Risk screening

Am I at risk for sleep apnea?

About 30 million US adults have obstructive sleep apnea, and roughly 80% don’t know it. Most people with OSA think they sleep fine — the strongest single predictor is what a bed partner observes, not what the sleeper notices. This tool computes a STOP-BANG score on your device.

Daytime tiredness is a poor self-signal — people normalise it, blame caffeine, age, or stress, and miss the actual cause. The single most diagnostic symptom is observed apnea (a partner reports you stop breathing, choke, or gasp). If you sleep alone, those observations are unavailable to you, which is why a risk-factor questionnaire is more useful than asking “do I feel tired?”

The US Preventive Services Task Force (USPSTF 2022) concluded that evidence is insufficient to recommend OSA screening in asymptomatic adults from the general population. This tool isn’t general-population screening — it’s for people who have symptoms (snoring, daytime fatigue, witnessed apneas) or risk factors (excess weight, hypertension, age over 50, larger neck). If that sounds like you, a structured risk check has value even where blanket screening doesn’t.

If you are falling asleep while driving, operating machinery, or caring for someone, seek medical advice promptly and avoid driving while sleepy. Drowsy driving is a documented cause of serious crashes.

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A STOP-BANG-style risk check. STOP-BANG is an 8-item screener developed by Chung et al. (Anesthesiology 2008; Br J Anaesth 2012) that has become the most widely used non-lab tool for stratifying obstructive sleep apnea risk. Item wording here is paraphrased — see stopbang.ca for the official questionnaire.

A diagnosis. Only an overnight polysomnography (PSG) or a home sleep apnea test interpreted by a sleep clinician can diagnose OSA. A high STOP-BANG score is a prompt to ask for one, not a verdict.

For mild-to-moderate OSA: weight loss, side-sleeping (avoid supine), avoiding alcohol within 3 hours of bed, treating nasal congestion. For moderate-severe OSA: CPAP remains the gold-standard treatment. See your shift-work / sleep plan for circadian context if you’ve done the intake.

Your answers are stored only in this browser, scoped to the active profile. Nothing is uploaded. See transparency for the network-level audit.

Sources. Chung F et al., Anesthesiology 2008;108:812 (STOP-BANG original) · Chung F et al., Br J Anaesth 2012;108:768 (validated cutoffs) · USPSTF 2022 OSA screening recommendation · American Academy of Sleep Medicine (prevalence) · stopbang.ca (official questionnaire wording).