Mount Carmel Health Partners Clinical Guidelines Atrial Fibrillation

STOP-BANG Questionnaire Yes No Snoring? Do you snore loudly (enough to be heard through closed doors or your bed- partner elbows you for snoring at night)? Yes No Tired? Do you often feel tired, fatigued, or sleepy during the daytime (such as falling asleep during driving)? Yes No Observed? Has anyone observed you stop breathing or choking/gasping during your sleep? Yes No Pressure? Do you have or are you being treated for high blood pressure? Yes No Body Mass Index of more than 35 kg/m²? Yes No Age older than 50 years? Yes No Neck size large? (measured around Adam’s apple) For a male, is your shirt collar 17 inches or larger? For a female, is your shirt collar 16 inches or larger? Yes No Gender? Are you a male? Scoring Criteria* for General Population: Low risk of OSA: Yes to 0 - 2 questions Intermediate risk of OSA: Yes to 3 - 4 questions High risk of OSA: Yes to 5 - 8 questions * For validated scoring criteria in obese patients, please refer to the UptoDate topic on surgical risk and the preoperative evaluation and management of adults with obstructive sleep apnea. AFib - 11

Mount Carmel Health Partners Clinical Guidelines Atrial Fibrillation | Page 11