Stop-bang questionnaire: Practical approach to diagnosis of obstructive sleep apnea in roncopathic subjects

Giulio Filograna Pignatelli; Laith Khasawneh; Annasara Sorrentino; Alessandro Pacella; Andrea De Vito; Giampiero Neri; Giulio Filograna Pignatelli; Laith Khasawneh; Annasara Sorrentino; Alessandro Pacella; Andrea De Vito; Giampiero Neri

doi:10.3934/medsci.2020009

AIMS Medical Science

2020, Volume 7, Issue 3: 93-105. doi: 10.3934/medsci.2020009

Previous Article Next Article

Research article

Stop-bang questionnaire: Practical approach to diagnosis of obstructive sleep apnea in roncopathic subjects

Running title: Practical approach to diagnosis of obstructive sleep apnea in roncopathic subjects

1.
Department of Medical, Oral, and Biotechnological Sciences, University G. d'Annunzio of Chieti-Pescara, Italy
2.
Department of Surgery, Faculty of Medicine, The Hashemite University, Zarqa 13133, Jordan
3.
Department of Neurosciences Imaging and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Italy
4.
Head and Neck Department of Health Service of Romagna, ENT Unit Ravenna, Italy
5.
Department of Hygiene and Public Health of Health Service of Romagna, Public Hygiene Service of Ravenna, Italy

Received: 04 April 2020 Accepted: 21 July 2020 Published: 31 July 2020

A correlation was established between snoring and obstructive sleep apnea syndrome (OSAS). Although this association is highly prevalent in the general population, OSAS remains largely undiagnosed. The STOP-BANG Questionnaire (SBQ) consists of simple questions with dichotomous answers (yes/no). It is utilized for the preoperative clinical assessment of anesthesiological risk in patients with suspected OSAS, and positive response to ≥3 questions reinforces the diagnostic suspicion. The SBQ survey during an ENT visit in a patient with a rupture may be a reliable, fast, concise, and easy-to-use screening tool to diagnose OSAS. The present study aimed to evaluate the predictability of SBQ during an ENT visit and compare it with the apnea-hypopnea index (AHI) in patients undergoing nocturnal cardiorespiratory monitoring, a gold standard for the diagnosis of OSAS. A population of roncopathic subjects was evaluated using SBQ, ENT assessment, and night-time cardiorespiratory monitoring. SBQ was administered by the ENT specialist during the first visit in the presence of the bed partner. A total of 98 snoring subjects were evaluated. A significant linear correlation was established between AHI and the number of positive responses to SBQ. The present study demonstrated that SBQ can be employed for the diagnosis of OSAS in roncopathic population. Also, a linear correlation was found between the SBQ score and the OSAS grade based on the AHI. The SBQ administered by the ENT specialist is a rapid and reliable screening tool, capable of reducing the national health costs through early and targeted diagnosis.
- OSAS,
- STOP BANG,
- roncopathy,
- sleep apnea screening,
- snoring,
- cardiorespiratory monitoring,
- sleep apnea diagnosis
Citation: Giulio Filograna Pignatelli, Laith Khasawneh, Annasara Sorrentino, Alessandro Pacella, Andrea De Vito, Giampiero Neri. Stop-bang questionnaire: Practical approach to diagnosis of obstructive sleep apnea in roncopathic subjects[J]. AIMS Medical Science, 2020, 7(3): 93-105. doi: 10.3934/medsci.2020009

Related Papers:

Abstract

A correlation was established between snoring and obstructive sleep apnea syndrome (OSAS). Although this association is highly prevalent in the general population, OSAS remains largely undiagnosed. The STOP-BANG Questionnaire (SBQ) consists of simple questions with dichotomous answers (yes/no). It is utilized for the preoperative clinical assessment of anesthesiological risk in patients with suspected OSAS, and positive response to ≥3 questions reinforces the diagnostic suspicion. The SBQ survey during an ENT visit in a patient with a rupture may be a reliable, fast, concise, and easy-to-use screening tool to diagnose OSAS. The present study aimed to evaluate the predictability of SBQ during an ENT visit and compare it with the apnea-hypopnea index (AHI) in patients undergoing nocturnal cardiorespiratory monitoring, a gold standard for the diagnosis of OSAS. A population of roncopathic subjects was evaluated using SBQ, ENT assessment, and night-time cardiorespiratory monitoring. SBQ was administered by the ENT specialist during the first visit in the presence of the bed partner. A total of 98 snoring subjects were evaluated. A significant linear correlation was established between AHI and the number of positive responses to SBQ. The present study demonstrated that SBQ can be employed for the diagnosis of OSAS in roncopathic population. Also, a linear correlation was found between the SBQ score and the OSAS grade based on the AHI. The SBQ administered by the ENT specialist is a rapid and reliable screening tool, capable of reducing the national health costs through early and targeted diagnosis.

Acknowledgments

I thank those who collaborated in the realization of this work, with compliance and dedication despite the continuous commitment in clinical practice. Special thanks to Giampiero Neri, associate professor of the Department of Neuroscience and Immaging of the University of G. d'Annunzio Chieti-Pescara, for the dedication and continuous commitment, for the passion for study and research that he managed to transmit to younger colleagues, an example for the next generations.

Conflict of interest

All authors declare no conflicts of interest in this paper.

