STOP-Bang Questionnaire

Q: Which of the following is NOT part of the STOP-Bang Questionnaire?

A) Bed partner elbowing for snoring

B) Daytime tiredness or sleepiness 

C) Hypertension

D) Shirt collar size 16 inches or larger

E) Age older than 30 years

Answer: E

STOP-Bang questionnaire is designed to assess the risk of Obstructive Sleep Apnea (OSA)

It consists of eight yes-or-no questions.

1. Do you Snore loudly (loud enough to be heard through closed doors, or your bed partner elbows you for snoring at night)
2. Do you often feel Tired, fatigued, or sleepy during the daytime (such as falling asleep during driving or talking to someone)?
3. Has anyone Observed you stop breathing or choking/gasping during sleep?
4. Do you have or are you being treated for high Blood Pressure?
5. Body mass index more than 35 kg/m2?
6. Are you older than 50 years old?
7. Neck size large? (measured around Adam's apple)  - shirt collar 16 inches or larger?
8. Gender (biological sex) = Male?

Scoring criteria:

Low risk of OSA: Yes to 0 to 2 questions

Intermediate risk of OSA: Yes to 3 to 4 questions

High risk of OSA: 

• Yes to 5 to 8 questions
• Yes to 2 or more of 4 STOP questions + male gender (biological sex)
• Yes to 2 or more of 4 STOP questions + BMI >35 kg/m2
• Yes to 2 or more of 4 STOP questions + neck circumference ≥ 16 inches/ 40 cm

#pulmonary

#ENT

References:

1. Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology 2008; 108:812.

2. Chung F, Subramanyam R, Liao P, et al. High STOP-Bang score indicates a high probability of obstructive sleep apnoea. Br J Anaesth 2012; 108:768.

3. Chung F, Abdullah HR, Liao P. STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea. Chest 2016; 149:631.