% for moderate/severe and severe OSA, respectively. The most common score on the STOP-Bang questionnaire was 4 points (n = 106), followed by 3 points (n = 85) and 5 points (n = 82). An increase in the score was paralleled by a reduction in sensitivity with a corresponding increase in specificity for all AHI cut-off points. The AUCs obtained for the identification of any, moderate/severe, and severe OSA were: 0.743, 0.731, and 0.779, respectively. For any OSA, the score on the questionnaire (cut-off, ≥ 3 points) presented sensitivity, specificity, and accuracy of 83.5%, 45.5%, and 75.2%, respectively. Conclusions: The STOP-Bang questionnaire performed adequately for OSA screening, indicating that it could be used as an effective screening tool for the disorder. |
| first_indexed | 2024-04-12T03:12:29Z |
| format | Article |
| id | doaj.art-ab8aed68f5c2485a837a8aee712e4b49 |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-04-12T03:12:29Z |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-ab8aed68f5c2485a837a8aee712e4b492022-12-22T03:50:19ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-375643645646310.1590/s1806-37562017000000139S1806-37132017000600456Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in BrazilRicardo Luiz de Menezes DuarteLorena Barbosa de Moraes FonsecaFlavio José Magalhães-da-SilveiraErika Aparecida da SilveiraMarcelo Fouad RabahiABSTRACT Objective: To validate the Portuguese-language version of the STOP-Bang (acronym for Snoring, Tiredness, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, and Gender) questionnaire, culturally adapted for use in Brazil, as a means of screening for obstructive sleep apnea (OSA) in adults. Methods: In this validation study, we enrolled patients ≥ 18 years of age, recruited between May of 2015 and November of 2016. All patients completed the STOP-Bang questionnaire and underwent overnight polysomnography. To evaluate the performance of the questionnaire, we used contingency tables and areas under the (receiver operating characteristic) curve (AUCs). Results: We included 456 patients. The mean age was 43.7 ± 12.5 years, and 291 (63.8%) of the patients were male. On the basis of the apnea-hypopnea index (AHI), we categorized OSA as mild/moderate/severe (any OSA; AHI ≥ 5 events/h), moderate/severe (AHI ≥ 15 events/h), or severe (AHI ≥ 30 events/h). The overall prevalence of OSA was 78.3%, compared with 52.0%, and 28.5% for moderate/severe and severe OSA, respectively. The most common score on the STOP-Bang questionnaire was 4 points (n = 106), followed by 3 points (n = 85) and 5 points (n = 82). An increase in the score was paralleled by a reduction in sensitivity with a corresponding increase in specificity for all AHI cut-off points. The AUCs obtained for the identification of any, moderate/severe, and severe OSA were: 0.743, 0.731, and 0.779, respectively. For any OSA, the score on the questionnaire (cut-off, ≥ 3 points) presented sensitivity, specificity, and accuracy of 83.5%, 45.5%, and 75.2%, respectively. Conclusions: The STOP-Bang questionnaire performed adequately for OSA screening, indicating that it could be used as an effective screening tool for the disorder.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000600456&lng=en&tlng=enApneia obstrutiva do sono/diagnósticoPolissonografiaTécnicas e procedimentos diagnósticosInquéritos e questionários |
| spellingShingle | Ricardo Luiz de Menezes Duarte Lorena Barbosa de Moraes Fonseca Flavio José Magalhães-da-Silveira Erika Aparecida da Silveira Marcelo Fouad Rabahi Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in Brazil Jornal Brasileiro de Pneumologia Apneia obstrutiva do sono/diagnóstico Polissonografia Técnicas e procedimentos diagnósticos Inquéritos e questionários |
| title | Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in Brazil |
| title_full | Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in Brazil |
| title_fullStr | Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in Brazil |
| title_full_unstemmed | Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in Brazil |
| title_short | Validation of the STOP-Bang questionnaire as a means of screening for obstructive sleep apnea in adults in Brazil |
| title_sort | validation of the stop bang questionnaire as a means of screening for obstructive sleep apnea in adults in brazil |
| topic | Apneia obstrutiva do sono/diagnóstico Polissonografia Técnicas e procedimentos diagnósticos Inquéritos e questionários |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000600456&lng=en&tlng=en |
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