Implementing OSA Screening Using the STOP-Bang Questionnaire for Patients in the Primary Care Setting
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Authors
Summo, Rachel
Issue Date
2026-05-15
Volume
Issue
Type
Manuscript
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Keywords
STOP-Bang Questionnaire , Obstructive Sleep Apnea , Primary Care Screening , Quality Improvement
Alternative Title
Abstract
Background: Obstructive sleep apnea (OSA) is a common, underdiagnosed condition linked to higher morbidity and increased healthcare utilization. In primary care, screening is often inconsistent and symptom-driven, delaying diagnosis, especially in high-risk patients.
Objective: To improve early identification and referral of adults at risk for OSA using the STOP-Bang questionnaire in a primary care setting.
Methods: An eight-week quality improvement initiative was conducted in a primary care clinic. Adults ≥18 years with at least one OSA risk factor were screened during routine visits. Patients scoring ≥3 received education and were offered referral for polysomnography. Screening and referral outcomes were analyzed using descriptive and inferential statistics, with advanced practice registered nurse (APRN) feedback collected post-implementation.
Results: Among 105 patients screened (100% screening rate), 52% were low risk, 30% intermediate risk, and 18% high risk. All intermediate- and high-risk patients received education. Eighteen percent accepted referral, with higher acceptance among high-risk individuals. Older age was associated with referral refusal.
Conclusions: STOP-Bang screening was feasible and improved identification and referral of at-risk patients. Routine use supports earlier OSA diagnosis and improved outcomes.
Implications for APRNs: APRN-led screening can enhance preventive care and timely OSA management.
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Citation
Publisher
Creighton University
License
Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University