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Enhanced STOP-Bang questionnaire[1-3]

Enhanced STOP-Bang questionnaire[1-3]
  Yes   No

Snoring?

Do you snore loudly (loud enough to be heard through closed doors, or your bed partner elbows you for snoring at night)?
  Yes   No

Tired?

Do you often feel tired, fatigued, or sleepy during the daytime (such as falling asleep during driving or talking to someone)?
  Yes   No

Observed?

Has anyone observed you stop breathing or choking/gasping during your sleep?
  Yes   No

Pressure?

Do you have or are being treated for high blood pressure?
  Yes   No

Body mass index more than 35 kg/m2?
  Yes   No

Age older than 50 years old?
  Yes   No

Neck size large? (measured around Adam's apple)

Is your shirt collar 16 inches or larger?
  Yes   No

Gender (biologic sex) = Male?
Scoring criteria:
Low risk of OSA: Yes to 0 to 2 questions
Intermediate risk of OSA: Yes to 3 to 4 questions
High risk of OSA: Yes to 5 to 8 questions
or Yes to 2 or more of 4 STOP questions + male gender (biologic sex)
or Yes to 2 or more of 4 STOP questions + BMI >35 kg/m2
or Yes to 2 or more of 4 STOP questions + neck circumference ≥ 16 inches/ 40 cm
This is an enhanced version of the STOP-Bang questionnaire. Patients who initially score at intermediate risk of OSA can be further stratified based on the specific STOP-Bang questions that are positive. Simpler STOP-Bang scoring is shown in the UpToDate graphic STOP-Bang questionnaire.
OSA: obstructive sleep apnea.
References:
  1. Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology 2008; 108:812.
  2. Chung F, Subramanyam R, Liao P, et al. High STOP-Bang score indicates a high probability of obstructive sleep apnoea. Br J Anaesth 2012; 108:768.
  3. Chung F, Abdullah HR, Liao P. STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea. Chest 2016; 149:631.
Graphic 117089 Version 4.0