The Clinical Use of STOP-BANG Survey in Detecting Post-operative Pulmonary Complications.

Autor: Yılmaz, Serdar, Şentürk, Evren, Aygün, Elif, Kır, Gülay, Çavdaroğlu, Binnur, Özserezli, Boğaç, Erus, İpek, Darçın, Kamil, Çakar, Nahit
Předmět:
Zdroj: Turkish Journal of Intensive Care; 2023Suppl1, Vol. 21, p20-20, 1/2p
Abstrakt: Introduction: The STOP-BANG survey has a sensitivity of 88-92% in detecting OSAS, above 3 points. Postoperative complications are more common in patients with OSAS. The aim of this study is to investigate the relationship between the STOP-BANG score and postoperative pulmonary complications. Materials and Methods: From January 2nd to January 13th, 2023, voluntary patients who were scheduled for elective surgery under general anesthesia were included in the study. After the operation, vital signs, saturation, and medical imaging of the patients were examined. Hypoxia with or without atelectasis, pneumonia, and the need for non-invasive or invasive mechanical ventilation were considered pulmonary complications. Patients who had a saturation value of less than 92% for more than 2 hours in room air with nasal or mask oxygen requirement were considered hypoxic. According to the STOP-BANG survey, patients were divided into two groups, below or above 3 points. Pulmonary complications in both groups were statistically analyzed using the chi-square test. Results: A total of 159 patients were included in the study, of whom 66 were male and 93 were female. According to the STOP-BANG score, 77 patients had scores above 3, and 82 patients had scores below 3. The average age of the patients was 54.4. 8.8% of the cases (14/159) underwent major surgery. The average ASA score was 2.05, and the average Mallampati score was 2.11. According to the STOP-BANG score, 7 patients (7/82) in the group below 3 points and 17 patients in the group 3 points and above (17/77) were pulmonary complicated. The p-value was 0.031, indicating a statistically significant difference between the two groups. Pulmonary complications were observed in 8 of 14 patients admitted to the intensive care unit. Conclusion: Due to its high sensitivity for scores above 3, the STOPBANG survey can be used as an alternative cost-effective tool to predict postoperative pulmonary complications. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index