HYBRID EVENT: You can participate in person at Orlando, USA or Virtually from your home or work.

6th Edition of Nursing World Conference

October 27-29, 2022 | Orlando, USA

October 27 -29, 2022 | Orlando, Florida, USA
NWC 2022

Christine Castelluber

Speaker at  Nursing World Conference 2022 - Christine Castelluber
Felician University, United States
Title : Effects of the stop-bang questionnaire on sleep study referrals


This literature review will look at how adding the STOP-BANG questionnaire as a basic intake questionnaire at every annual physical, compared to not using the STOP-BANG questionnaire at every annual physical would influence the number of referrals for home sleep studies over a year in adults above the age of eighteen with a BMI of greater than or equal to twenty-five.  Obstructive sleep apnea (OSA) is a disturbed sleep breathing disorder with a prevalence rate that is on the rise. Due to its association with cardiovascular disease, neurovascular conditions, motor vehicle accidents, and poor quality of life, it has become a public health burden. OSA has been linked to not only worsening prognosis of existing comorbidities, but also increasing the chances of developing new comorbidities. Current evidenced based practice guidelines recommend screening for OSA only be completed on symptomatic patients. With this in mind, research suggests OSA has been be underdiagnosed and undertreated because people are unaware of the condition, and thus, unaware they may be presenting with symptoms. The research and evidenced-based guidelines suggest the use of the STOP-BANG questionnaire can be beneficial in identifying patients who are appropriate to be screened for OSA with a sleep study. The STOP-BANG questionnaire is a simple tool that can be easily incorporated into the primary care setting, without disrupting workflow. By adding this questionnaire during the annual physical intake, it is expected that more patients will be recognized as having OSA symptoms, hence, increasing the number of patients referred to getting a home sleep study. It has been seen that with the increase in OSA cases, there are long wait times and a limited number of sleep specialists. By implementing the STOP-BANG questionnaire in primary care, APNs can be the bridge between the limited number of providers, and the lack of access to sleep studies. APNs can be the first line to see if a patient is appropriate or not for a sleep study which would decrease the number of unnecessary sleep study testing. APNs also treat and manage chronic conditions and comorbidities every day including, hypertension, stroke, dysrhythmias, to name a few. By implementing this practice change, early diagnosis of OSA can increase knowledge on this burdensome disease and improve patient outcomes in the primary care setting.


Miss Christine Castelluber is a student at Felician University, graduating in May 2022 with a Master’s in Nursing Science: Family Nurse Practitioner in Primary Care.  Miss Castelluber graduated with her BSN from The College of New Jersey and has been a practicing registered nurse in a cardio-thoracic ICU stepdown unit. Miss Castelluber has been a progressive care certified nurse since 2020.