STOP-BANG Questionnaire for OSA
STOP-BANG Questionnaire for Obstructive Sleep Apnea [select name="Q1" value="no=0|YES=1"] <-- 1. Do you SNORE loudly (louder than talking or loud enough to be heard through closed doors)? [select name="Q2" value="no=0|YES=1"] <-- 2. Do you often feel TIRED, fatigued, or sleepy during daytime? [select name="Q3" value="no=0|YES=1"] <-- 3. Has anyone OBSERVED you stop breathing during your sleep? [select name="Q4" value="no=0|YES=1"] <-- 4. Do you have or are you being treated for high blood PRESSURE? [select name="Q5" value="no=0|YES=1"] <-- 5. BMI more than 35? [select name="Q6" value="no=0|YES=1"] <-- 6. AGE over 50 years old? [select name="Q7" value="no=0|YES=1"] <-- 7. NECK circumference > 15.75 inches? [select name="Q8" value="no=0|YES=1"] <-- 8. Male GENDER? Score --> [calc memo="number" value="score0=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8)"] / 8 Interpretation --> [calc memo="result" value="score1=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)+(Q7)+(Q8);score1>2?'High Risk for Obstructive Sleep Apnea':'Low Risk for Obstructive Sleep Apnea'"] [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] reference: [link memo="#1" url="http://www.ncbi.nlm.nih.gov/pubmed/18431116"] Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, Khajehdehi A, Shapiro CM. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008 May;108(5):812-21[/conditional]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 1, 13 form elements, 88 boilerplate words, 1 checkboxes, 8 drop downs, 1 links, 2 calculations, 1 conditionals, 9 total clicks
More SOAPnotes by this Author:
Send Feedback for this SOAPnote