ORIGINAL PAPER
Screening commercial drivers for obstructive sleep apnea:
Validation of STOP-Bang questionnaire
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1
University of Belgrade, Belgrade, Serbia
(Faculty of Medicine)
2
Serbian Institute of Occupational Health “Dr Dragomir Karajović,” Belgrade, Serbia
3
Clinical Centre of Serbia, Belgrade, Serbia
(Clinic for Physical Medicine and Rehabilitation)
4
Clinical Centre of Serbia, Belgrade, Serbia
(Clinic for Pulmonology)
5
Institute of Medical Physiology, Belgrade, Serbia
6
Clinical Centre of Serbia, Belgrade, Serbia
(Clinic for Otorhinolaryngology and Maxillofacial Surgery)
Online publication date: 2017-05-29
Corresponding author
Martin B. Popević
Serbian Institute of Occupational Health “Dr Dragomir Karajović,” Deligradska 29, 11000 Belgrade, Serbia
Int J Occup Med Environ Health. 2017;30(5):751-61
Referred to by: Kawada T. Letter to the Editor (November 15, 2017) concerning the paper “Screening commercial drivers for obstructive sleep apnea: Validation of STOP-Bang questionnaire”. Int J Occup Med Environ Health. Forthcoming 2018,
https://doi.org/10.13075/ijomeh.1896.01304.
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ABSTRACT
Objectives: The main aim has been to examine psychometric properties of STOP-Bang (snoring, tiredness, observed
apnea, high blood pressure, body mass index (BMI), age, neck circumference, male gender) scoring model (Serbian
translation), an obstructive sleep apnea (OSA) screening tool, in a sample of commercial drivers. Material and Methods: After formal translation, validation was performed on a sample of bus and truck drivers evaluating test-retest reliability,
construct and criterion validity. Overnight polysomnography or cardiorespiratory polygraphy were used for OSA diagnosis
purposes. Results: One hundred male participants, 24–62 years old, were included. STOP-Bang classified 69% as
potential OSA patients. Polysomnography identified OSA in 57% of the sample. Test-retest reliability (Cohen’s κ = 0.89)
was adequate. STOP-Bang score was significantly correlated to apnea-hypopnea index (AHI) and OSA severity. Sensitivity
was 100% for AHI ≥ 15, highest specificity was 53.5% (AHI ≥ 5). Conclusions: STOP-Bang showed good measurement
properties, supporting its further use in OSA screening of commercial drivers. Int J Occup Med Environ
Health 2016;30(5):751–761