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STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure

BACKGROUND: In patients undergoing surgical interventions under general anesthesia, obstructive sleep apnea syndrome (OSA) can cause serious perioperative cardiovascular or respiratory complications leading to fatal consequences, even sudden death. In this study we test the hypothesis that morbidly...

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Autores principales: Proczko, Monika A., Stepaniak, Pieter S., de Quelerij, Marcel, van der Lely, Floor Haak, Smulders, J. (Frans), Kaska, Lukasz, Soliman Hamad, Mohammed A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Japan 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263911/
https://www.ncbi.nlm.nih.gov/pubmed/24871541
http://dx.doi.org/10.1007/s00540-014-1848-0
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author Proczko, Monika A.
Stepaniak, Pieter S.
de Quelerij, Marcel
van der Lely, Floor Haak
Smulders, J. (Frans)
Kaska, Lukasz
Soliman Hamad, Mohammed A.
author_facet Proczko, Monika A.
Stepaniak, Pieter S.
de Quelerij, Marcel
van der Lely, Floor Haak
Smulders, J. (Frans)
Kaska, Lukasz
Soliman Hamad, Mohammed A.
author_sort Proczko, Monika A.
collection PubMed
description BACKGROUND: In patients undergoing surgical interventions under general anesthesia, obstructive sleep apnea syndrome (OSA) can cause serious perioperative cardiovascular or respiratory complications leading to fatal consequences, even sudden death. In this study we test the hypothesis that morbidly obese patients diagnosed by a polysomnography test and using continuous positive airway pressure (CPAP) therapy have fewer and less severe perioperative complications and a shorter hospital stay than patients who have a medical history that meets at least three STOP-Bang criteria and are not using CPAP therapy. METHODS: Postoperative hospital stay and pulmonary complications were analyzed in three groups of morbidly obese patients undergoing bariatric surgery (Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy) between January 2009 and November 2013 (n = 693). Group A comprised 99 patients who were preoperatively diagnosed with OSA based on polysomnography results. These patients used CPAP therapy before and after surgery. Group B consisted of 182 patients who met at least three STOP-Bang criteria but who were not diagnosed with OSA based on polysomnography results. These patients did not use CPAP. Group C, the reference group, comprised 412 patients who scored one to two items on the STOP-Bang. RESULTS: During the perioperative period, Group B patients had a significantly (p < 0.001) higher cumulative rate of pulmonary complications, worse oxygen saturation, respiratory rates, and increased length of stay in hospital. There was also two cases of sudden death in this group. CONCLUSION: Based on these results, we conclude that patients meeting at least three STOP-BANG criteria have higher postoperative complications and an increased length of hospital stay than patients using CPAP.
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spelling pubmed-42639112014-12-15 STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure Proczko, Monika A. Stepaniak, Pieter S. de Quelerij, Marcel van der Lely, Floor Haak Smulders, J. (Frans) Kaska, Lukasz Soliman Hamad, Mohammed A. J Anesth Original Article BACKGROUND: In patients undergoing surgical interventions under general anesthesia, obstructive sleep apnea syndrome (OSA) can cause serious perioperative cardiovascular or respiratory complications leading to fatal consequences, even sudden death. In this study we test the hypothesis that morbidly obese patients diagnosed by a polysomnography test and using continuous positive airway pressure (CPAP) therapy have fewer and less severe perioperative complications and a shorter hospital stay than patients who have a medical history that meets at least three STOP-Bang criteria and are not using CPAP therapy. METHODS: Postoperative hospital stay and pulmonary complications were analyzed in three groups of morbidly obese patients undergoing bariatric surgery (Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy) between January 2009 and November 2013 (n = 693). Group A comprised 99 patients who were preoperatively diagnosed with OSA based on polysomnography results. These patients used CPAP therapy before and after surgery. Group B consisted of 182 patients who met at least three STOP-Bang criteria but who were not diagnosed with OSA based on polysomnography results. These patients did not use CPAP. Group C, the reference group, comprised 412 patients who scored one to two items on the STOP-Bang. RESULTS: During the perioperative period, Group B patients had a significantly (p < 0.001) higher cumulative rate of pulmonary complications, worse oxygen saturation, respiratory rates, and increased length of stay in hospital. There was also two cases of sudden death in this group. CONCLUSION: Based on these results, we conclude that patients meeting at least three STOP-BANG criteria have higher postoperative complications and an increased length of hospital stay than patients using CPAP. Springer Japan 2014-05-29 2014 /pmc/articles/PMC4263911/ /pubmed/24871541 http://dx.doi.org/10.1007/s00540-014-1848-0 Text en © The Author(s) 2014 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
Proczko, Monika A.
Stepaniak, Pieter S.
de Quelerij, Marcel
van der Lely, Floor Haak
Smulders, J. (Frans)
Kaska, Lukasz
Soliman Hamad, Mohammed A.
STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure
title STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure
title_full STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure
title_fullStr STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure
title_full_unstemmed STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure
title_short STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure
title_sort stop-bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263911/
https://www.ncbi.nlm.nih.gov/pubmed/24871541
http://dx.doi.org/10.1007/s00540-014-1848-0
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