Screening

StopBang Questionnaire

Is it possible that you have ...
Obstructive Sleep Apnea (OSA)?


Please answer the following questions below to determine if you might be at risk.

Yes

No

Snoring ?
Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?
Yes
No
Tired ?
Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving)?
Yes
No
Observed ?
Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep ?
Yes
No
Pressure ?
Do you have or are being treated for High Blood Pressure ?
Yes
No
Body Mass Index more than 35 kg/m2? View Table
Yes
No
Age older than 50 ?
Yes

No

Neck size large ? (Measured around Adams apple)
For male, is your shirt collar 17 inches / 43 cm or larger?
For female, is your shirt collar 16 inches / 41 cm or larger?
Yes
No
Gender = Male ?


For general population
OSA - Low Risk : Yes to 0 - 2 questions
OSA - Intermediate Risk : Yes to 3 - 4 questions
OSA - High Risk : Yes to 5 - 8 questions
or Yes to 2 or more of 4 STOP questions + male gender
or Yes to 2 or more of 4 STOP questions + BMI > 35kg/m2
or Yes to 2 or more of 4 STOP questions + neck circumference 17 inches / 43cm in male or 16 inches / 41cm in female

Property of University Health Network.

Please use the "About Us" for more information


Modified from
Chung F et al. Anesthesiology 2008; 108: 812-821,
Chung F et al Br J Anaesth 2012; 108: 768-775,
Chung F et al J Clin Sleep Med Sept 2014.

Toronto Western Hospital, University Health Network
University of Toronto
Copyright © 2012 | www.stopbang.ca | All Rights Reserved