ICU sedation, delirium & recovery
Validation and diagnostic performance of the novel B‐ APNEIC score for predicting severe obstructive sleep apnoea: a cross‐sectional study in an Australian population
Authors' conclusion
The B-APNEIC score showed strong predictive accuracy for severe obstructive sleep apnoea and could serve as a simple, objective alternative to STOP-BANG.
Study context
- Population
- Australian sleep clinic patients referred for overnight diagnostic polysomnography
- Participants
- 274 patients
- Comparison
- B-APNEIC score ≥ 3 vs STOP-BANG score ≥ 5
- Outcome
- Predictive ability of a B-APNEIC score ≥ 3 to detect severe OSA
Methodological detailscross-sectional
- Cross-sectional
Performance
As reported in the abstract
Prediction of severe OSA
| Test or model | Sensitivity | Specificity | PPV | NPV | Youden Index | AUC |
|---|---|---|---|---|---|---|
| B-APNEIC | 84% (95%CI 75-90%) | 60% (95%CI 52-67%) | 56% (95%CI 48-64%) | 86% (95%CI 78-91%) | 0.43 | 0.72 (95%CI 0.66-0.77) |
| STOP-BANG | 73% | 52% | 78% | 0.32 | 0.66 (95%CI 0.60-0.72) |
Sensitivity
B-APNEIC84% (95%CI 75-90%)
STOP-BANG73%
Specificity
B-APNEIC60% (95%CI 52-67%)
STOP-BANG— not stated in the abstract
PPV
B-APNEIC56% (95%CI 48-64%)
STOP-BANG52%
NPV
B-APNEIC86% (95%CI 78-91%)
STOP-BANG78%
Youden Index
B-APNEIC0.43
STOP-BANG0.32
AUC
B-APNEIC0.72 (95%CI 0.66-0.77)
STOP-BANG0.66 (95%CI 0.60-0.72)
- B-APNEIC vs STOP-BANG: P = 0.02 — 0.72 vs. 0.66
- Both scores had similar specificity
- 59%
Original publication
Validation and diagnostic performance of the novel B‐ APNEIC score for predicting severe obstructive sleep apnoea: a cross‐sectional study in an Australian population. Anaesthesia. Published 12 December 2025. doi:10.
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