| Autor: |
Vasu, Tajender S., Doghramji, Karl, Cavallazzi, Rodrigo, Grewal, Ritu, Hirani, Amyn, Leiby, Benjamin, Markov, Dimitri, Reiter, David, Kraft, Walter K., Witkowski, Thomas |
| Zdroj: |
Archives of Otolaryngology - Head & Neck Surgery; Oct2010, Vol. 136 Issue 10, p1020-1024, 5p |
| Abstrakt: |
Objective: To determine whether high risk scores on preoperative STOP-BANG (Snoring, Tiredness during daytime, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, Gender) questionnaires during preoperative evaluation correlated with a higher rate of complications of obstructive sleep apnea syndrome (OSAS). Design: Historical cohort study. Setting: Thomas Jefferson University Hospital, Philadelphia, Pennsylvania. Patients: Adult patients undergoing elective surgery at a tertiary care center who were administered the STOPBANG questionnaire for 3 consecutive days in May 2008. Main Outcome Measures: Number and types of complications. Results: A total of 135 patients were included in the study, of whom 56 (41.5%) had high risk scores for OSAS. The mean (SD) age of patients was 57.9 (14.4) years; 60 (44.4%) were men. Patients at high risk of OSAS had a higher rate of postoperative complications compared with patients at low risk (19.6% vs 1.3%; P<.001). Age, American Society of Anesthesiologists class of 3 or higher, and obesity were associated with an increased risk of postoperative complications. On multivariate analysis, high risk of OSAS and American Society of Anesthesiologists class 3 or higher were associated with higher odds of complications. Conclusion: The STOP-BANG questionnaire is useful for preoperative identification of patients at higher than normal risk for surgical complications, probably because it identifies patients with occult OSAS. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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