Identifying Obstructive Sleep Apnea Risk in Stroke Patients by Utilizing the STOP-Bang Questionnaire

Abstract

Obstructive sleep apnea is a modifiable stroke risk factor that is often overlooked when addressing stroke risk factor management. By screening stroke patients for obstructive sleep apnea risk and treating it once diagnosed, improvement is achieved in stroke risk factor management. The purpose of this quasi-experimental, one cohort, pre- and post-test, evidence based quality improvement project was to improve stroke risk factor management by screening and treating stroke patients for obstructive sleep apnea. Sixty-seven radiographically confirmed stroke patients were recruited by convenience sampling from a local hospital. The STOP-Bang questionnaire was utilized to screen for obstructive sleep apnea risk. Those identified at risk were provided an opportunity to schedule a polysomnography and office visit to address obstructive sleep apnea management. Identifying obstructive sleep apnea risk and improved stroke risk factor management were measured in this project. Almost sixty-nine percent of the stroke patients screened were identified as at risk for obstructive sleep apnea. Only one participant completed polysomnography, and this participant adhered to recommended treatment and demonstrated improved stroke risk factor management. Untreated obstructive sleep apnea in stroke patients has a significant impact on patients, their families, and the healthcare system. Untreated obstructive sleep apnea in stroke patients can hinder stroke recovery, potentially leading to long-term disability and increasing the burden on the healthcare system.