Obesity-associated sleep hypoventilation and increased adverse postoperative bariatric surgery outcomes in a large clinical retrospective cohort.
bariatric surgery
obesity-associated sleep hypoventilation
operative outcomes
Journal
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977
Informations de publication
Date de publication:
01 12 2022
01 12 2022
Historique:
pubmed:
13
8
2022
medline:
3
12
2022
entrez:
12
8
2022
Statut:
ppublish
Résumé
Although obesity hypoventilation syndrome (OHS) is associated with increased morbidity and mortality, post-bariatric surgery OHS risk remains unclear due to often nonsystematic OHS assessments. We leverage a clinical cohort with nocturnal CO The analytic sample (n = 1,665) was aged 45.2 ± 12 years, 20.4% were male, had a body mass index of 48.7 ± 9 kg/m In this largest sample to date of systematically phenotyped OaSH in a bariatric surgery cohort, we identify increased postoperative morbidity in those with sleep-related hypoventilation in stage II OHS when a composite outcome was considered, but individual contributors of intubation, intensive care unit admission, and hospital length of stay were not increased. Further study is needed to identify whether perioperative treatment of OaSH improves post-bariatric surgery outcomes. Chindamporn P, Wang L, Bena J, et al. Obesity-associated sleep hypoventilation and increased adverse postoperative bariatric surgery outcomes in a large clinical retrospective cohort.
Identifiants
pubmed: 35959952
pii: jcsm.10216
doi: 10.5664/jcsm.10216
pmc: PMC9713925
doi:
Substances chimiques
Carbon Dioxide
142M471B3J
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2793-2801Informations de copyright
© 2022 American Academy of Sleep Medicine.
Références
Surg Endosc. 2018 Mar;32(3):1382-1388
pubmed: 28840338
Chest. 2016 Jan;149(1):84-91
pubmed: 25996642
Eur Respir Rev. 2019 Mar 14;28(151):
pubmed: 30872398
Chest. 2009 Sep;136(3):787-796
pubmed: 19567489
J Clin Sleep Med. 2018 Sep 15;14(9):1477-1484
pubmed: 30176974
Respir Care. 2010 Oct;55(10):1347-62; discussion 1363-5
pubmed: 20875161
Chest. 1986 Jul;90(1):81-6
pubmed: 3720390
N Engl J Med. 2007 Aug 23;357(8):741-52
pubmed: 17715408
ERJ Open Res. 2020 May 11;6(2):
pubmed: 32420312
N Engl J Med. 2012 Aug 23;367(8):695-704
pubmed: 22913680
Sleep. 1999 Aug 1;22(5):667-89
pubmed: 10450601
Chest. 2016 Jan;149(1):11-3
pubmed: 26757283
Ann Am Thorac Soc. 2020 Oct;17(10):1279-1288
pubmed: 32526148
JAMA. 2019 Oct 01;322(13):1271-1282
pubmed: 31475297
Am J Respir Crit Care Med. 2011 Feb 1;183(3):292-8
pubmed: 21037018
Sleep Breath. 2007 Jun;11(2):117-24
pubmed: 17187265
Obes Surg. 2010 Apr;20(4):454-61
pubmed: 20020222
Minerva Chir. 2017 Jun;72(3):248-264
pubmed: 28482650
Ann Surg. 2004 May;239(5):698-702; discussion 702-3
pubmed: 15082974
Am J Respir Crit Care Med. 2019 Aug 1;200(3):e6-e24
pubmed: 31368798
Surg Obes Relat Dis. 2012 Nov-Dec;8(6):671-7
pubmed: 23058451
JAMA. 2012 Jan 4;307(1):56-65
pubmed: 22215166
Ann Am Thorac Soc. 2020 Apr;17(4):492-502
pubmed: 31978317
Eur Respir J. 2017 Jan 18;49(1):
pubmed: 27920092
Sleep Med Clin. 2014 Sep;9(3):341-347
pubmed: 25360072
Am J Med. 2004 Jan 1;116(1):1-7
pubmed: 14706658
JAMA. 2004 Oct 13;292(14):1724-37
pubmed: 15479938