Assessment of Obstructive Sleep Apnea in Adults Undergoing Bariatric Surgery in the Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) Study

Khan, Akram; King, Wendy C.; Patterson, Emma; Laut, Jamie; Raum, William J.; Courcoulas, Anita P.; Atwood, Charles W.; Wolfe, Bruce M.

doi:10.5664/jcsm.2332

Cited by 37 publications

(21 citation statements)

References 40 publications

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“…These studies suggest that no single anthropometric measure has yet been identified to predict OSA in children. Our study suggests that, as seen for adults, sagittal abdominal diameter correlates with OSA risk in adolescents with obesity; however, confirmatory studies are necessary to better understand the usefulness of this measure in normal weight, overweight, and children and adolescents with obesity .…”

Section: Discussionsupporting

confidence: 57%

OSA screening with the pediatric sleep questionnaire for adolescents undergoing bariatric surgery in teen‐LABS

Ishman

Heubi

Jenkins

et al. 2016

Obesity

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Objective Obstructive sleep apnea (OSA) is reported in 70% of adolescents who present for bariatric surgery. The Pediatric Sleep Questionnaire (PSQ) was developed to identify children at risk for OSA, but is not validated in adolescents with obesity. The aims of this study:1)to assess validity of the PSQ to detect OSA, and 2)determine the correlation between anthropometric and polysomnography measurements. Methods Cross-sectional assessment of Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) participants at high-risk for OSA. Participants completed an overnight polysomnography and caregivers completed the PSQ. Results Forty-five participants (84% female, 78% Caucasian, mean age=16.7±1.5 years) were evaluated. Mean BMI was 51.3±7.7kg/m2 and mean obstructive apnea-hypopnea index (oAHI) was 6.1±5.9 events/hour. For diagnosis of OSA (oAHI≥5), the total PSQ score sensitivity, specificity, and positive predictive value (PPV) were 86%, 38%, and 55%, respectively. For snoring >50% of the time, PPV was 84%, sensitivity was 64%, and specificity was 43%. Sagittal abdominal diameter correlated with oAHI and oxygen saturation nadir (rho=0.34, P=0.027), whereas BMI, neck, and waist circumference correlated with neither. Conclusion The PSQ demonstrated low specificity and PPV and the question regarding snoring >50% of the time did not effectively identify OSA. Sagittal abdominal diameter correlated with oAHI and oxygen saturation nadir.

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Section: Discussionsupporting

confidence: 57%

OSA screening with the pediatric sleep questionnaire for adolescents undergoing bariatric surgery in teen‐LABS

Ishman

Heubi

Jenkins

et al. 2016

Obesity

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“…Preoperative respiratory therapy with CPAP has been shown to reduce the frequency of episodes of respiratory failure after extubation and reduce the rate of postoperative complications [118]. However, several studies have demonstrated that there is a close correlation between the extent of the symptoms detected by the specific questionnaires and the severity of the polysomnography framework [119–122]. Consequently, a significant number of patients undergoing surgical procedures are likely to face surgery with an undiagnosed or inadequately treated OSAS.…”

Section: Chapter 3: Specific Considerations and Indications For Surgementioning

confidence: 99%

Indications for Surgery for Obesity and Weight-Related Diseases: Position Statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)

Luca

Angrisani

Himpens³

et al. 2016

OBES SURG

252

122

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“…One of them includes obstructive sleep apnea (OSA), one of the highest accompanying comorbidities [14,15]. Ravesloot et al performed a prospective observational study in which all patients scheduled for bariatric surgery underwent mandatory polysomnography (PSG).…”

Section: Introductionmentioning

confidence: 99%

Predictive Factors for Insufficient Weight Loss After Bariatric Surgery: Does Obstructive Sleep Apnea Influence Weight Loss?

et al. 2015

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Assessment of Obstructive Sleep Apnea in Adults Undergoing Bariatric Surgery in the Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) Study

Cited by 37 publications

References 40 publications

OSA screening with the pediatric sleep questionnaire for adolescents undergoing bariatric surgery in teen‐LABS

OSA screening with the pediatric sleep questionnaire for adolescents undergoing bariatric surgery in teen‐LABS

Indications for Surgery for Obesity and Weight-Related Diseases: Position Statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)

Predictive Factors for Insufficient Weight Loss After Bariatric Surgery: Does Obstructive Sleep Apnea Influence Weight Loss?

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