Modified STOP-bang questionnaire incorporating morning dry mouth and BMI adjustment in China: a retrospective study of 590 patients

References

• Benjafield AV, Ayas NT, Eastwood PR, et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med. 2019;7(8):687–698. doi: 10.1016/S2213-2600(19)30198-5
   PubMed Web of Science ®Google Scholar
• Kapur VK, Auckley DH, Chowdhuri S, et al. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of sleep medicine clinical practice guideline. J Clin Sleep Med. 2017;13(3):479–504. doi: 10.5664/jcsm.6506
   PubMed Web of Science ®Google Scholar
• Redline S, Azarbarzin A, Peker Y. Obstructive sleep apnoea heterogeneity and cardiovascular disease. Nat Rev Cardiol. 2023;20(8):560–573. doi: 10.1038/s41569-023-00846-6
   PubMed Web of Science ®Google Scholar
• Singh M, Liao P, Kobah S, et al. Proportion of surgical patients with undiagnosed obstructive sleep apnoea. Br J Anaesth. 2013;110(4):629–636. doi: 10.1093/bja/aes465
   PubMed Web of Science ®Google Scholar
• Chen L, Pivetta B, Nagappa M, et al. Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis. Sleep Breath. 2021;25(4):1741–1751. doi: 10.1007/s11325-021-02299-y
   PubMed Web of Science ®Google Scholar
• Senaratna CV, Perret JL, Lodge CJ, et al. Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev. 2017;34:70–81. doi: 10.1016/j.smrv.2016.07.002
   PubMed Web of Science ®Google Scholar
• Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014;146(5):1387–1394. doi: 10.1378/chest.14-0970
   PubMed Web of Science ®Google Scholar
• Amra B, Rahmati B, Soltaninejad F, et al. Screening questionnaires for obstructive sleep apnea: an updated systematic review. Oman Med J. 2018;33(3):184–192. doi: 10.5001/omj.2018.36
   PubMedGoogle Scholar
• Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108(5):812–821. doi: 10.1097/ALN.0b013e31816d83e4
   PubMed Web of Science ®Google Scholar
• Pivetta B, Chen L, Nagappa M, et al. Use and performance of the STOP-Bang questionnaire for obstructive sleep apnea screening across geographic regions: a systematic review and meta-analysis. JAMA Netw Open. 2021;4(3):e211009. doi: 10.1001/jamanetworkopen.2021.1009
   PubMed Web of Science ®Google Scholar
• Silva GE, Vana KD, Goodwin JL, et al. Identification of patients with sleep disordered breathing: comparing the four-variable screening tool, STOP, STOP-Bang, and Epworth sleepiness scales. J Clin Sleep Med. 2011;7(5):467–472. doi: 10.5664/JCSM.1308
   PubMed Web of Science ®Google Scholar
• Schiavone M, Ernst G, Blanco M, et al. Performance of questionnaires aimed at detecting sleep disorders in patients attending a hypertension center. Clin Exp Hypertens. 2019;41(7):687–691. doi: 10.1080/10641963.2018.1539095
   PubMed Web of Science ®Google Scholar
• Zhang C, Shen Y, Liping F, et al. The role of dry mouth in screening sleep apnea. Postgrad Med J. 2021;97(1147):294–298. doi: 10.1136/postgradmedj-2020-137619
   PubMed Web of Science ®Google Scholar
• Pataka A, Daskalopoulou E, Kalamaras G, et al. Evaluation of five different questionnaires for assessing sleep apnea syndrome in a sleep clinic. Sleep Med. 2014;15(7):776–781. doi: 10.1016/j.sleep.2014.03.012
   PubMed Web of Science ®Google Scholar
• Oksenberg A, Froom P, Melamed S. Dry mouth upon awakening in obstructive sleep apnea. J Sleep Res. 2006;15(3):317–320. doi: 10.1111/j.1365-2869.2006.00527.x
   PubMed Web of Science ®Google Scholar
• Yan X, Wang L, Liang C, et al. Development and assessment of a risk prediction model for moderate-to-severe obstructive sleep apnea. Front Neurosci. 2022;16:936946. doi: 10.3389/fnins.2022.936946
   PubMed Web of Science ®Google Scholar
• Teng G, Zhang R, Zhou J, et al. A prediction nomogram for severe obstructive sleep apnea in snoring patients: a retrospective study. Nat Sci Sleep. 2023;15:231–243. doi: 10.2147/NSS.S406384
   PubMed Web of Science ®Google Scholar
• Chung F, Yang Y, Brown R, et al. Alternative scoring models of STOP-bang questionnaire improve specificity to detect undiagnosed obstructive sleep apnea. J Clin Sleep Med. 2014;10(9):951–958. doi: 10.5664/jcsm.4022
   PubMed Web of Science ®Google Scholar
• Li Z, Du L, Li Y, et al. Characterization of primary symptoms leading to Chinese patients presenting at hospital with suspected obstructive sleep apnea. J Thorac Dis. 2014;6(5):444–451. doi: 10.3978/j.issn.2072-1439.2014.02.08
   PubMed Web of Science ®Google Scholar
• Shao C, Jiang J, Wu H, et al. Clinical assessment and polysomnographic study of sleep apnea in a Chinese population of snorers. J Zhejiang Univ Sci B. 2015;16:215–223.
