Evidence map›Paper›PMID 27898430›Full record

ReviewCurrent opinion in anaesthesiology2017

An update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine.

Mahesh Nagappa, Jean Wong, Mandeep Singh, David T Wong, Frances Chung

4 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in Current opinion in anaesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.3field-weighted citation impact, top 4% of its field
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.

NCT06003218 nacompletednot on this mapstarted 2023, after this paper: background citation

Dexmedetomidine-esketamine Combined With Oxycodone for Ultrasound-guided Percutaneous Radiofrequency Ablation in Patients With Liver Cancer: a Randomized Controlled Study

TypeinterventionalSponsorPeking University First HospitalRan2023 to 2024Enrolled88ConditionsLiver Cancer, Radiofrequency Ablation, Esketamine, DexmedetomidineArmsDexmedetomidine-esketamine combination, Remifentanil, Oxycodone
NCT06062550 phase4active not recruitingnot on this mapstarted 2023, after this paper: background citation

Efficacy of Different Dose Esketamine and Dexmedetomidine Combination for Supplemental Analgesia After Scoliosis Correction Surgery: A Randomized, Double-blind Trial

TypeinterventionalSponsorPeking University First HospitalRan2023 to 2026Enrolled312ConditionsScoliosis Correction, Esketamine, Dexmedetomidine, Postoperative AnalgesiaArmsEsketamine
NCT06087510 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Impact of Different Dose Esketamine and Dexmedetomidine Combination for Supplemental Analgesia on Long-term Outcomes After Scoliosis Correction Surgery: Follow-up of a Randomized Trial

TypeinterventionalSponsorPeking University First HospitalRan2024 to 2026Enrolled312ConditionsScoliosis Correction, Postoperative Analgesia, Esketamine, DexmedetomidineArmsEsketamine
NCT06566482 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Mini-dose Dexmedetomidine-Esketamine Supplemented Analgesia for Postoperative Sleep Promotion in Patients at High-risk of Obstructive Sleep Apnea: A Randomized Trial

TypeinterventionalSponsorPeking University First HospitalRan2024 to 2025Enrolled100ConditionsObstructive Sleep Apnea, Surgery, Dexmedetomidine, EsketamineArmsDexmedetomidine-esketamine combination, Placebo
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 64 citations in OpenAlex.

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  12. Effect of arterial blood bicarbonate (HCOBMC pulmonary medicine · 2021
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  15. Observational
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  19. Are the Epworth Sleepiness Scale and Stop-Bang model effective at predicting the severity of obstructive sleep apnoea (OSA); in particular OSA requiring treatment?European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Mahesh NagappaaDepartment of Anesthesiology and Perioperative Medicine, University Hospital, Victoria Hospital and St. Joseph's Hospital, London Health Sciences and St. Joseph's Healthcare, Western University, London bDepartment of Anesthesiology cDepartment of Anesthesia, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Jean Wong
Mandeep Singh
David T Wong
Frances Chung
Creative Commons · USSt. Joseph's Hospital · USUniversity Health Network · CAVictoria Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe present review aims to provide an update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine. RECENT

findingsThe STOP-Bang questionnaire was originally validated as a screening tool to identify surgical patients who are at high-risk of obstructive sleep apnea (OSA). A recent meta-analysis confirmed that STOP-Bang is validated for use in the sleep clinic, surgical, and general population. Patients with a STOP-Bang score of 0--2 can be classified as low-risk for moderate-to-severe OSA. Those with a score of 5--8 can be classified as high-risk for moderate-to-severe OSA. In patients with a score of 3 or 4, a specific combination of a STOP score at least 2 + BMI more than 35 kg/m or STOP score at least 2 + male or STOP score at least 2 + neck circumference more than 40 cm indicates higher risk for moderate-to-severe OSA. Further, patients with a STOP-Bang score at least 3 can be classified as high risk for moderate-to-severe OSA if the serum HCO3 at least 28 mmol/l. STOP-Bang can be used as a novel tool for perioperative risk stratification because it easily identifies patients who are at increased risk of perioperative complications. SUMMARY: STOP-Bang at least 3 was recommended previously to identify the suspected or undiagnosed OSA. To reduce the false positive cases and to improve its specificity, a stepwise stratification is recommended to identify the patients at high risk of moderate-to-severe OSA. Because of its practical application, STOP-Bang is a useful screening tool for patients with suspected or undiagnosed OSA.

Indexed as

AnesthesiologyBicarbonatesHumansPerioperative CarePostoperative ComplicationsPrevalenceRisk AssessmentSensitivity and SpecificitySleep Apnea, ObstructiveSurgical Procedures, OperativeSurveys and QuestionnairesTime FactorsTriageBicarbonates

Identifiers

PMID27898430
PMCPMC5214142
OpenAlexW2552320614

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.