End
STOP-BANG Score
Highly validated screening tool for Obstructive Sleep Apnea (OSA) risk, particularly in preoperative patients.
Patient Questionnaire (STOP)
Snoring
Do you snore loudly (louder than talking or heard through closed doors)?
Tiredness
Do you often feel tired, fatigued, or sleepy during the daytime?
Observed Apnea
Has anyone observed you stop breathing during sleep?
Blood Pressure
Do you have (or are being treated for) high blood pressure?
Objective Measures (BANG)
BMI > 35 kg/m²
Body Mass Index exceeds 35
Age > 50 years
Is the patient older than 50?
Neck Circ. > 40 cm
Neck circumference measured at the cricoid level
Gender
Biological sex
0
Points
Low Risk
Risk of Obstructive Sleep Apnea (OSA)
| Score | Risk Level | Action |
|---|---|---|
| 0 – 2 | Low Risk | Routine care |
| 3 – 8 | High Risk | Consider PSG & narcotics reduction |
• Narcotics: Consider reducing doses for high-risk patients.
• Monitoring: Extended PACU monitoring is advised prior to discharge.
• Definitive Diagnosis: High-risk screens should follow up with formal Polysomnography (PSG).
