Patients with a high risk for obstructive sleep apnea syndrome: Postoperative respiratory complications

Pereira, Hélder; Xará, Daniela; Mendonça, J.; Santos, Alice; Abelha, Fernando

doi:10.1016/j.rppneu.2013.01.003

Cited by 48 publications

(40 citation statements)

References 19 publications

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“…Postoperative cardiac and/or pulmonary complications were the primary outcomes of 4 studies. [12][13][14]17 One study assessed critical care admissions, 19 and another study focused on unexpected perioperative and early postoperative complications. 18 High risk of OSA was classified as a STOP-Bang score ≥ 3 in 5 of the studies, 13-17 a score ≥ 5 in one study, 12 and 2 studies did not pool patients into high and low risk categories.…”

Section: Stop-bangmentioning

confidence: 99%

“…11,18,19 In those that did, baseline characteristics frequently differed between high and low risk for OSA groups. 12,14,15,20,22 This is unsurprising, given that high and low risk status is conferred by the presence of specific features within each screening tool. Adjustments for other potential prognostic factors were made in only 5 of the 12 studies.…”

Section: Limitations: Confoundersmentioning

confidence: 99%

“…Adjustments for other potential prognostic factors were made in only 5 of the 12 studies. In one of these studies, high risk OSA was no longer associated with adverse respiratory events 14 ; suggesting that any association can be explained by additional cofounding factors, for example, patients at high risk for OSA using the STOP-Bang were more likely to have undergone major surgery, compared to low risk.…”

Section: Limitations: Confoundersmentioning

confidence: 99%

“…14,17,20,21 Patients with OSA diagnosis may have received preoperative and/or postoperative CPAP which could influence rates of complications. In the study by Munish et al which looked at the ability of the ASA checklist to predict postoperative complications, significant proportion of those identified as high risk were on CPAP prior to enrolling in the study (79.6% versus 20.4%, p < 0.001), with further patients started on CPAP during the study.…”

Section: Limitations: Confoundersmentioning

confidence: 99%

“…13,16 Inclusion criteria for surgery type varied substantially across studies. In particular, some studies included head and neck surgeries, 12,14,[17][18][19] while others did not. Emergency surgery was included in a single study but the authors did not specify if high and low risk groups had significant differences in frequency of emergency surgery therefore we cannot conclude if this is a potential confounder.…”

Section: Limitations: Confoundersmentioning

confidence: 99%

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Can Screening Tools for Obstructive Sleep Apnea Predict Postoperative Complications? A Systematic Review of the Literature

Dimitrov

Macavei

2016

Journal of Clinical Sleep Medicine

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Study Objectives: Obstructive sleep apnea (OSA) is a common, underdiagnosed condition that is associated with significant morbidity and mortality in the perioperative setting. Increasing evidence suggests that the utility of preoperative screening tools may go beyond identification of OSA, to the prediction of perioperative complications. The primary objective of this study was to systematically review the literature on all studies assessing whether high risk scores on the STOP-Bang questionnaire, American Society of Anesthesiologists (ASA) checklist, and the Berlin Questionnaire (BQ) are associated with higher rates of postoperative complications. Methods: A systematic review of English language records was performed using Medline, EMBASE, and PsychInfo with additional studies identified by manual search through reference lists. Only studies that evaluated the ability of the STOP-Bang, the BQ, and ASA checklist to predict postoperative complications in adults were included. Results: Twelve studies were included in the final review. Eight studies looked at STOP-Bang, 3 at the Berlin Questionnaire, and 2 at the ASA Checklist. Significant differences across study characteristics prevented a meta-analysis and the studies were evaluated qualitatively. Conclusions: The ASA checklist, Berlin Questionnaire, and STOP-Bang questionnaire may be able to risk stratify patients for perioperative and postoperative complications. Further research is required, with a particular focus on specific surgery types and adjustment of potentially confounding factors in the analysis. Keywords: OSA, screening questionnaires, STOP-Bang, Berlin Questionnaire, ASA Checklist, postoperative complications Citation: Dimitrov L, Macavei V. Can screening tools for obstructive sleep apnea predict postoperative complications? A systematic review of the literature.

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Section: Stop-bangmentioning

confidence: 99%

Section: Limitations: Confoundersmentioning

confidence: 99%

Section: Limitations: Confoundersmentioning

confidence: 99%

Section: Limitations: Confoundersmentioning

confidence: 99%

Section: Limitations: Confoundersmentioning

confidence: 99%

See 3 more Smart Citations

Can Screening Tools for Obstructive Sleep Apnea Predict Postoperative Complications? A Systematic Review of the Literature

Dimitrov

Macavei

2016

Journal of Clinical Sleep Medicine

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Obstructive Sleep Apnea Surgery

Cillo¹,

Dattilo²

2022

Management of Complications in Oral and Maxillofacial Surgery

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

116

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Patients with a high risk for obstructive sleep apnea syndrome: Postoperative respiratory complications

Abstract: Patients with HR-OSA had an important incidence among patients scheduled for surgery in our hospital. These patients had more co-morbidities and were more prone to post-operative complications.

Cited by 48 publications

References 19 publications

Can Screening Tools for Obstructive Sleep Apnea Predict Postoperative Complications? A Systematic Review of the Literature

Can Screening Tools for Obstructive Sleep Apnea Predict Postoperative Complications? A Systematic Review of the Literature

Obstructive Sleep Apnea Surgery

International Consensus Statement on Obstructive Sleep Apnea

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