Concepción Cruces-Artero1, Cristina Hervés-Beloso2, Victoria Martín-Miguel2, Susana Hernáiz-Valero3, Fernando Isidro Lago-Deibe4, Martín Montero-Gumucio1, Mar Orge-Amoedo1, Javier Roca-Pardiñas5, Ana Clavería6. 1. Medicina Familiar y Comunitaria, Centro de Salud Sárdoma, EOXI Vigo, Vigo (Pontevedra), España. 2. Atención Primaria, EOXI Vigo; Red de Investigación en Atención Primaria, Instituto de Investigación Biomédica de Vigo, Vigo (Pontevedra), España. 3. Medicina Familiar y Comunitaria, Centro de Salud Val Miñor, EOXI Vigo, Vigo (Pontevedra), España. 4. Medicina Familiar y Comunitaria, Centro de Salud Sárdoma, EOXI Vigo, Vigo (Pontevedra), España; Atención Primaria, EOXI Vigo; Red de Investigación en Atención Primaria, Instituto de Investigación Biomédica de Vigo, Vigo (Pontevedra), España. 5. Departamento de Estadística e Investigación Operativa, Universidad de Vigo, Vigo (Pontevedra), España. 6. Atención Primaria, EOXI Vigo; Red de Investigación en Atención Primaria, Instituto de Investigación Biomédica de Vigo, Vigo (Pontevedra), España. Electronic address: anaclaveriaf@gmail.com.
Abstract
OBJECTIVE: We aimed to compare the diagnostic utility of the STOP-Bang questionnaire for moderate apnoea against the gold standard (type I polysomnography) in a primary care setting. METHOD: Study of diagnostic utility in primary care. Estimated sample: 85 cases and 85 healthy controls. In convenience sampling, 203 patients were recruited by their physicians at six health centres. Twenty-five were excluded, and 57 women and 121 men, of whom 74 had apnoea-hypopnoea index (AHI) ≥15, were analyzed. STOP-Bang was validated by comparing scores in the same patient with the apnoea-hypopnoea index observed in polysomnography, as a gold standard. Sample size, ROC curve analysis and optimal cut-off points were identified with the easyROC, pROC, and OptimalCutpoints packages. RESULTS: The area under the curve in moderate apnoea (AHI ≥15) of the STOP-Bang was 0.777 (0.667-0.808), with optimal cut-off points different by sex (4 in women and 6 in men). In the cross-validation with k=10, the area under the curve for the STOP-Bang was 0.678. CONCLUSIONS: The STOP-Bang presents a diagnostic moderate utility for AHI≥15, but superior to other scales, in a community population. Its performance is more appropriate in women.
OBJECTIVE: We aimed to compare the diagnostic utility of the STOP-Bang questionnaire for moderate apnoea against the gold standard (type I polysomnography) in a primary care setting. METHOD: Study of diagnostic utility in primary care. Estimated sample: 85 cases and 85 healthy controls. In convenience sampling, 203 patients were recruited by their physicians at six health centres. Twenty-five were excluded, and 57 women and 121 men, of whom 74 had apnoea-hypopnoea index (AHI) ≥15, were analyzed. STOP-Bang was validated by comparing scores in the same patient with the apnoea-hypopnoea index observed in polysomnography, as a gold standard. Sample size, ROC curve analysis and optimal cut-off points were identified with the easyROC, pROC, and OptimalCutpoints packages. RESULTS: The area under the curve in moderate apnoea (AHI ≥15) of the STOP-Bang was 0.777 (0.667-0.808), with optimal cut-off points different by sex (4 in women and 6 in men). In the cross-validation with k=10, the area under the curve for the STOP-Bang was 0.678. CONCLUSIONS: The STOP-Bang presents a diagnostic moderate utility for AHI≥15, but superior to other scales, in a community population. Its performance is more appropriate in women.
Authors: Cinthya A Pena Orbea; Robin M Lloyd; Stephanie S Faubion; Virginia M Miller; Kristin C Mara; Ekta Kapoor Journal: Maturitas Date: 2020-02-11 Impact factor: 4.342
Authors: Rafaela Muñoz-Gómez; Esther Navarrete-Martínez; Jesús Serrano-Merino; Fátima Silva-Gil; Ana Roldán-Villalobos; Enrique Martín-Rioboó; Javier Ruiz-Moruno; Esperanza Romero-Rodríguez; Jesus Gonzalez-Lama; Manuel Vaquero-Abellán; Luis Angel Perula-de-Torres Journal: Front Public Health Date: 2022-09-09