Predictive value of STOP-BANG on osas-related complications following coronary artery bypass grafting

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Tarih

2018

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

American Association for Respiratory Care

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

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. Unavail-ability 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. © 2018 Daedalus Enterprises.

Açıklama

Anahtar Kelimeler

Obstructive Sleep Apnea Syndrome, Postoperative Complications, Preoperative Pulmonary Assessment, STOP-BANG

Kaynak

Respiratory Care

WoS Q Değeri

N/A

Scopus Q Değeri

Q1

Cilt

63

Sayı

10

Künye

Diken, Ö. E., Diken, A. İ., Yalçınkaya, A., Gülbay, B., Acıcan, T., Demir, E., ... & Erol, M. E. (2018). Predictive value of STOP-BANG on osas-related complications following coronary artery bypass grafting. Respiratory care, 63(10), 1264-1270.