01 - Scoring & cutoffs
How scoring works.
STOP-Bang has eight yes/no items, one for each letter of the acronym: loud Snoring, daytime Tiredness, Observed pauses in breathing or choking during sleep, high blood Pressure (diagnosed or treated), Body mass index above 35 kg/m2, Age over 50, Neck circumference above 40 cm (the updated form uses 43 cm for men and 41 cm for women), and male Gender. Each "yes" scores one point, giving a total of 0 to 8.
A total of 0-2 indicates low risk of obstructive sleep apnoea, 3-4 intermediate risk and 5-8 high risk. Because many people score 3 or 4, the developers added a refinement for the intermediate band: a score of 2 or more on the four STOP symptom items plus male sex, plus a BMI above 35, or plus a large neck circumference also indicates high risk. The STOP-Bang is a triage tool that estimates the probability of OSA; the diagnosis itself requires polysomnography or home sleep testing.