STOP-BANG Sleep Apnea Questionnaire
[Pages:1]Name _________________________________ Height ___________ Weight _________ Age __________ Male / Female ___________
STOP-BANG Sleep Apnea Questionnaire
Chung F et al Anesthesiology 2008 and BJA 2012
STOP
Do you SNORE loudly (louder than talking or loud
Yes
No
enough to be heard through closed doors)?
Do you often feel TIRED, fatigued, or sleepy during
Yes
No
daytime?
Has anyone OBSERVED you stop breathing during
Yes
No
your sleep?
Do you have or are you being treated for high blood
Yes
No
PRESSURE?
BANG
BMI more than 35kg/m2? AGE over 50 years old? NECK circumference > 16 inches (40cm)? GENDER: Male?
Yes
No
Yes
No
Yes
No
Yes
No
TOTAL SCORE
High risk of OSA: Yes 5 - 8 Intermediate risk of OSA: Yes 3 - 4 Low risk of OSA: Yes 0 - 2
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- stop bang sleep apnea questionnaire
- aid codes master chart aid codes medi cal
- daily hog and pork summary agricultural marketing service
- verification of vehicle identification number
- management preparing and managing correspondence
- leave request form authorization united states navy
- irs 8300 report of cash payments over 10 000 fincen 8300
- active duty enlisted administrative separations
- non commercial learner s permit us
- 2018 instructions for form 8606 internal revenue service
Related searches
- big bang something from nothing
- apnea test brain death protocol
- bang up to date
- timeline universe big bang theory
- the big bang theory timeline
- what is the big bang theory
- big bang theory science timeline
- the big bang theory information shares
- big bang theory show timeline
- the big bang theory show
- big bang theory timeline worksheet
- the big bang theory wikipedia