Patients with a high risk for obstructive sleep apnea syndrome: Postoperative respiratory complications
Fuente:
Redalyc
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Artículo científico |
| Sprache: | en |
| Veröffentlicht: |
Sociedade Portuguesa de Pneumologia
2013
|
| Schlagworte: | |
| Online-Zugang: | |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| _version_ | 1876452608443416576 |
|---|---|
| author | H. Pereira |
| author_facet | H. Pereira |
| contents | Patients with a high risk for obstructive sleep apnea syndrome: Postoperative respiratory complications H. Pereira D. Xará J. Mendonca A. Santos F.J. Abelha Medicina STOP Surgery BANG score Obstructive sleep apnea Postoperative complications Background: STOP-BANG score (snore; tired; observed apnea; arterial pressure; body mass index; age; neck circumference and gender) can predict the risk of a patient having Obstruc- tive Syndrome Apnea (OSA). The aim of this study was to evaluate the incidence STOP-BANG score ≥ 3, in surgical patients admitted to the Post-Anesthesia Care Unit (PACU). Methods: Observational, prospective study conducted in a post-anesthesia care unit (PACU) during three weeks (2011). The study population consisted of adult patients after noncardiac and non-neurological surgery. Patients were classified as high risk of OSA (HR-OSA) if STOP-BANG score ≥ 3 and Low-risk of OSA (LR-OSA) if STOP-BANG score < 3 (LR-OSA). Patient demographics, intraoperative and postoperative data were collected. Patient characteristics were compared using Mann--Whitney U-test, t-test for independent groups, and chi-square or Fisher’s exact - test. Results: A total of 357 patients were admitted to PACU; 340 met the inclusion criteria. 179 (52%) were considered HR-OSA. These patients were older, more likely to be masculine, had higher BMI, higher ASA physical status, higher incidence of ischemic heart disease, heart fail- ure, hypertension, dyslipidemia and underwent more frequently insulin treatment for diabetes. These patients had more frequently mild/moderated hypoxia in the PACU (9% vs. 3%, p = 0.012) and had a higher incidence of residual neuromuscular blockade (NMB) (20% vs. 16%, p = 0.035). Patients with HR-OSA had a longer hospital stay. Conclusions: 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. © 2012 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L. All rights reserved. 2013 artículo científico 0873-2159 https://www.redalyc.org/articulo.oa?id=169729142003 en http://www.redalyc.org/revista.oa?id=1697 Revista Portuguesa de Pneumología application/pdf Sociedade Portuguesa de Pneumologia Revista Portuguesa de Pneumología (Portugal) Num.4 Vol.19 |
| format | Artículo científico |
| id | redalyc_169729142003 |
| institution | Redalyc |
| language | en |
| publishDate | 2013 |
| publisher | Sociedade Portuguesa de Pneumologia |
| spellingShingle | Patients with a high risk for obstructive sleep apnea syndrome: Postoperative respiratory complications H. Pereira Medicina STOP Surgery BANG score Obstructive sleep apnea Postoperative complications Patients with a high risk for obstructive sleep apnea syndrome: Postoperative respiratory complications H. Pereira D. Xará J. Mendonca A. Santos F.J. Abelha Medicina STOP Surgery BANG score Obstructive sleep apnea Postoperative complications Background: STOP-BANG score (snore; tired; observed apnea; arterial pressure; body mass index; age; neck circumference and gender) can predict the risk of a patient having Obstruc- tive Syndrome Apnea (OSA). The aim of this study was to evaluate the incidence STOP-BANG score ≥ 3, in surgical patients admitted to the Post-Anesthesia Care Unit (PACU). Methods: Observational, prospective study conducted in a post-anesthesia care unit (PACU) during three weeks (2011). The study population consisted of adult patients after noncardiac and non-neurological surgery. Patients were classified as high risk of OSA (HR-OSA) if STOP-BANG score ≥ 3 and Low-risk of OSA (LR-OSA) if STOP-BANG score < 3 (LR-OSA). Patient demographics, intraoperative and postoperative data were collected. Patient characteristics were compared using Mann--Whitney U-test, t-test for independent groups, and chi-square or Fisher’s exact - test. Results: A total of 357 patients were admitted to PACU; 340 met the inclusion criteria. 179 (52%) were considered HR-OSA. These patients were older, more likely to be masculine, had higher BMI, higher ASA physical status, higher incidence of ischemic heart disease, heart fail- ure, hypertension, dyslipidemia and underwent more frequently insulin treatment for diabetes. These patients had more frequently mild/moderated hypoxia in the PACU (9% vs. 3%, p = 0.012) and had a higher incidence of residual neuromuscular blockade (NMB) (20% vs. 16%, p = 0.035). Patients with HR-OSA had a longer hospital stay. Conclusions: 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. © 2012 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L. All rights reserved. 2013 artículo científico 0873-2159 https://www.redalyc.org/articulo.oa?id=169729142003 en http://www.redalyc.org/revista.oa?id=1697 Revista Portuguesa de Pneumología application/pdf Sociedade Portuguesa de Pneumologia Revista Portuguesa de Pneumología (Portugal) Num.4 Vol.19 |
| title | Patients with a high risk for obstructive sleep apnea syndrome: Postoperative respiratory complications |
| topic | Medicina STOP Surgery BANG score Obstructive sleep apnea Postoperative complications |
| url | https://www.redalyc.org/articulo.oa?id=169729142003 |