Obstructive sleep apnea is associated with postoperative dialysis in patients who underwent coronary artery bypass grafting
| Autor: | Zhipeng Wei, Hehe Ma, Yongqiang Lai, Jianbo Yu, Changwei Ren, Hongchang Guo, Shengwei Wang |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Polysomnography Renal function chemistry.chemical_compound Renal Dialysis Risk Factors Internal medicine medicine Humans Risk factor Coronary Artery Bypass Dialysis Advanced and Specialized Nursing Creatinine Sleep Apnea Obstructive medicine.diagnostic_test business.industry Incidence (epidemiology) Perioperative medicine.disease respiratory tract diseases Obstructive sleep apnea Anesthesiology and Pain Medicine chemistry Cardiology business |
| Zdroj: | Annals of palliative medicine. 10(6) |
| ISSN: | 2224-5839 |
| Popis: | BACKGROUND The incidence of obstructive sleep apnea (OSA) is significantly higher in patients who undergo coronary artery bypass grafting (CABG). OSA is correlated with a higher incidence of postoperative complications in patients undergoing CABG. However, whether OSA is associated with a decrease in renal function and a higher incidence of dialysis after CABG remains unclear. METHODS Data from 178 consecutive patients who underwent isolated CABG at Anzhen Hospital between June 2019 and June 2020 were analyzed. Polysomnography was performed in all the patients. RESULTS A total of 142 (79.8%) patients were diagnosed with OSA, 78 with mild OSA, and 64 with moderate-to-severe OSA. Compared to patients without OSA, the level of creatinine was significantly increased, and the level of estimated glomerular filtration rate (eGFR) was decreased in patients with OSA. In addition, the percentage of patients undergoing dialysis during the perioperative period increased with the severity of OSA (0.0% vs. 2.6% vs. 18.8%, P=0.02). Multiple linear regression analysis showed that age (β=-0.29, P |
| Databáze: | OpenAIRE |
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