Asian Pacific Society of Cardiology Consensus Statements on the Diagnosis and Management of Obstructive Sleep Apnoea in Patients with Cardiovascular Disease

Tan, Jack Wei Chieh; Leow, Leong Chai; Wong, Serene; Khoo, See Meng; Kasai, Takatoshi; Kojodjojo, Pipin; Duong-Quy, Sy; Lee, Chuen Peng; Chirakalwasan, Naricha; Li, Hsueh‐Yu; Koh, Natalie; Tan, Adeline; Ong, Thun How; Aung, Aye-Thandar; Toh, Song Tar; Lee, Chi‐Hang

doi:10.15420/ecr.2021.59

Cited by 4 publications

(2 citation statements)

References 54 publications

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“…As such, e.g., the implantation and use of a hypoglossal nerve stimulator device ("upper airway stimulation system") is not included in this study. Protocols and therapeutic approaches in the surgical management of OSA vary across the globe [58][59][60][61]. Since the NSQIP is a national US database, the transferability of our findings is limited to the American healthcare system [62].…”

Section: Limitationsmentioning

confidence: 99%

30-Day Postoperative Outcomes in Adults with Obstructive Sleep Apnea Undergoing Upper Airway Surgery

Knoedler

Baecher

et al. 2022

JCM

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Background: Obstructive sleep apnea (OSA) is a chronic disorder of the upper airway. OSA surgery has oftentimes been researched based on the outcomes of single-institutional facilities. We retrospectively analyzed a multi-institutional national database to investigate the outcomes of OSA surgery and identify risk factors for complications. Methods: We reviewed the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database (2008–2020) to identify patients who underwent OSA surgery. The postoperative outcomes of interest included 30-day surgical and medical complications, reoperation, readmission, and mortality. Additionally, we assessed risk-associated factors for complications, including comorbidities and preoperative blood values. Results: The study population included 4662 patients. Obesity (n = 2909; 63%) and hypertension (n = 1435; 31%) were the most frequent comorbidities. While two (0.04%) deaths were reported within the 30-day postoperative period, the total complication rate was 6.3% (n = 292). Increased BMI (p = 0.01), male sex (p = 0.03), history of diabetes (p = 0.002), hypertension requiring treatment (p = 0.03), inpatient setting (p < 0.0001), and American Society of Anesthesiology (ASA) physical status classification scores ≥ 4 (p < 0.0001) were identified as risk-associated factors for any postoperative complications. Increased alkaline phosphatase (ALP) was identified as a risk-associated factor for the occurrence of any complications (p = 0.02) and medical complications (p = 0.001). Conclusions: OSA surgery outcomes were analyzed at the national level, with complications shown to depend on AP levels, male gender, extreme BMI, and diabetes mellitus. While OSA surgery has demonstrated an overall positive safety profile, the implementation of these novel risk-associated variables into the perioperative workflow may further enhance patient care.

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Section: Limitationsmentioning

confidence: 99%

30-Day Postoperative Outcomes in Adults with Obstructive Sleep Apnea Undergoing Upper Airway Surgery

Knoedler

Baecher

et al. 2022

JCM

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“…In the Korean guidelines for HF, the objectives of CR in patients with HF are to enhance quality of life by improving cardiorespiratory endurance and to reduce rehospitalization rates and mortality associated with worsening HF [37][38][39] . The guidelines from the Asian Pacific Society of Cardiology for HF [40] demonstrate that exercise rehabilitation improves exercise capacity and enhances the quality of life for all patients with HF [41][42] and reduces hospitalizations from all causes [24,43] . Therefore, it is crucial to recommend a multidisciplinary CR program to all patients with HF.…”

Section: Cr In the Guideline Of Asiamentioning

confidence: 99%

Physical activity and cardiac rehabilitation for the primary and secondary prevention of heart failure

Komuro,

Ueno

et al. 2024

Cardiology Plus

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Heart failure (HF) is a mounting global health and financial concern. With the introduction of angiotensin receptor-neprilysin inhibitors and sodium-glucose cotransporter-2 inhibitors, outcomes for HF have improved dramatically in recent years, however, the increase in HF cases remains uncontrolled, and reliance on current medical treatment alone is no longer sufficient. Therefore, primary prevention through exercise habits and secondary prevention through cardiac rehabilitation (CR) are becoming increasingly important to reduce the number of HF cases. We have previously highlighted the benefits of adopting a healthy lifestyle in preventing cardiovascular disease (CVD), even in individuals with cancer. Our findings underscore the importance of incorporating regular exercise into lifestyle modification and highlight the critical role of exercise habits in primary prevention, especially in terms of CVD prevention. The importance of CR is emphasized in the many guidelines such as European, American, and Japanese guidelines. CR is given a Class I recommendation due to its association with improved prognosis for patients with HF. Furthermore, early initiation of CR is recommended, especially for older patients with HF, because CR has been reported to reduce the length of stay and prevent rehospitalization. In addition to the existing evidence, the Nationwide Population-Based Database in Japan has indicated the importance of CR in patients with acute HF and of enhancing gait speed in preventing HF. Although the importance of CR is recognized worldwide, actual utilization of CR by patients remains low. The challenge for the future is to raise awareness among attending physicians and patients about the importance of exercise habits and CR by actively promoting individualized rehabilitation.

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Fine-grained respiratory event detection for SAHS screening

Chu,

Wei,

et al. 2025

Biomedical Signal Processing and Control

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Asian Pacific Society of Cardiology Consensus Statements on the Diagnosis and Management of Obstructive Sleep Apnoea in Patients with Cardiovascular Disease

Cited by 4 publications

References 54 publications

30-Day Postoperative Outcomes in Adults with Obstructive Sleep Apnea Undergoing Upper Airway Surgery

30-Day Postoperative Outcomes in Adults with Obstructive Sleep Apnea Undergoing Upper Airway Surgery

Physical activity and cardiac rehabilitation for the primary and secondary prevention of heart failure

Fine-grained respiratory event detection for SAHS screening

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