The Value Of STOP-Bang Scale In Predicting Obstructive Sleep Apnea Hypopnea Syndrome

ObjectiveObstructive sleep apnea-hypopnea syndrome(OSAHS)is a sleep disorder that severely affects human health and quality of life.The study found that the Sleep Scale is an effective method for screening high-risk patients with OSAHS.This article analyzes the relationship between the STOP-Bang scale and its scores and AHI to evaluate its value in predicting OSAHS.The methodsA total of 143 patients with obstructive sleep apnea syndrome(OSAHS)were considered for the diagnosis of obstructive sleep apnea syndrome(OSAHS)during the June 2017-October 2017 consecutive visit to the First Affiliated Hospital of Chongqing Medical University.Eligibility criteria:adults,know the words,can answer questions accurately;exclusion criteria:OSAHS that has been treated,severe underlying medical conditions,and brain disease.Subjects completed an overnight polysomnography test after completing the STOP-Bang and Epworth Sleepiness Scales.On the basis of the results of PSG,they were parted into 8 cases of simple snoring and 135 cases of OSAHS.According to the AHI index,the OSAHS components were mild in 23 cases,moderate in 28 cases,and severe in 84 cases.The clinical data such as gender,age,BMI,and neck circumference were compared among the subjects.Using the SPSS20.0 software to data analysis.P<0.05 was considered statistically obviously.The ROC curve was used to evaluate the diagnostic value of SBQ and ESS scales.ResultsThe age,neck circumference,BMI index,STOP-Bang score and Epworth score were significantly higher in the OSAHS group than in the simple snoring group.There was a obvious difference(p<0.01).For the patients with hypertension,simple snoring and OSAHS,p>0.05,the difference was not statistically significant.The Pearson correlation coefficient for the STOP-Bang score and AHI is 0.543,which is moderately correlated.The SBQ scores were significantly different in different AHI grades with statistically significant differences.The mean SBQ score for AHI<5 was(1.7±1.0)points,(3.0±1.0)points for 5<AHI＜15,(3.7±1.3)points for 15＜AHI<30,and(4.3±1.3)points for AHI≥30.the higher the STOP-Bang score,the greater the degree,and the AHI value is corresponding increase.In the simple snoring group,mild,moderate,and severe OSAHS group,the AHI mean ANOVA was statistically significant(P<0.01).SBQ ≥ 3 predicts OSAHS that the sensitivity was 87.5%,the specificity was 85.7%,the positive predictive value was 99.2%,the negative predictive value was 26.1%;SBQ ≥ 3 predicts moderate to severe OSAHS the sensitivity was 91.6%,the specificity was 45.2%,the positive predictive value was 85.8%,negative predictive value was 60.9%;SBQ ≥ 3 predicts severe OSAHS the sensitivity was 95.20%,the specificity was 32.2%,the positive predictive value was 66.7%,and the negative predictive value was 82.6%.SBQ ≥ 3 predicted that the area under the ROC curve with AHI>5 was 0.866;the area under the ROC curve with predicted AHI≥15 was 0.686;and the area under the ROC curve with predicted AHI ≥ 30 was 0.637.EP>9 predicted AHI>5:AUC = 0.629;EP>9 predicted AHI≥ 15:AUC = 0.736;EP>9 predicted AHI ≥ 30:AUC = 0.635.In conclusion1.STOP-Bang scale has high value for initial judgment of OSAHS patients;2.The contents of the STOP-Bang scale are of special significance for the screening of high-risk patients with OSAHS.The measurement standards for age,BMI,and neck circumference need to undergo large-scale,multi-center studies.Applicable to the standards of our nationals;3.STOP-Bang and Epworth scales have their advantages,and they can be combined to predict OSAHS.