References

[1]	Quan SF, Gillin JC, Littner MR, et al. (1999) Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep 22: 662-689. doi: 10.1093/sleep/22.5.662
[2]	(2005) American Academy of Sleep MedicineThe International Classification of Sleep Disorders. Diagnostic and coding Manual. Westchester: Illinois.
[3]	Garbarino S, Nobili L, Beelke M, et al. (2001) The contributing role of sleepiness in highway vehicle accidents. Sleep 24: 201-206. doi: 10.1093/sleep/24.2.201
[4]	Thorpy MJ, Chesson A, Derderian S, et al. (1995) Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep 18: 511-513. doi: 10.1093/sleep/18.6.511
[5]	Young T, Palta M, Dempsey J, et al. (1993) The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328: 1230-1235. doi: 10.1056/NEJM199304293281704
[6]	Young T, Peppard PE, Gottlieb DJ (2002) Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 165: 1217-1239. doi: 10.1164/rccm.2109080
[7]	Naufel MF, Frange C, Andersen ML, et al. (2018) Association between obesity and sleep disorders in postmenopausal women. Menopause 25: 139-144. doi: 10.1097/GME.0000000000000962
[8]	Sharma B, Feinsilver S, Owens RL, et al. (2011) Obstructive airway disease and obstructive sleep apnea: effect of pulmonary function. Lung 189: 37-41. doi: 10.1007/s00408-010-9270-3
[9]	Scoring EA (1992) EEG arousals: scoring rules and examples: a preliminary report from the sleep disorders atlas task force of the American Sleep Disorders Association. Sleep 15: 173-184. doi: 10.1093/sleep/15.2.173
[10]	AIPO-AIMS joint commission (2001) Guidelines for diagnostic procedure in obstructive sleep apnea syndrome in adult sleep. Rev Pathol Resp Sys 16: 278-280.
[11]	Chung F, Abdullah HR, Liao P (2016) STOP-Bang questionnaire: a practical approach to screen for obstructive sleep apnea. Chest 149: 631-638. doi: 10.1378/chest.15-0903
[12]	Philip P, Akerstedt T (2006) Transport and industrial safety, how are they affected by sleepiness and sleep restriction? Sleep Med Rev 10: 347-356. doi: 10.1016/j.smrv.2006.04.002
[13]	Haraldsson PO, Carenfelt C, Lysdhal M, et al. (1995) Long term effect of uvopalatophargoplasty on driving performance. Arch Otolaryngol Head Neck Surg 121: 90-94. doi: 10.1001/archotol.1995.01890010070012
[14]	Enzi G, Baggio B, Vianello A, et al. (1990) Respiratory disturbances in visceral obesity. Int J Obesity 14: 26.
[15]	Chung F, Ward B, Ho J, et al. (2007) Preoperative identification of sleep apnea risk in elective surgical patients, using the Berlin questionnaire. J Clin Anesth 19: 130-134. doi: 10.1016/j.jclinane.2006.08.006
[16]	Abrishami A, Khajehdehi A, Chung F (2010) A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth 57: 423-438. doi: 10.1007/s12630-010-9280-x
[17]	Carter N, Ulfberg J, Nystom B, et al. (2003) Sleep debt, sleepiness and accidents among males in the general population and male professional drivers, accident analysis and prevention. Accid Anal Prev 35: 613-617. doi: 10.1016/S0001-4575(02)00033-7
[18]	Vasu TS, Doghramji K, Cavallazzi R, et al. (2010) Obstructive sleep apnea syndrome and postoperative complications: clinical use of the stop-bang questionnaire. Arch Otolaryngol Head Neck Surg 136: 1020-1024. doi: 10.1001/archoto.2010.1020
[19]	Grote L, Hedner J, Peter JH (2000) Sleep-related breathing disorder is an independent risk factor for systemic hypertension. J Hypertens 18: 679-685. doi: 10.1097/00004872-200018060-00004
[20]	Becker HF, Jerrentrup A, Ploch T, et al. (2003) Effect of nasal continuous positive airway pressure on patients with obstructive sleep apnea. Circulation 107: 68-73. doi: 10.1161/01.CIR.0000042706.47107.7A
[21]	Horstmann S, Hess CW, Bassetti C, et al. (2000) Sleepiness-related accidents in sleep apnea patients. Sleep 23: 1-7. doi: 10.1093/sleep/23.3.1e
[22]	Philip P (2005) Sleepiness of occupational drivers. Ind Health 43: 30-33. doi: 10.2486/indhealth.43.30
[23]	Tera-Santos J, Jimenez-Gomez A, Cordero-Guevara J (1999) The association between sleep apnea and risk of traffic accidents. Cooperative Group Burgos-Santander. N Engl J Med 340: 847-851. doi: 10.1056/NEJM199903183401104
[24]	Insalaco G, Sanna A, Fanfulla F, et al. (2005) Treatment with positive pressure airway dysfunction: recommendations for the prescription in the adult subject affected by the obstructive sleep apnea syndrome. Rev Pathol Resp Tract 20: 60-63.
[25]	Mason M, Welsh EJ, Smith I (2013) Drug therapy for obstructive sleep apnea in adults. Cochrane Database Syst Rev CD003002.

Reader Comments

Your name:*

Email:*
© 2020 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)