{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:47:59Z","timestamp":1789559279161,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      The STOP\u2010BANG questionnaire assesses the peri\u2010operative risk of obstructive sleep apnoea and relies on subjective components, which limit its reliability. The B\u2010APNEIC score was proposed as a more objective alternative, incorporating just four STOP\u2010BANG variables: BMI\u2009&gt;\u200935\u2009kg.m\n                      <jats:sup>\u20102<\/jats:sup>\n                      ; arterial blood pressure; neck circumference\u2009&gt;\u200940\u2009cm; and witnessed breathing interruptions. This study aimed to evaluate the predictive performance of the B\u2010APNEIC score in an Australian sleep clinic population. These findings would have important implications for use in the pre\u2010operative screening of obstructive sleep apnoea.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We enrolled participants referred for overnight diagnostic polysomnography. The STOP\u2010BANG questionnaire was administered and the B\u2010APNEIC score was extracted. The primary outcome was the predictive ability of a B\u2010APNEIC score\u2009\u2265\u20093 to detect severe obstructive sleep apnoea. Performance metrics were compared with a STOP\u2010BANG score\u2009\u2265\u20095.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 274 patients, the B\u2010APNEIC score showed a sensitivity of 84% (95%CI 75\u201390%), specificity of 60% (95%CI 52\u201367%), positive predictive value of 56% (95%CI 48\u201364%) and negative predictive value of 86% (95%CI 78\u201391%) for predicting severe obstructive sleep apnoea. Compared with the STOP\u2010BANG score, the B\u2010APNEIC score showed superior sensitivity (84% vs. 73%); positive predictive value (56% vs. 52%); negative predictive value (86% vs. 78%); Youden Index (0.43 vs. 0.32); and area under the receiver operating characteristic curve (0.72 (95%CI 0.66\u20130.77) vs. 0.66 (95%CI 0.60\u20130.72); p\u2009=\u20090.02). Both scores had similar specificity (59%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The B\u2010APNEIC score showed strong predictive accuracy for severe obstructive sleep apnoea and could serve as a simple, objective alternative to STOP\u2010BANG. While further validation in surgical populations is warranted, these findings support its use in pre\u2010operative screening for obstructive sleep apnoea.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70102","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T02:54:38Z","timestamp":1765594478000},"page":"655-663","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Validation and diagnostic performance of the novel B\u2010\n                    <scp>APNEIC<\/scp>\n                    score for predicting severe obstructive sleep apnoea: a cross\u2010sectional study in an Australian population"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4654-9608","authenticated-orcid":false,"given":"Venkatesan","family":"Thiruvenkatarajan","sequence":"first","affiliation":[{"name":"Department of Anaesthesia The Queen Elizabeth Hospital  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Adelaide Hospital  Adelaide SA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roelof","family":"Van Wijk","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia The Queen Elizabeth Hospital  Adelaide SA Australia"},{"name":"Discipline of Acute Care Medicine The University of Adelaide  Adelaide SA 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