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

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Erçen Diken Ö., Diken A. İ., Yalçınkaya A., Gülbay B., Acıcan T., Demir E., ...Daha Fazla

RESPIRATORY CARE, cilt.63, sa.10, ss.1264-1270, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 63 Sayı: 10
  • Basım Tarihi: 2018
  • Doi Numarası: 10.4187/respcare.05854
  • Dergi Adı: RESPIRATORY CARE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1264-1270
  • Anahtar Kelimeler: obstructive sleep apnea syndrome, preoperative pulmonary assessment, postoperative complications, STOP-BANG, OBSTRUCTIVE SLEEP-APNEA, POSTOPERATIVE COMPLICATIONS, SURGICAL-PATIENTS, BERLIN QUESTIONNAIRE, METAANALYSIS, DISORDERS
  • Ankara Üniversitesi Adresli: Evet

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. 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, SpO(2) 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.