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STOP-BANG

Screens for obstructive sleep apnea risk before surgery

When to Use

  • Preoperative screening for obstructive sleep apnea (OSA)
  • Patients undergoing surgery under general anesthesia or sedation
  • Sleep clinic screening tool

When NOT to Use

  • Patients already diagnosed with OSA on treatment (use to assess compliance instead)
  • Pediatric patients
  • Should not replace polysomnography for definitive diagnosis
Running Total0 / 8
Snoring: Do you snore loudly (louder than talking or loud enough to be heard through closed doors)?(+1 point)
Tired: Do you often feel tired, fatigued, or sleepy during daytime?(+1 point)
Observed: Has anyone observed you stop breathing during sleep?(+1 point)
Blood Pressure: Are you being treated for high blood pressure?(+1 point)
BMI > 35 kg/m2?(+1 point)
Age > 50 years?(+1 point)
Neck circumference > 40 cm (16 inches)?(+1 point)
Gender: Male?(+1 point)

Evidence & References

  • Chung F, Yegneswaran B, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108(5):812-821.PMID: 18431116
  • Chung F, Abdullah HR, Liao P. STOP-Bang Questionnaire: A Practical Approach to Screening for Obstructive Sleep Apnea. Chest. 2016;149(3):631-638.PMID: 26378880
Disclaimer: This calculator is a clinical decision aid and does not replace clinical judgment. Always consider the full clinical context when making patient care decisions.