TY - JOUR
T1 - Obstructive sleep apnea in general surgery patients
T2 - Is it more common than we think?
AU - Kulkarni, Gaurav V.
AU - Horst, Anne
AU - Eberhardt, Joshua M.
AU - Kumar, Sunita
AU - Sarker, Sharfi
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/3
Y1 - 2014/3
N2 - Background To determine the risk of obstructive sleep apnea (OSA) in preoperative surgical patients. Methods Three hundred seventy-one new patients presenting to an outpatient general surgery clinic were prospectively screened for risk of OSA using the STOP-Bang questionnaire. Patients were classified as high risk with a score of >3 on the STOP-Bang questionnaire. Polysomnography results were reviewed when available. Results Complete questionnaires were available on 367 (98.9%) patients. Two hundred thirty-seven patients (64.6%) were classified as high risk of OSA on the questionnaire. Polysomnography results available on 49 patients revealed severe OSA in 17 (34.5%), moderate in 8 (16.5%), mild in 14 (28.5%), and no OSA in 10 (20.5%) patients. The positive predictive value and sensitivity of the questionnaire were 76%, and 92% for the STOP-Bang questionnaire, respectively. The sensitivity increased to 100% for severe OSA. Conclusion Preoperative screening for OSA should be considered to diagnose patients at risk.
AB - Background To determine the risk of obstructive sleep apnea (OSA) in preoperative surgical patients. Methods Three hundred seventy-one new patients presenting to an outpatient general surgery clinic were prospectively screened for risk of OSA using the STOP-Bang questionnaire. Patients were classified as high risk with a score of >3 on the STOP-Bang questionnaire. Polysomnography results were reviewed when available. Results Complete questionnaires were available on 367 (98.9%) patients. Two hundred thirty-seven patients (64.6%) were classified as high risk of OSA on the questionnaire. Polysomnography results available on 49 patients revealed severe OSA in 17 (34.5%), moderate in 8 (16.5%), mild in 14 (28.5%), and no OSA in 10 (20.5%) patients. The positive predictive value and sensitivity of the questionnaire were 76%, and 92% for the STOP-Bang questionnaire, respectively. The sensitivity increased to 100% for severe OSA. Conclusion Preoperative screening for OSA should be considered to diagnose patients at risk.
KW - Obstructive sleep apnea
KW - Preoperative evaluation
KW - STOP-Bang
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U2 - 10.1016/j.amjsurg.2013.09.018
DO - 10.1016/j.amjsurg.2013.09.018
M3 - Article
C2 - 24439158
AN - SCOPUS:84895457088
SN - 0002-9610
VL - 207
SP - 436
EP - 440
JO - American journal of surgery
JF - American journal of surgery
IS - 3
ER -