STOP-BANG Screening for OSA 

 

 

Screening Questions 

 

  • Snoring: loud snoring 

  • Tiredness: being tired, fatigued, or sleepy during daytime 

  • Observed Apneas: others have observed patient stop breathing during sleep  

  • Pressure: diagnosed with hypertension    

  • BMI: >35 

  • Age: >50 

  • Neck circumference: >40cm  

  • Gender: Male

 

 

How to Use

  • Scoring: 

    • ≥3: high risk of having OSA 

    • <3: low risk of having OSA  

  • Sensitivity for various AHI levels: 

    • AHI >15: 93% 

    • AHI >30: 100% 

  • Specificity 

    • AHA >15: 43% 

    • AHA >30: 37% 

 

Adapted from:

  • American Society of Anesthesia Guidelines 2014:  Anesthesiology. 2014 Feb;120(2):268-86.

  • The Canadian Anesthesia Society Guidelines 2010:  Can J Anaesth. 2010 Sep;57(9):849-64