Validation of the Slovene Version of the Stop-Bang Questionnaire in a Primary Practice Setting

Zdr Varst. 2024 Mar 1;63(1):14-20. doi: 10.2478/sjph-2024-0003. eCollection 2024 Mar.

Abstract

Aim: The aim of our study was to validate the Slovene translation of the STOP-BANG (SBQ) questionnaire for use in the primary practice setting.

Methods: We recruited 158 randomly selected visitors at four primary practice clinics who came to the practice for any reason. Participants completed the Slovene SBQ and underwent type 3 respiratory polygraphy, which was analysed by an experienced somnologist. The SBQ was previously translated in to Slovene and validated for the sleep clinic.

Results: Of 158 participants, 153 had valid recordings. The mean age of the participants was 49.5 years (±13.0 years), and 47.7% were male. OSA was identified in 49.0% of the participants. The questionnaire, with a cutoff of ≥3, demonstrated an area under the curve of 0.823 for any OSA (REI≥5), 0.819 for moderate and severe OSA (REI≥15) and 0.847 for severe OSA (REI≥30). Sensitivity was 65.3%, 81.8%, and 90.0%, and specificity was 87.2%, 73.3% and 65.0% for any, moderate to severe and severe OSA, respectively.

Conclusions: The Slovene translation of the SBQ is a reliable instrument for OSA risk stratification in the primary practice setting.

Namen: Namen naše študije je bil preveriti veljavnost slovenskega prevoda vprašalnika STOP-BANG (SBQ) za uporabo v ambulantah na primarni ravni zdravstvenega varstva.

Metode: Naključno smo izbrali 158 obiskovalcev v štirih ambulantah družinske medicine, ki so tja prišli iz kateregakoli razloga. Udeleženci so izpolnili slovensko različico SBQ in doma opravili respiratorno poligrafijo tipa 3, katero je analiziral izkušen somnolog. SBQ je bil v Slovenščino že preveden in validiran za uporabo v laboratorijih za motnje spanja.

Rezultati: Od 158 udeležencev jih je 153 imelo veljavne posnetke. Povprečna starost preiskovancev je bila 49,5 leta (± 13,0 leta); 47,7 % jih je bilo moških. OSA je bila identificirana pri 49,0 % preiskovancev. Vprašalnik z mejno vrednostjo ≥ 3 je pokazal površino pod krivuljo 0,823 za katerokoli OSA (REI ≥ 5), 0,819 za zmerno in hudo OSA (REI ≥ 15) in 0,847 za hudo OSA (REI ≥ 30). Občutljivost je bila 65,3 %, 81,8 % in 90,0 %, specifičnost pa 87,2 %, 73,3 % in 65,0 % za katerokoli, zmerno do hudo in hudo OSA odnosno.

Zaključek: Slovenski prevod vprašalnika STOP-BANG je zanesljivo orodje za stratifikacijo tveganja za OSA na primarnem nivoju zdravstvenega varstva.

Keywords: Family medicine; Obstructive sleep apnea; Primary practice setting; STOP-BANG; Validation; questionnaire.

Grants and funding

This study was funded by the Slovenian Research Agency (Grant No.: P3-0338).