Evidence map›Paper›PMID 22401881›Full record

ArticleBritish journal of anaesthesia2012

High STOP-Bang score indicates a high probability of obstructive sleep apnoea.

F Chung, R Subramanyam, P Liao, E Sasaki, C Shapiro, Y Sun

8 registry-linked trialsAbstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in British journal of anaesthesia, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 339 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
339citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02056678 phase4withdrawnnot on this mapstarted 2014, after this paper: background citation

Use of IV Acetaminophen Intraoperatively in Obese Patients at Risk for Obstructive Sleep Apnea Undergoing Laparoscopic Cholecystectomy

TypeinterventionalSponsorThe University of Texas Health Science Center at San AntonioRan2014 to 2014Enrolled0ConditionsCholecystitis, Cholelithiasis, Obstructive Sleep ApneaArmsacetaminophen, IV preparation
NCT02544373 nacompletednot on this mapstarted 2015, after this paper: background citation

A Randomized Trial of Positive Airway Pressure Therapy to Treat Cognitive Dysfunction in MS Patients With Obstructive Sleep Apnea

TypeinterventionalSponsorUniversity of MichiganRan2015 to 2021Enrolled135ConditionsMultiple SclerosisArmsPAP therapy
NCT02717585 nawithdrawnnot on this mapstarted 2018, after this paper: background citation

Effect of Continuous Positive Airway Pressure (CPAP) on Symptoms of Patients With Fibromyalgia Syndrome and Obstructive Sleep Apnea (OSA): A Prospective Randomized Controlled Clinical Trial

TypeinterventionalSponsorWomen's College HospitalRan2018 to 2020Enrolled0ConditionsFibromyalgia, Obstructive Sleep ApneaArmsContinuous Positive Airway Pressure Therapy (CPAP)
NCT02833662 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Evolution of the Severity of Obstructive Sleep Apnea and Consequences on Cardiac Rhythm Abnormalities After Surgery Under General Anesthesia

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2015 to 2017Enrolled120ConditionsObstructive Sleep Apnea, ArrhythmiaArmsMeasure of ODI and heart rhythm
NCT03074747 unknown statusnot on this mapstarted 2017, after this paper: background citation

The Comparison of Different Questionnaires for Preoperative Screening and Perioperative Risk Prediction in Obstructive Sleep Apnea Patients in China

TypeobservationalSponsorBeijing Tongren HospitalRan2017 to 2018Enrolled1,200ConditionsOrganic Obstructive Sleep Apnea (Diagnosis), Questionnaire, Chiari MalformationArmsquestionnaires
NCT03602378 unknown statusnot on this mapstarted 2018, after this paper: background citation

Quality of Life and Stress in Parents of Children With Developmental Disabilities and Chronic Disease

TypeobservationalSponsorUniversity of Split, School of MedicineRan2018 to 2021Enrolled592ConditionsDevelopmental Disability, Chronic Disease, Down Syndrome, Autism Spectrum DisorderArmssalivary cortisol, Holter Medilog AR12 Plus, Polar V800, AGE reader
NCT04020991 completednot on this mapstarted 2018, after this paper: background citation

Sleepiness and Tiredness Among Doctors Working In A Tertiary Hospital: Is it Work Related or Is There Underlying Sleep Disorders

TypeobservationalSponsorUniversity of MalayaRan2018 to 2019Enrolled203ConditionsObstructive Sleep ApneaArmsSleep Study
NCT04289597 completednot on this mapstarted 2020, after this paper: background citation

Evaluation of Difficult Airway in Obese Patients With Ultrasonography

TypeobservationalSponsorEskisehir Osmangazi UniversityRan2020 to 2022Enrolled128ConditionsDifficult Intubation, ObesityArmsDistance between hyoid bone-skin (DSHB), Vocal cord anterior commissura-skin distance (DSAC), minimum distance of the trachea to the skin at the level of suprasternal notch, Thyroid isthmus-skin distance (DSI), Skin-epiglottic distance (DSE)
3 · Its place in the literature

Who cites it

339 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Cannabidiol for moderate-severe insomnia: a randomized controlled pilot trial of 150 mg of nightly dosing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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  10. Effect of mandibular advancement device on plasticity in corticomotor control of tongue and jaw muscles.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
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  11. Validation of the Withings Sleep Analyzer, an under-the-mattress device for the detection of moderate-severe sleep apnea syndrome.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
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  18. Prehabilitation for Aesthetic Surgery: An Evidence-based Guide.Plastic and reconstructive surgery. Global open · 2026
    Article
  19. Article
  20. Article

279 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

F ChungDepartment of Anaesthesia, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, Toronto, ON, Canada M5T 2S8. frances.chung@uhn.ca
R Subramanyam
P Liao
E Sasaki
C Shapiro
Y Sun

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe STOP-Bang questionnaire is used to screen patients for obstructive sleep apnoea (OSA). We evaluated the association between STOP-Bang scores and the probability of OSA.

methodsAfter Institutional Review Board approval, patients who visited the preoperative clinics for a scheduled inpatient surgery were approached for informed consent. Patients answered STOP questionnaire and underwent either laboratory or portable polysomnography (PSG). PSG recordings were scored manually. The BMI, age, neck circumference, and gender (Bang) were documented. Over 4 yr, 6369 patients were approached and 1312 (20.6%) consented. Of them, 930 completed PSG, and 746 patients with complete data on PSG and STOP-Bang questionnaire were included for data analysis.

resultsThe median age of 746 patients was 60 yr, 49% males, BMI 30 kg m(-2), and neck circumference 39 cm. OSA was present in 68.4% with 29.9% mild, 20.5% moderate, and 18.0% severe OSA. For a STOP-Bang score of 5, the odds ratio (OR) for moderate/severe and severe OSA was 4.8 and 10.4, respectively. For STOP-Bang 6, the OR for moderate/severe and severe OSA was 6.3 and 11.6, respectively. For STOP-Bang 7 and 8, the OR for moderate/severe and severe OSA was 6.9 and 14.9, respectively. The predicted probabilities for moderate/severe OSA increased from 0.36 to 0.60 as the STOP-Bang score increased from 3 to 7 and 8.

conclusionsIn the surgical population, a STOP-Bang score of 5-8 identified patients with high probability of moderate/severe OSA. The STOP-Bang score can help the healthcare team to stratify patients for unrecognized OSA, practice perioperative precautions, or triage patients for diagnosis and treatment.

Indexed as

Severity of Illness IndexAgedBody Mass IndexFemaleHumansMaleMass ScreeningMiddle AgedNeckPolysomnographyPredictive Value of TestsProspective StudiesSleep Apnea, Obstructive

Identifiers

PMID22401881
PMCPMC3325050

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

and 2 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.