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Neurology International
Volume 8
Issue 1
10.4081/ni.2016.6104
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Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

The STOP-BANG Questionnaire as a Screening Tool for Obstructive Sleep Apneainduced Hypertension in Asian Population

by
Tanut Pavarangkul
1,
Thipphailin Jungtrakul
1,
Pichsinee Chaobangprom
1,
Luxanawadee Nitiwatthana
1,
Wisit Jongkumchok
1,
Weerachat Morrakotkhiew
1,
Sitthan Kachenchart
1,
Jarin Chindaprasirt
2,
Panita Limpawattana
2,
Sompong Srisaenpang
1,
Somdej Pinitsoontorn
1 and
Kittisak Sawanyawisuth
2,3,*
1
Department of Community Medicine, Khon Kaen University, Khon Kaen, Thailand
2
Department of Medicine, Khon Kaen University, Khon Kaen, Thailand
3
Research and Training Center for Enhancing Quality of Life of Working-Age People, Khon Kaen University, Khon Kaen, Thailand
*
Author to whom correspondence should be addressed.
Neurol. Int. 2016, 8(1), 6104; https://doi.org/10.4081/ni.2016.6104
Submission received: 8 July 2015 / Revised: 8 July 2015 / Accepted: 4 January 2016 / Published: 1 April 2016

Abstract

Obstructive sleep apnea (OSA) is a common public health issue. If left untreated, OSA may cause a large health economic burden from cardiovascular complications particularly stroke. The diagnosis of OSA can be made by polysomnography, but its availability is limited in the developing countries in Asia. STOP-BANG questionnaire is a good screening tool but may need some adjustment for Asian population. STOP-BANG stands for: Snoring history, Tired during the day, Observed stop breathing while sleep, High blood pressure, body mass index (BMI) more than 35 kg/m2, Age more than 50 years, Neck circumference more than 40 cm and male Gender. We compared clinical features in STOP-BANG questionnaire between 42 OSA induced hypertension patients and 82 healthy control subjects in the Faculty of Medicine, Khon Kaen University, Thailand. The best cutoff point for the BMI and the neck circumference were 24.5 kg/m2 and 36 cm, respectively. The sensitivity and specificity of the BMI cutoff point were 97.2% and 91.40, while those of the neck circumference were 94.7% and 82.9%. In conclusion, the appropriate cutoff points of BMI and neck circumference for Thai STOP-BANG questionnaire were 25 kg/m2 and 36 cm.
Keywords: Obstructive sleep apnea; body mass index; neck circumference; Thais; STOP-BANG; screening tool; hypertension Obstructive sleep apnea; body mass index; neck circumference; Thais; STOP-BANG; screening tool; hypertension

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MDPI and ACS Style

Pavarangkul, T.; Jungtrakul, T.; Chaobangprom, P.; Nitiwatthana, L.; Jongkumchok, W.; Morrakotkhiew, W.; Kachenchart, S.; Chindaprasirt, J.; Limpawattana, P.; Srisaenpang, S.; et al. The STOP-BANG Questionnaire as a Screening Tool for Obstructive Sleep Apneainduced Hypertension in Asian Population. Neurol. Int. 2016, 8, 6104. https://doi.org/10.4081/ni.2016.6104

AMA Style

Pavarangkul T, Jungtrakul T, Chaobangprom P, Nitiwatthana L, Jongkumchok W, Morrakotkhiew W, Kachenchart S, Chindaprasirt J, Limpawattana P, Srisaenpang S, et al. The STOP-BANG Questionnaire as a Screening Tool for Obstructive Sleep Apneainduced Hypertension in Asian Population. Neurology International. 2016; 8(1):6104. https://doi.org/10.4081/ni.2016.6104

Chicago/Turabian Style

Pavarangkul, Tanut, Thipphailin Jungtrakul, Pichsinee Chaobangprom, Luxanawadee Nitiwatthana, Wisit Jongkumchok, Weerachat Morrakotkhiew, Sitthan Kachenchart, Jarin Chindaprasirt, Panita Limpawattana, Sompong Srisaenpang, and et al. 2016. "The STOP-BANG Questionnaire as a Screening Tool for Obstructive Sleep Apneainduced Hypertension in Asian Population" Neurology International 8, no. 1: 6104. https://doi.org/10.4081/ni.2016.6104

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