STOP-BANG Triage for Obstructive Sleep Apnoea and Snoring

Author: Professor Ram Dhillon FRCS (Consultant ENT Surgeon)

The Table below is a modified STOP-BANG score which will quickly tell you if your patient is at risk of having moderate or severe Obstructive Sleep Apnoea or is an anti-social snorer.

If the score is 5 or above (below this score, patients are likely to be anti-social snorers and can still be referred for assessment and management). Each Y (Yes) scores a single point.

Add an additional 1 point if any of the following are present:

  • Gets up to pass water through the night: >1.
  • If a Peri/Postmenopausal female.
  • Has prediabetes or is being treated for diabetes.
  • Has any Ischaemic Heart disease disorders e.g. Angina, Myocardial infarction, AF…
  • Has had a stroke.
  • Has significant early morning headaches/muzzy head.
  • Has short-term memory impairment/Mild Cognitive Impairment/early Dementia.
  • Has depression.
  • Indicates a loss of Libido.

REFER patient if the STOP-BANG score is ≥ 4. Patients with lower scores and loud snoring may have antisocial snoring or Upper Airway Resistance Syndrome and should be referred.

LISTEN TO THIS PODCAST: The Hidden Dangers of Untreated Sleep Apnoea with Professor Ram Dhillon

For more information on Obstructive Sleep Apnoea and Snoring, visit ENT London.


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