Evaluation of obstructive sleep apnea in obese patients scheduled for bariactric surgery

Neto, José Maurício Lopes; Brandão, Leandro Ortega; Loli, Alessandra; Leite, Celso Vieira de Souza; Weber, Silke Anna Theresa

doi:10.1590/s0102-86502013000400012

Cited by 13 publications

(4 citation statements)

References 32 publications

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“…The cardio-respiratory consequences of OSA may exacerbate in the postoperative period due to the adverse effect of general anesthetics and pain treatment for breathing control and upper airways muscle tone. Based on such information, many authors have suggested that it is important to identify patients suffering from OSA [ 11 , 12 ]. Earlier studies of preoperative sleep disorders prior to bariatric surgery demonstrated an overall prevalence rate of OSA ranging from 48 to 91 % [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure

et al. 2014

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BackgroundIn patients undergoing surgical interventions under general anesthesia, obstructive sleep apnea syndrome (OSA) can cause serious perioperative cardiovascular or respiratory complications leading to fatal consequences, even sudden death. In this study we test the hypothesis that morbidly obese patients diagnosed by a polysomnography test and using continuous positive airway pressure (CPAP) therapy have fewer and less severe perioperative complications and a shorter hospital stay than patients who have a medical history that meets at least three STOP-Bang criteria and are not using CPAP therapy.MethodsPostoperative hospital stay and pulmonary complications were analyzed in three groups of morbidly obese patients undergoing bariatric surgery (Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy) between January 2009 and November 2013 (n = 693). Group A comprised 99 patients who were preoperatively diagnosed with OSA based on polysomnography results. These patients used CPAP therapy before and after surgery. Group B consisted of 182 patients who met at least three STOP-Bang criteria but who were not diagnosed with OSA based on polysomnography results. These patients did not use CPAP. Group C, the reference group, comprised 412 patients who scored one to two items on the STOP-Bang.ResultsDuring the perioperative period, Group B patients had a significantly (p < 0.001) higher cumulative rate of pulmonary complications, worse oxygen saturation, respiratory rates, and increased length of stay in hospital. There was also two cases of sudden death in this group.ConclusionBased on these results, we conclude that patients meeting at least three STOP-BANG criteria have higher postoperative complications and an increased length of hospital stay than patients using CPAP.

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Section: Introductionmentioning

confidence: 99%

STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure

et al. 2014

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“…However, BMI may not accurately detect adiposity in patients under the age of 30 with BMIs of less than 30 kg/m 2 [25][26][27]. Neto et al employed the Epworth sleepiness scale (ESS) and the Berlin questionnaire (BQ) to assess the prevalence and risk of OSA in obese patients undergoing bariatric surgery [28]. The relationship between the severity of OSAS and obesity demonstrates joint causality.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Association Between Obesity and Obstructive Sleep Apnea Syndrome: A Case-Control Study

Patial,

Mishra,

Pal

et al. 2023

Cureus

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Introduction Obstructive sleep apnea (OSA) represents a sleep-related impairment linked to upper airway function. The question of whether OSA drives obesity or if shared underlying factors contribute to both conditions remains unresolved. Hence, this present study aims to understand the interplay between obstructive sleep apnea syndrome (OSAS) and obesity through in-depth analysis of anthropometric data within control subjects and OSA patients. Methodology A case-control study was conducted, which included 40 cases and 40 matched healthy controls. Study participants with reported symptoms of snoring, daytime drowsiness, or both were included in the study. All the study participants underwent comprehensive anthropometric assessments such as height, weight, body mass index (BMI), neck circumference, waist circumference, hip circumference, waist-to-hip ratio, skin-fold thickness, and thickness measurements of biceps, triceps, suprailiac, and subscapular muscles. Results Within the OSA group, significant disparities emerged in mean age, waist circumference, waist-to-hip ratio, and diverse fat accumulations encompassing visceral, subcutaneous, trunk, and subcutaneous leg fat. Notably, skin-fold thickness at specific sites - biceps, triceps, subscapula, and suprailiac - demonstrated considerable augmentation relative to the control group. Furthermore, mean values associated with height, weight, BMI, neck circumference, fat percentage, subcutaneous arm fat, entire arm composition, and trunk skeletal muscle either equaled or exceeded those in the control group. However, statistical significance was not attained in these comparisons. Conclusion This investigation underscored a pronounced correlation between numerous endpoints characterizing OSA patients and markers of obesity. Consequently, addressing altered levels of obesity-linked anthropometric variables through pharmacological interventions might hold promise as a pivotal strategy for improving symptoms associated with OSA.

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“…Young et al (1993) 9 noted that regardless of severity, women did not report symptoms that differed significantly from those of men and snoring was still the most sensitive and strongest predictor of OSA. .Lopes Neto JM(2013) 10 found that the frequency of obstructive sleep apnea (OSA) in obese patients scheduled for bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction to evaluate the efficacy of mandibular advancement device in a treatment modality for mild to moderate sleep apnea patient in Indore Region

Verma

Jain²

2021

APRD

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Obstructive sleep apnea (OSA) represents the most severe syndrome associated with obstruction of the upper airway. People with obstructive sleep apnea (OSA) repeatedly stop breathing during their sleep for a moment or longer and as several as many times throughout one night. The Aim of study was to evaluate the efficacy of mandibular advancement devices in different age group, between male and female and according to body mass index in mild to moderate obstructive sleep apnea patient.cross sectional study. 30 patients of different gender and age group were selected with mild to moderate OSA and asked to fill the Berlin questionnaire for diagnosis of obstructive sleep apnea after obtaining the necessary consent.The analysis was done by using SPSS, IBM version 20.0. The level of significance was fixed at 5% and p ≤ 0.05. On evaluation of berlin questionnaire revealed that 83% of patients (including male and female) shows the significant improvement after the MAD treatment 16.7 % patient are not satisfied with the MAD. Study shows that the patient with OSA showed Positive Berlin Questionnaire before the MAD treatment and after 2 month it was revealed that MAD treatment showed statically significant improvement in OSA.

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Evaluation of obstructive sleep apnea in obese patients scheduled for bariactric surgery

Cited by 13 publications

References 32 publications

STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure

STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure

Understanding the Association Between Obesity and Obstructive Sleep Apnea Syndrome: A Case-Control Study

Patient satisfaction to evaluate the efficacy of mandibular advancement device in a treatment modality for mild to moderate sleep apnea patient in Indore Region

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