Is there a difference between the <scp>STOP</scp>‐<scp>BANG</scp> and the Berlin Obstructive Sleep Apnoea Syndrome questionnaires for determining respiratory complications during the perioperative period?

Gokay, Pervin; Taştan, Sevinç; Orhan, Mehmet Emın

doi:10.1111/jocn.13133

Cited by 20 publications

(20 citation statements)

References 37 publications

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“…Among the included studies, 5 were retrospective 24 , 25 , 27 , 35 , 36 and 11 were prospective controlled studies. 26 , 28 – 34 , 37 – 39 Ten studies confirmed OSA by overnight polysomnography 24 , 25 , 27 , 29 , 35 or electronic database entries, 28 , 30 , 31 , 34 , 37 3 used the STOP-Bang screening questionnaire, 33 , 38 , 39 2 identified patients by clinical diagnosis, 26 , 36 and 1 used both polysomnography and the STOP-Bang questionnaire. 32 …”

Section: Difficult Airway and Osamentioning

confidence: 99%

“…Of those patients, 32,052 had OSA (identified by polysomnography, electronic database, chart or clinical diagnoses, and STOP-Bang questionnaires) and 234,551 did not. In summary, 12 studies reported on difficult intubation, 24 – 29 , 31 – 33 , 35 , 38 , 39 6 on difficult mask ventilation, 28 , 30 , 31 , 36 , 38 , 39 2 on both difficult intubation and mask ventilation, 28 , 37 and 2 on failed supraglottic airway. 27 , 34 Several studies reported >1 difficult airway outcome.…”

Section: Difficult Airway and Osamentioning

confidence: 99%

“…Concerning difficult intubation and OSA, 7 of 12 studies showed positive associations. 24 , 25 , 28 , 33 , 35 , 38 , 39 Of 6 studies, 5 demonstrated a significant impact of OSA on difficult mask ventilation. 28 , 30 , 36 , 38 , 39 In the 2 studies that reported on combined difficult intubation and mask ventilation, both demonstrated a significant impact of OSA.…”

Section: Difficult Airway and Osamentioning

confidence: 99%

“… 24 , 25 , 28 , 33 , 35 , 38 , 39 Of 6 studies, 5 demonstrated a significant impact of OSA on difficult mask ventilation. 28 , 30 , 36 , 38 , 39 In the 2 studies that reported on combined difficult intubation and mask ventilation, both demonstrated a significant impact of OSA. 28 , 37 Although 5 studies assessing difficult intubation 26 , 27 , 29 , 31 , 32 and 1 study evaluating difficult mask ventilation 31 did not find a significant association with OSA, the overall estimates showed a positive association between OSA and difficult airway.…”

Section: Difficult Airway and Osamentioning

confidence: 99%

See 3 more Smart Citations

Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea

Memtsoudis

Cozowicz

Nagappa

et al. 2018

Anesthesia &Amp; Analgesia

137

158

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The purpose of the Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea (OSA) is to present recommendations based on current scientific evidence. This guideline seeks to address questions regarding the intraoperative care of patients with OSA, including airway management, anesthetic drug and agent effects, and choice of anesthesia type. Given the paucity of high-quality studies with regard to study design and execution in this perioperative field, recommendations were to a large part developed by subject-matter experts through consensus processes, taking into account the current scientific knowledge base and quality of evidence. This guideline may not be suitable for all clinical settings and patients and is not intended to define standards of care or absolute requirements for patient care; thus, assessment of appropriateness should be made on an individualized basis. Adherence to this guideline cannot guarantee successful outcomes, but recommendations should rather aid health care professionals and institutions to formulate plans and develop protocols for the improvement of the perioperative care of patients with OSA, considering patient-related factors, interventions, and resource availability. Given the groundwork of a comprehensive systematic literature review, these recommendations reflect the current state of knowledge and its interpretation by a group of experts at the time of publication. While periodic reevaluations of literature are needed, novel scientific evidence between updates should be taken into account. Deviations in practice from the guideline may be justifiable and should not be interpreted as a basis for claims of negligence.

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Section: Difficult Airway and Osamentioning

confidence: 99%

Section: Difficult Airway and Osamentioning

confidence: 99%

Section: Difficult Airway and Osamentioning

confidence: 99%

Section: Difficult Airway and Osamentioning

confidence: 99%

See 2 more Smart Citations

Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea

Memtsoudis

Cozowicz

Nagappa

et al. 2018

Anesthesia &Amp; Analgesia

137

158

View full text Add to dashboard Cite

show abstract

“…Each of these factors might be associated with increased postoperative stay, regardless of the presence or absence of OSA. Disentangling these contributors to sleep apnea from the disease itself, therefore, is challenging [23]. Finally, the discovery of an early discharge in LR patients despite short procedure duration in an outpatient setting further demonstrates the potential robustness of the STOP-BANG questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Length of Stay in Ambulatory Surgical Oncology Patients at High Risk for Sleep Apnea as Predicted by STOP-BANG Questionnaire

Balachandran

Faiz

Hernandez

et al. 2016

Anesthesiology Research and Practice

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Background. The STOP-BANG questionnaire has been used to identify surgical patients at risk for undiagnosed obstructive sleep apnea (OSA) by classifying patients as low risk (LR) if STOP-BANG score < 3 or high risk (HR) if STOP-BANG score ≥ 3. Few studies have examined whether postoperative complications are increased in HR patients and none have been described in oncologic patients. Objective. This retrospective study examined if HR patients experience increased complications evidenced by an increased length of stay (LOS) in the postanesthesia care unit (PACU). Methods. We retrospectively measured LOS and the frequency of oxygen desaturation (<93%) in cancer patients who were given the STOP-BANG questionnaire prior to cystoscopy for urologic disease in an ambulatory surgery center. Results. The majority of patients in our study were men (77.7%), over the age of 50 (90.1%), and had BMI < 30 kg/m2 (88.4%). STOP-BANG results were obtained on 404 patients. Cumulative incidence of the time to discharge between HR and the LR groups was plotted. By 8 hours, LR patients showed a higher cumulative probability of being discharged early (80% versus 74%, P = 0.008). Conclusions. Urologic oncology patients at HR for OSA based on the STOP-BANG questionnaire were less likely to be discharged early from the PACU compared to LR patients.

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Is there a difference between the STOP‐BANG and the Berlin Obstructive Sleep Apnoea Syndrome questionnaires for determining respiratory complications during the perioperative period?

Cited by 20 publications

References 37 publications

Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea

Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea

Length of Stay in Ambulatory Surgical Oncology Patients at High Risk for Sleep Apnea as Predicted by STOP-BANG Questionnaire

International Consensus Statement on Obstructive Sleep Apnea

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