STOP-BANG Questionnaire Template: Automatically Calculate Score for Obstructive Sleep Apnea
Assess the likelihood of a patient having obstructive sleep apnea (OSA) and determine the need for further diagnostic testing or interventions. Add the questionnaire and results to your EMR automatically.
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STOP-BANG Assessment Calculator
This STOP-BANG calculator was built by a Text Blaze customer who is a physician, who gave permission to share it.
Quickly calculate a STOP-BANG score using this snippet for an assessment, determining risk for obstructive sleep apnea.
STOP-BANG assessment
| Inputs | Inputs |
|---|---|
| Age: {formmenu: default=≤50 years; >50 years; name=age} | BMI: {formmenu: default=≤35 kg/m²; >35 kg/m²; name=BMI} |
| Neck circumference: {formmenu: default=≤40 cm; >40 cm; name=neck; trim=no} | Gender: {formmenu: default=Female; Male; name=gender; trim=no} |
| Do you snore loudly?: {formmenu: Yes; default=No; name=snore; trim=no} | Daytime Fatigue?: {formmenu: Yes; default=No; name=fatigue; trim=no} |
| During sleep -cessation of breathing has been observed?: {formmenu: Yes; default=No; name=stop; trim=no} | Hx of HTN?: {formmenu: Yes; default=No; name=HTN; trim=no} |
{if: BMI=">35 kg/m²"; trim=yes}{a1=1}{else}{a1=0}{endif} {if: age=">50 years"; trim=yes}{a2=1}{else}{a2=0}{endif} {if: neck=">40 cm"; trim=yes}{a3=1}{else}{a3=0}{endif} {if: gender="Female"; trim=yes}{a4=0}{else}{a4=1}{endif} {if: snore="Yes"; trim=yes}{a5=1}{else}{a5=0}{endif} {if: fatigue="Yes"; trim=yes}{a6=1}{else}{a6=0}{endif} {if: stop="Yes"; trim=yes}{a7=1}{else}{a7=0}{endif} {if: htn="Yes"; trim=yes}{a8=1}{else}{a8=0}{endif} Calculated STOP BANG: {=sum([a1, a2, a3, a4, a5, a6, a7, a8])} -----> {if: sum([a1, a2, a3, a4, a5, a6, a7, a8]) <= 2}Low risk for moderate to severe OSA. {elseif: sum([a1, a2, a3, a4, a5, a6, a7, a8]) <= 4}Intermediate risk for moderate to severe OSA {else} High risk for moderate to severe OSA.{endif}
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