Validity of Modified STOP-Bang Questionnaire as a Screening Tool for Obstructive Sleep Apnea.

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY Annals of Otology Rhinology and Laryngology Pub Date : 2024-06-01 Epub Date: 2024-02-22 DOI:10.1177/00034894241234156

Min-Ki Lee, Ji Ho Choi, Jae Yong Lee

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Abstract

Objectives: The aim of this study was to evaluate the validity of a modified STOP-Bang questionnaire with different body mass index reference as a screening tool for obstructive sleep apnea in Korean population.

Methods: The medical records of 1417 participants who underwent overnight Level I polysomnography were retrospectively analyzed. Predictive parameters were calculated for each of the 3 groups classified by obstructive sleep apnea severity with a cut-off value of 3 or 4. Responses to modified and traditional questionnaires were comparatively analyzed by receiver-operator characteristic curves and area under the receiver-operator characteristic curves.

Results: The optimal cut-off values of the modified and traditional questionnaires were both 3.5. The area under the receiver-operator characteristic curve of modified STOP-Bang questionnaire for any obstructive sleep apnea group was 0.786 ± 0.018, which was significantly higher than that of the traditional questionnaire. The modified STOP-Bang questionnaire with a cut-off value ≥4 showed significantly higher sensitivity than the traditional one for any obstructive sleep apnea group. The diagnostic accuracy of the modified questionnaire was also significantly higher for the any obstructive sleep apnea group when the cut-off value was 4.

Conclusion: The modified STOP-Bang questionnaire, with a cut-off value of 4, can be used as an alternative to the traditional screening tool for the Korean population.

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改良版 STOP-Bang 问卷作为阻塞性睡眠呼吸暂停筛查工具的有效性。

研究目的本研究旨在评估采用不同体重指数参考值的改良版 STOP-Bang 问卷作为韩国人群阻塞性睡眠呼吸暂停筛查工具的有效性：方法：对 1417 名接受过夜间 I 级多导睡眠图检查的参与者的病历进行了回顾性分析。根据阻塞性睡眠呼吸暂停的严重程度，以 3 或 4 为临界值，分别计算了 3 个组别中每个组别的预测参数。通过接收器-操作者特征曲线和接收器-操作者特征曲线下面积对改良问卷和传统问卷的反应进行了比较分析：结果：改良问卷和传统问卷的最佳截断值均为 3.5。任何阻塞性睡眠呼吸暂停组的改良 STOP-Bang 问卷接收器-操作者特征曲线下面积为 0.786 ± 0.018，明显高于传统问卷。对于任何阻塞性睡眠呼吸暂停组，截断值≥4 的改良 STOP-Bang 问卷的灵敏度明显高于传统问卷。当截断值为 4 时，改良问卷对任何阻塞性睡眠呼吸暂停组的诊断准确性也明显更高：结论：在韩国人群中，截止值为 4 的改良版 STOP-Bang 问卷可作为传统筛查工具的替代工具。

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来源期刊

Annals of Otology Rhinology and Laryngology 医学-耳鼻喉科学

CiteScore

3.10

自引率

7.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.