   PubMed Web of Science ®Google Scholar
• Waseem R, Chan MTV, Wang CY, et al. Diagnostic performance of the STOP-Bang questionnaire as a screening tool for obstructive sleep apnea in different ethnic groups. J Clin Sleep Med. 2021;17(3):521–532. doi: 10.5664/jcsm.8940
   PubMed Web of Science ®Google Scholar
• WS/T 428-2013 Criteria Of Weight For Adults [Internet]. Beijing: Standards Press of China, 2013; [cited 2023 Oct 14]. Available from: https://std.samr.gov.cn/hb/search/stdHBDetailed?id=8B1827F21596BB19E05397BE0A0AB44A.
   Google Scholar
• Reutrakul S, Mokhlesi B. Obstructive sleep apnea and diabetes: a state of the art review. Chest. 2017;152(5):1070–1086. doi: 10.1016/j.chest.2017.05.009
   PubMed Web of Science ®Google Scholar
• Ha SCN, Lee DLY, Abdullah VJ, et al. Evaluation and validation of four translated Chinese questionnaires for obstructive sleep apnea patients in Hong Kong. Sleep Breath. 2014;18(4):715–721. doi: 10.1007/s11325-013-0889-1
   PubMed Web of Science ®Google Scholar
• Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events. Deliberations of the sleep apnea definitions task force of the American Academy of sleep Medicine. J Clin Sleep Med. 2012;8(5):597–619. doi: 10.5664/jcsm.2172
   PubMed Web of Science ®Google Scholar
• Šimundić A-M. Measures of diagnostic accuracy: basic definitions. EJIFCC. 2009;19(4):203–211.
   PubMedGoogle Scholar
• Pico-Orozco J, Carrasco-Llatas M, Silvestre F-J, et al. Xerostomia in patients with sleep apnea-hypopnea syndrome: a prospective case-control study. J Clin Exp Dent. 2020;12:e708–e712. doi: 10.4317/jced.56593
   PubMedGoogle Scholar
• Raoof M, Verhoeff MC, Kooshki R, et al. Self-reported oral moistening disorders in obstructive sleep apnoea: a scoping review. J Oral Rehabil. 2023. doi:10.1111/joor.13532.
   PubMed Web of Science ®Google Scholar
• Kuczyński W, Mokros Ł, Stolarz A, et al. The utility of STOP-BANG questionnaire in the sleep-lab setting. Sci Rep. 2019;9(1):6676. doi: 10.1038/s41598-019-43199-2
   PubMedGoogle Scholar
• Patel D, Tsang J, Saripella A, et al. Validation of the STOP questionnaire as a screening tool for OSA among different populations: a systematic review and meta-regression analysis. J Clin Sleep Med. 2022;18(5):1441–1453. doi: 10.5664/jcsm.9820
   PubMed Web of Science ®Google Scholar
• Xia M, Liu S, Ji N, et al. BMI 35 kg/m2 does not fit everyone: a modified STOP-Bang questionnaire for sleep apnea screening in the Chinese population. Sleep Breath. 2018;22(4):1075–1082. doi: 10.1007/s11325-017-1610-6
   PubMed Web of Science ®Google Scholar
• Javaheri S, Peker Y, Yaggi HK, et al. Obstructive sleep apnea and stroke: the mechanisms, the randomized trials, and the road ahead. Sleep Med Rev. 2022;61:101568. doi: 10.1016/j.smrv.2021.101568
   PubMed Web of Science ®Google Scholar
• Chiu H-Y, Chen P-Y, Chuang L-P, et al. Diagnostic accuracy of the Berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: a bivariate meta-analysis. Sleep Med Rev. 2017;36:57–70. doi: 10.1016/j.smrv.2016.10.004
   PubMed Web of Science ®Google Scholar
• Silva DVE, Alves DDSB, Nóbrega MDRR, et al. Obstructive sleep apnea screening in different age groups: performance of the Berlin, STOP-Bang questionnaires and Epworth sleepiness scale. Braz J Otorhinolaryngol. 2023;89(4):101283. doi: 10.1016/j.bjorl.2023.101283
   PubMed Web of Science ®Google Scholar
• Behar JA, Palmius N, Li Q, et al. Feasibility of single channel oximetry for mass screening of obstructive sleep apnea. eClinicalmedicine. 2019;11:81–88. doi: 10.1016/j.eclinm.2019.05.015
   PubMedGoogle Scholar
• Pei C, Gui S. Effect of arterial blood bicarbonate (HCO3−) concentration on the accuracy of STOP-Bang questionnaire screening for obstructive sleep apnea. BMC Pulm Med. 2021;21(1):366. doi: 10.1186/s12890-021-01720-2
   PubMed Web of Science ®Google Scholar
• Zhao Y, Yan X, Liang C, et al. Incorporating neck circumference or neck-to-height ratio into the GOAL questionnaire to better detect and describe obstructive sleep apnea with application to clinical decisions. Front Neurosci. 2022;16:1014948. doi: 10.3389/fnins.2022.1014948
   PubMed Web of Science ®Google Scholar
• Wang D, Ren Y, Chen R, et al. Establishment and application evaluation of an improved obstructive sleep apnea screening questionnaire for Chinese community.: the CNCQ-OSA. Nat Sci Sleep. 2023;15:103–114. doi: 10.2147/NSS.S396695
   PubMed Web of Science ®Google Scholar