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Validating the Lithuanian version of the STOP-BANG questionnaire for diagnosing obstructive sleep apnea

  • Sleep Breathing Physiology and Disorders • Original Article
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Abstract

Background

The aim of this study was to prepare and validate the Lithuanian version of the STOP-BANG questionnaire and evaluate its correlation with polysomnography results.

Methods

In this study, we included patients ≥ 18 years of age who underwent overnight polysomnography between January 1 in 2018 and January 1 in 2019. All patients completed the STOP-BANG questionnaire before polysomnography. To assess the adequacy of the questionnaire, we used contingency tables and areas under the receiver operating characteristic curve.

Results

The study included 236 patients. The mean age of the patients was 55.2 ± 11.5 years and 159 (68%) were men. The mean apnea-hypopnea index for the entire study group was 33.8 ± 28.4, and the mean STOP-BANG score was 5.4 ± 1.6 points. Moderate (0.3–0.7, p < 0.05) correlations were found between the STOP-BANG questionnaire scores and all measured objective anthropometric and polysomnography parameters. The questionnaire’s Cronbach’s alpha score was 0.408. Based on the analysis of the ROC curves, the cut-off STOP-BANG score of 3 points showed a sensitivity of 87% and a specificity of 50% (AUC = 0.717) for the identification of any OSA. The positive predictive value (PPV) for an identification of any OSA at a cut-off point of 3 was 96%, and the negative predictive value (NPV) was 26%.

Conclusions

The linguistic and cultural adaptation of the Lithuanian version of the STOP-BANG questionnaire was carried out in accordance with international recommendations. The Lithuanian version of the STOP-BANG questionnaire is characterized by high sensitivity and average specificity in diagnosing OSA.

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References

  1. Young T, Finn L, Peppard PE, Szklo-Coxe M, Austin D, Nieto FJ, Stubbs R, Hla KM (2008) Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep 31:1071–1078

    Article  Google Scholar 

  2. Punjabi NM, Newman AB, Young TB, Resnick HE, Sanders MH (2008) Sleep-disordered breathing and cardiovascular disease: an outcome-based definition of hypopneas. Am J Respir Crit Care Med 177:1150–1155

    Article  Google Scholar 

  3. Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM (2013) Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol 177:1006–1014

    Article  Google Scholar 

  4. Singh M, Liao P, Kobah S, Wijeysundera DN, Shapiro C, Chung F (2013) Proportion of surgical patients with undiagnosed obstructive sleep apnoea. Br J Anaesth 110(4):629–636

    Article  CAS  Google Scholar 

  5. Rotenberg B, George C, Sullivan K, Wong E (2010) Wait times for sleep apnea care in Ontario: a multidisciplinary assessment. Can Respir J 17:170–174

    Article  Google Scholar 

  6. Mayer G, Arzt M, Braumann B, Ficker JH, Fietze I, Frohnhofen H, Galetke W, Maurer JT, Orth M, Penzel T, Pistner H, Randerath W, Rösslein M, Sitter H, Stuck B (2017) German S3 guideline nonrestorative sleep/sleep disorders, chapter “sleep-related breathing disorders in adults,” short version. Somnologie 21(4):290–301

    Article  Google Scholar 

  7. American Academy of Sleep Medicine Task Force (1999) Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The report of an American Academy of sleep medicine task force. Sleep 22:667–689

    Google Scholar 

  8. American Academy of Sleep Medicine. International classification of sleep disorders. (2014). 3rd ed. American Academy of sleep medicine, Darien, IL

  9. Balsevičius T, Šiupšinskienė N, Balseris S, Rauba D, Vaitukaitienė G (2018) Suaugusiųjų obstrukcinės miego apnėjos šiuolaikinė diagnostika ir chirurginis gydymas: otorinolaringologiniai aspektai. Educational book 1:7

    Google Scholar 

  10. Lavie P (1983) Incidence of sleep apnea in a presumably healthy working population: a significant relationship with excessive daytime sleepiness. Sleep 6:312–318

    Article  CAS  Google Scholar 

  11. Kurtis MM, Balestrino R, Rodriguez-Blazquez C, Forjaz MJ, Martinez-Martin PA (2018) Review of scales to evaluate sleep disturbances in movement disorders. Frontiers n Neurology 9

  12. Nagappa M, Liao P, Wong J, Auckley D, Ramachandran SK, Memtsoudis S, Mokhlesi B, Chung F (2015) Validation of the STOP-Bang questionnaire as a screening tool for obstructive sleep apnea among different populations: a systematic review and meta-analysis. PLoS One 10(12):e0143697

