Impact of Obstructive Sleep Apnea Diagnosed Using the STOP-Bang Questionnaire Scale on Postoperative Complications Following Major Cardiac Surgery: A Prospective Observational Cohort Study.
cardiac surgery
coronary artery disease
obstructive sleep apnea
sleep disordered breathing
stop-bang questionnaire
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
accepted:
20
06
2022
entrez:
25
7
2022
pubmed:
26
7
2022
medline:
26
7
2022
Statut:
epublish
Résumé
Purpose Obstructive sleep apnea (OSA) is a common and often undiagnosed condition in patients undergoing major surgeries, including cardiac surgery. This disorder is associated with peri- and postoperative problems. This study measured the association between OSA and peri- and postoperative complications in patients undergoing elective cardiac surgery. Methods Candidates for elective cardiac surgery were evaluated for OSA by the STOP-Bang questionnaire before the surgery. We evaluated patients before and after the operation regarding the cardiac, respiratory, and neurologic complications. We divided the participants into high-risk (score of 5-8), intermediate-risk (score of 3-4), and low-risk groups (score of 0-2) based on the STOP-Bang questionnaire. Results Of the 306 patients who underwent cardiac surgery, 173 (56.5%) were in the high-risk group, 100 (32.7%) were in the intermediate-risk group, and 33 (10.8%) were in the low-risk group for OSA. Patients in the high-risk group were significantly older than the other two groups (p value=0.013), had higher BMI (p<0.001), and suffered more from relevant comorbid conditions, including diabetes mellitus, hypertension, and hyperlipidemia (all p-values significant at < 0.05). However, not significant, patients in the high-risk group suffered more from postoperative complications including cardiac, respiratory, and neurological complications. Conclusion OSA is common in patients undergoing cardiac surgery. Our findings indicate that these patients manifest a higher incidence of postoperative complications compared to those with a lower risk of OSA. Because of the limited use of polysomnography, a simple STOP-Bang questionnaire is beneficial to screen patients for the risk of OSA peri-operatively, and patients diagnosed with OSA can get extra care during and after the surgery.
Identifiants
pubmed: 35875276
doi: 10.7759/cureus.26102
pmc: PMC9297118
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e26102Informations de copyright
Copyright © 2022, Javaherforooshzadeh et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Sleep Res. 2018 Dec;27(6):e12702
pubmed: 29682848
J Clin Sleep Med. 2012 Apr 15;8(2):199-207
pubmed: 22505868
Chest. 2013 Sep;144(3):903-914
pubmed: 23538745
J Thorac Dis. 2019 Dec;11(12):5453-5462
pubmed: 32030264
Am J Respir Crit Care Med. 2010 Mar 1;181(5):507-13
pubmed: 20019340
J Clin Sleep Med. 2016 Nov 15;12(11):1573-1575
pubmed: 27784423
Crit Care. 2014 Sep 05;18(5):477
pubmed: 25189637
Ann Transl Med. 2017 May;5(10):203
pubmed: 28603718
Can J Anaesth. 2009 Nov;56(11):819-28
pubmed: 19774431
J Clin Anesth. 2019 Sep;56:17-23
pubmed: 30665015
Rom J Anaesth Intensive Care. 2016 Oct;23(2):103-110
pubmed: 28913483
J Clin Sleep Med. 2015 Oct 15;11(10):1083-9
pubmed: 26094932
N Engl J Med. 2000 May 11;342(19):1378-84
pubmed: 10805822
Am J Respir Crit Care Med. 2002 May 1;165(9):1217-39
pubmed: 11991871
J Sleep Disord Ther. 2018;7(1):
pubmed: 29657903
Heart Lung Circ. 2013 Jan;22(1):38-42
pubmed: 22939109
J Atheroscler Thromb. 2019 Apr 1;26(4):315-327
pubmed: 30814385
Am J Cardiol. 2014 Mar 15;113(6):919-23
pubmed: 24462068
Sleep Med Rev. 2017 Aug;34:70-81
pubmed: 27568340
Eur Respir J. 2017 Apr 5;49(4):
pubmed: 28381430
Chest. 2016 Mar;149(3):631-8
pubmed: 26378880
Chest. 2015 May;147(5):1352-1360
pubmed: 25612013
Clin Res Cardiol. 2018 Dec;107(12):1148-1159
pubmed: 29943269
Anesthesiology. 2014 Sep;121(3):664-5
pubmed: 25222681
JACC Heart Fail. 2016 Feb;4(2):116-125
pubmed: 26682790
J Cardiothorac Vasc Anesth. 2015 Oct;29(5):1140-7
pubmed: 26154572
Sleep Med. 2017 Sep;37:141-146
pubmed: 28899526
Interact Cardiovasc Thorac Surg. 2012 Nov;15(5):825-32
pubmed: 22833511
Ann Thorac Surg. 2020 Oct;110(4):1324-1332
pubmed: 32088290