Risk prediction for Obstructive Sleep Apnea prognostic in Obese patients referred for bariatric surgery

Abstract

Objectives: (i) To assess the anthropometric measurements, along with the clinical characteristics and quality of life profiles of the studied patients; (ii) To determine the occurrence and severity of Obstructive Sleep Apnea (OSA), using polysomnography; and (iii) To identify the best anthropometric and clinical indicators to predict OSA in obese patients who are candidates for bariatric surgery. Methods: a prospective observational study conducted in a private clinic, using consecutive sampling of patients eligible for bariatric surgery with a BMI = 40, or with a BMI of = 35 kg/m² accompanied by comorbidities associated with obesity. Results: Sixty patients were initially selected, of whom 46 agreed to take part in the preoperative evaluation. OSA was observed in 76% of patients, 59% of whom had moderate-to-severe OSA, with a predominance of men in these groups. Among the variables suggesting statistical difference between groups, waist-to-hip ratio (WHR) was the only clinical factor associated with scores the apnea hypopnea index (AHI) = 15, with a cut-off value of 0.95. The results showed that patients scoring above 0.95 are three times more likely to have moderate-to-severe apnea. Conclusion: The best risk factor for the prognostic of moderate-to-severe OSA was presenting a WHR score with a cut-off value of 0.95 or above.

Obesity, Bariatric Surgery and Obstructive Sleep Apnea—A Narrative Literature Review

“…Evidence strongly suggests that appropriate OSA management can improve atrial fibrillation control [ 22 ]. Positive airway pressure (PAP) in different modes, preferably continuous positive airway pressure (CPAP), is a gold standard for OSA treatment with proven effectiveness in reducing OSA symptoms, complications and improving the quality of sleep [ 7 , 23 ]. Although CPAP is the “golden method” for OSA treatment, there are other methods in OSA therapy.…”