Obstructive sleep apnoea and post-operative complications

Autor: Amalia Karahalios, Thilini Basnayake, David Bramley, A.M. Southcott, Lynette Reid-Price
Rok vydání: 2015
Předmět:
Zdroj: 4.2 Sleep and Control of Breathing.
DOI: 10.1183/13993003.congress-2015.pa2407
Popis: Background: Obstructive sleep apnoea (OSA) is prevalent in patients undergoing elective surgery and may be associated with increased post-operative risk. Aims: 1) To describe the nature and frequency of post-operative complications and hospital length of stay (LOS) in our study cohort. 2) Investigate association between the severity of OSA and incidence of post-operative complications. Methods: Retrospective cohort study of patients who underwent elective surgery and a diagnostic polysomnogram between 2008-2012 at Western Health. Demographic, clinical, diagnostic and post-operative complication data were collected. Logistic regression methods were used to estimate univariable and multivariable associations. Results: Of the 481 patients who met the inclusion criteria, 440 (91%) had OSA (defined as apnoea-hyponoea index (AHI) ≥5) and 41 (9%) did not. The proportion of patients with a complication was 32%, 20%, 24% and 28% in patients with an AHI Conclusion: In our sample post-operative complications were most common in patients without OSA. No significant relationship was observed between the severity of OSA and the likelihood of complications.
Databáze: OpenAIRE