Hospital Use in the Treatment of Sleep Apnea

Petersen, Erik J.; Reiter, Evan R.

doi:10.1097/00005537-200403000-00014

Cited by 5 publications

(6 citation statements)

References 30 publications

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“…Prior studies have demonstrated increased length of stay in postoperative OSA patients, even when adjusted for age, sex, and body mass index . When Rahimi et al compared OSA and non‐OSA patients undergoing TSS for endocrine disease, no differences in length of stay were found .…”

Section: Discussionmentioning

confidence: 96%

“…Prior studies have demonstrated increased length of stay in postoperative OSA patients, even when adjusted for age, sex, and body mass index. 12,35,43,44 When Rahimi et al compared OSA and non-OSA patients undergoing TSS for endocrine disease, no differences in length of stay were found. 10 Despite OSA patients having greater comorbidities and postoperative airway complications, which would have required more treatments, interventions, and higher levels of management and care, and thus may have accounted for the considerably higher hospital charges this group incurred (P < .001), OSA patients had significantly shorter hospital stays than the non-OSA patients.…”

Section: Discussionmentioning

confidence: 99%

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Impact of obstructive sleep apnea in transsphenoidal pituitary surgery: An analysis of inpatient data

et al. 2017

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Impact of obstructive sleep apnea in transsphenoidal pituitary surgery: An analysis of inpatient data

et al. 2017

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“…9 This may be explained by multiple factors, including patient and physician awareness of surgical options, patient referral patterns, patient preferences, and the relative magnitude of these operations.…”

mentioning

confidence: 99%

Disparities in Utilization of Jaw Surgery for Treatment of Sleep Apnea: A Nationwide Analysis

Garg

Shan

Havlena

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Background:Maxillomandibular advancement has been shown to be one of the most effective operations for management of severe obstructive sleep apnea, yet pharyngeal surgery is more commonly performed. The goal of this study was to identify socioeconomic factors associated with this phenomenon.Methods:Patients aged 14 or older with a primary hospital diagnosis of sleep apnea were identified using the National Inpatient Sample from 2005 to 2012. ICD9 codes were used to determine whether a pharyngeal or jaw procedure was performed. Patient demographics, comorbidities, and complications were compared.Results:Among 6316 sleep surgeries, 5964 (94.4%) were pharyngeal and 352 (5.6%) were jaw procedures. Women were significantly more likely to receive jaw surgery than men (odds ratio [OR] = 1.68, P = 0.0007). African Americans (OR = 0.19, P < 0.0001), Hispanics (OR = 0.42, P = 0.0009), Asians (OR = 0.41, P = 0.0009), and other non-Caucasians (OR = 0.19, P = 0.0008) had a significantly lower odds of receiving jaw surgery than Caucasians. Patients falling into lower-income brackets (OR = 0.39 and 0.57, P = 0.02 and 0.04) and patients with Medicare compared with private or Health Maintenance Organization insurance (OR = 0.46, P = 0.008) also had significantly decreased odds of undergoing jaw surgery. Comorbidities were similar between surgical groups, and there were no significant differences in bleeding, infection, or cardiopulmonary complications.Conclusions:We identified no significant difference in complication rates between pharyngeal and jaw procedures. Nonetheless, African American, Hispanic, and Asian patients, in addition to lower-income patients and patients with Medicare, had a significantly lower odds of receiving jaw surgery. Awareness of these disparities may help guide efforts to improve patients’ surgical options for sleep apnea.

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“…15,16,30 More traditional airway surgery may expose older patients to a higher risk of post-operative complications and longer post-operative hospital stay. 31,32…”

Section: Discussionmentioning

confidence: 99%

Comparison of Traditional Upper Airway Surgery and Upper Airway Stimulation for Obstructive Sleep Apnea

Huntley

Boon

Tschopp

et al. 2020

Ann Otol Rhinol Laryngol

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Objective: To compare patients with moderate-severe obstructive sleep apnea (OSA) undergoing traditional single and multilevel sleep surgery to those undergoing upper airway stimulation (UAS). Study Design: Case control study comparing retrospective cohort of patients undergoing traditional sleep surgery to patients undergoing UAS enrolled in the ADHERE registry. Setting: 8 multinational academic medical centers. Subjects and Methods: 233 patients undergoing prior single or multilevel traditional sleep surgery and meeting study inclusion criteria were compared to 465 patients from the ADHERE registry who underwent UAS. We compared preoperative and postoperative demographic, quality of life, and polysomnographic data. We also evaluated treatment response rates. Results: The pre and postoperative apnea hypopnea index (AHI) was 33.5 and 15 in the traditional sleep surgery group and 32 and 10 in the UAS group. The postoperative AHI in the UAS group was significantly lower. The pre and postoperative Epworth sleepiness scores (ESS) were 12 and 6 in both the traditional sleep surgery and UAS groups. Subgroup analysis evaluated those patients undergoing single level palate and multilevel palate and tongue base traditional sleep surgeries. The UAS group had a significantly lower postoperive AHI than both traditional sleep surgery subgroups. The UAS group had a higher percentage of patients reaching surgical success, defined as a postoperative AHI <20 with a 50% reduction from preoperative severity. Conclusion: UAS offers significantly better control of AHI severity than traditional sleep surgery. Quality life improvements were similar between groups.

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Hospital Use in the Treatment of Sleep Apnea

Cited by 5 publications

References 30 publications

Impact of obstructive sleep apnea in transsphenoidal pituitary surgery: An analysis of inpatient data

Impact of obstructive sleep apnea in transsphenoidal pituitary surgery: An analysis of inpatient data

Disparities in Utilization of Jaw Surgery for Treatment of Sleep Apnea: A Nationwide Analysis

Comparison of Traditional Upper Airway Surgery and Upper Airway Stimulation for Obstructive Sleep Apnea

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