    Article  Google Scholar 

  13. Bille DJ, Bille-Hasselstrøm C, Petersen CG (2015) Translation and validation of the Stop-Bang questionnaire for obstructive sleep apnoea into Danish. Dan Med J 62(12):A5158

    PubMed  Google Scholar 

  14. Sadeghniiat-Haghighi K, Montazeri A, Khajeh-Mehrizi A, Ghajarzadeh M, Alemohammad ZB, Aminian O, Sedaghat M (2015) The STOP-BANG questionnaire: reliability and validity of the Persian version in sleep clinic population. Qual Life Res 24(8):2025–2030

    Article  Google Scholar 

  15. Reis R, Teixeira F, Martins V, Sousa L, Batata L, Santos C, Moutinho J (2015) Validation of a Portuguese version of the STOP-Bang questionnaire as a screening tool for obstructive sleep apnea: analysis in a sleep clinic. Rev Port Pneumol 21(2):61–68

    CAS  PubMed  Google Scholar 

  16. Alhouqani S, Al Manhali M, Al Essa A, Al-Houqani M (2015) Evaluation of the Arabic version of STOP-Bang questionnaire as a screening tool for obstructive sleep apnea. Sleep Breath 19(4):1235–1240

    Article  Google Scholar 

  17. Shah N, Hanna DB, Teng Y, Sotres-Alvarez D, Hall M, Loredo JS, Zee P, Kim M, Yaggi HK, Redline S, Kaplan RC (2016) Sex-specific prediction models for sleep apnea from the Hispanic community health study/study of Latinos. Chest 149(6):1409–1418

    Article  Google Scholar 

  18. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P (2005) Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. ISPOR Task Force for Translation and Cultural Adaptation Value Health 8(2):94–104

    PubMed  Google Scholar 

  19. Guillemin F, Bombardier C, Beaton D.J. (1993). Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Clin Epidemiol 46(12):1417–1432

  20. Beaton DE, Bombardier C, Guillemin F, Ferraz (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. MBSpine (Phila Pa 1976) 25(24):3186–3191

  21. Fonseca LB d M, Silveira EA, Lima NM, Rabahi MF (2016) STOP-Bang questionnaire: translation to Portuguese and cross-cultural adaptation for use in Brazil. J Bras Pneumol 42(4):266–272

    Article  Google Scholar 

  22. Xia M, Liu S, Ji N, Xu J, Zhou Z, Tong J, Zhang Y (2018) BMI 35 kg/m2 does not fit everyone: a modified STOP-Bang questionnaire for sleep apnea screening in the Chinese population. Sleep and Breathing 22(4):1075–1082

    Article  Google Scholar 

  23. Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, Khajehdehi A, Shapiro CM (2008) STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology 108:812–821

    Article  Google Scholar 

  24. Kurtis, M. M., Balestrino, R., Rodriguez-Blazquez, C., Forjaz, M. J. Martinez-Martin, P. A (2018). Review of scales to evaluate sleep disturbances in movement disorders Frontiers in Neurology. 9

  25. BaHammam AS, Al-Aqeel AM, Alhedyani AA, Al-Obaid GI, Al-Owais MM, Olaish AH (2015) The validity and reliability of an Arabic version of the STOP-Bang questionnaire for identifying obstructive sleep apnea. Open Respir Med J 9(1):22–29

    Article  Google Scholar 

  26. Prasad KT, Sehgal IS, Agarwal R, Nath Aggarwal A, Behera D, Dhooria S (2017) Assessing the likelihood of obstructive sleep apnea: a comparison of nine screening questionnaires. Sleep and Breathing 21(4):909–917

    Article  Google Scholar 

  27. Chang KW, Steward DL, Tabangin ME, Altaye M, Malhotra V, Patil RD (2018) Clinical use of the STOP-BANG questionnaire to determine postoperative risk in veterans. Laryngoscope 129(1):259–264

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161, Kaunas, Lithuania

    T. Balsevičius, B. Šaduikytė & R. Pribuišienė

  2. Department of Pulmonology and Immunology, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161, Kaunas, Lithuania

    G. Vaitukaitienė & S. Miliauskas

  3. Kaunas, Lithuania

    B. Šaduikytė

Authors
  1. T. Balsevičius
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  2. G. Vaitukaitienė
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  3. B. Šaduikytė
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  4. S. Miliauskas
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  5. R. Pribuišienė
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Correspondence to B. Šaduikytė.

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Balsevičius, T., Vaitukaitienė, G., Šaduikytė, B. et al. Validating the Lithuanian version of the STOP-BANG questionnaire for diagnosing obstructive sleep apnea. Sleep Breath 25, 1503–1509 (2021). https://doi.org/10.1007/s11325-020-02256-1

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  • DOI: https://doi.org/10.1007/s11325-020-02256-1

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