STOP-BANG Sleep Apnea Questionnaire
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
- chronic care management services centers for medicare
- gov
- aid codes master chart aid codes medi cal
- residential lease agreement legal forms
- leave request form authorization united states navy
- stop bang sleep apnea questionnaire
- vamc slums examination saint louis university
- patient safety plan template lifeline
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