ArticleIrish journal of medical science2025
Validation of the STOP-bang tool and prevalence of undiagnosed obstructive sleep apnoea in an irish tertiary cardiology outpatient setting.
Article in Irish journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObstructive sleep apnoea (OSA) is prevalent among patients with cardiovascular disease and is associated with adverse outcomes. The STOP-Bang questionnaire is a validated screening tool for OSA.
aimsThis study aimed to estimate prevalence of undiagnosed OSA in a general cardiology outpatient population, and validate the tool by correlating results with sleep studies.
methodsSTOP-Bang analyses were conducted on 250 sequential patients in a general cardiology clinic, with informed consent for sleep studies. 50 patients were selected from for sleep studies.
resultsAmong the 245 eligible participants, 118 (48.1%) were classified as high risk for moderate-severe OSA. Of patients deemed "high-risk" on the questionnaire (score ≥ 3), this score had a sensitivity of 68% and a specificity of 80%, a positive predictive value (PPV) of 77.3% and a negative predictive value (NPV) of 71.4% for detecting moderate to severe OSA (Apnoea Hypoxia Index (AHI) ≥ 15). A STOP-Bang score of ≥ 5 was identified as the optimal cut-off for detecting moderate to severe OSA in this population, providing a favourable balance of high specificity (92.9%) and PPV (88.9%), while maintaining reasonable sensitivity (72.7%). The area under the receiver operating characteristic (ROC) curve for predicting AHI was 0.79 (95% confidence interval [CI] 0.62-0.92).
conclusionsThis study highlights the significant prevalence of undiagnosed OSA within the general cardiology population, emphasising the need for efficient and reliable screening methods. The STOP-Bang questionnaire cut off of ≥ 5 is a useful screening tool with high specificity for OSA. Routine screening of all referrals to cardiology clinics would dramatically reduce the rates of undiagnosed OSA and improve mortality.
Indexed as
Identifiers
41114926What OpenQuestion holds
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.