Predictive Value of STOP-BANG on OSAS-Related Complications Following Coronary Artery Bypass Grafting

Copyright © 2018 by Daedalus Enterprises..

BACKGROUND: The time and conditions may not be suitable for performing polysomnography (PSG) before urgent or emergent surgeries, for example, a coronary artery bypass graft. Unavailability in many centers, critical clinical situation, and inability to arrange a timely scheduled appointment are other limitations for PSG. In this study, we aimed to investigate if the STOP-BANG Questionnaire may predict obstructive sleep apnea syndrome (OSAS) related postoperative pulmonary alterations during coronary artery surgery.

METHODS: Sixty-one subjects who were scheduled to undergo elective isolated coronary artery bypass graft surgery and were consulted for preoperative pulmonary assessment were recruited to the study. The STOP-BANG Questionnaire was used with the subjects; then their relationship with postoperative complications was assessed.

RESULTS: Results of the STOP-BANG Questionnaire revealed that 36.1% of subjects were at high risk for OSAS. Three groups were established according to the STOP-BANG Questionnaire (low risk, group 1; moderate risk, group 2; high risk, group 3) and study parameters, including PEEP value in ventilator, detection of apnea at ventilator, CPAP time after extubation, SpO2 1 h after extubation, postoperative hypoxemia, need for CPAP, and ICU length of stay revealed significant relationships among these groups.

CONCLUSIONS: The STOP-BANG Questionnaire may predict the OSAS risk and OSAS-related pulmonary complications for patients who are candidates for a coronary artery bypass graft and unable to be evaluated with PSG before surgery due to technical or time-related limitations.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Respiratory care - 63(2018), 10 vom: 03. Okt., Seite 1264-1270

Sprache:

Englisch

Beteiligte Personen:

Diken, Özlem Erçen [VerfasserIn]
Diken, Adem İlkay [VerfasserIn]
Yalçınkaya, Adnan [VerfasserIn]
Gülbay, Banu [VerfasserIn]
Acıcan, Turan [VerfasserIn]
Demir, Emre [VerfasserIn]
Özyalçın, Sertan [VerfasserIn]
Erol, Mehmet Emir [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Obstructive sleep apnea syndrome
Postoperative complications
Preoperative pulmonary assessment
STOP-BANG

Anmerkungen:

Date Completed 30.09.2019

Date Revised 30.09.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.4187/respcare.05854

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM285892266