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STOP-BANG Score for Sleep Apnea
A screening tool for identifying patients at risk for Obstructive Sleep Apnea (OSA).
This calculator is a support tool intended exclusively for health professionals. It does not replace clinical judgment. The final decision regarding diagnosis and treatment is the sole responsibility of the professional.
Patient Data
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About this Calculator 💡
The STOP-BANG questionnaire is a widely used, simple, and mnemonic screening tool designed to assess the risk of an individual having moderate to severe Obstructive Sleep Apnea (OSA). It is particularly common in pre-operative settings to identify patients at high risk for perioperative complications. The name is an acronym for its eight components, where each 'Yes' answer typically scores one point: (1)Snoring: Do you Snore loudly (louder than talking or loud enough to be heard through closed doors)? (2)Tired: Do you often feel Tired, fatigued, or sleepy during the daytime? (3)Observed Apnea: Has anyone Observed you stop breathing or choke/gasp during your sleep? (4)Pressure: Do you have or are you being treated for high blood Pressure? These first four are the symptom-based questions. The 'BANG' part consists of physical risk factors: (5)BMI: Is your Body Mass Index (BMI) greater than 35 kg/m²? (6)Age: Are you over 50 years old? (7)Neck Circumference: Is your Neck circumference large (e.g., > 40 cm or 16 inches)? (8)Gender: Are you male? The total score ranges from 0 to 8. The risk is interpreted as follows: Low Risk (0-2 points), Intermediate Risk (3-4 points), and High Risk (5-8 points). A score in the intermediate or high-risk category does not diagnose OSA, but strongly indicates the need for further evaluation, such as polysomnography.
Reference Values
- • Score 0-2: Low risk of moderate to severe OSA.
- • Score 3-4: Intermediate risk of moderate to severe OSA.
- • Score 5-8: High risk of moderate to severe OSA.
Formula
Sum of points (1 for each 'Yes') for the 8 questions.
Reference
Chung F, et al. High STOP-Bang score indicates a high probability of obstructive sleep apnoea. Br J Anaesth. 2012;108(5):768-75.