Obstructive Sleep Apnea Syndrome and Postoperative Complications

Abstract

The STOP-BANG questionnaire is useful for preoperative identification of patients at higher than normal risk for surgical complications, probably because it identifies patients with occult OSAS.

High STOP-BANG questionnaire scores predict intraoperative and early postoperative adverse events

“…Approximately 44.4% of the patients with STOP-BANG scores of 7 and 8 were at risk of an adverse event. This finding is in keeping with the results of a smaller sample size study by Vasu et al (1) In that study, 135 mixed surgical patients who had STOP-BANG scores ≥ 3 and ASA class ≥ 3, were found to have a higher risk of postoperative pulmonary or cardiac complications, and an increased length of hospital stay.…”

Identification and treatment of obstructive sleep apnea by a primary care team with a subset focus on chronic pain management

“…This study reaffirmed previous studies that showed STOP-Bang was a tool that could identify OSA. [1,[3][4][5][6] Other similarities to previous investigations were found. In those studies where daily opioid dosing for pain management was present, 50-71% of patients were found to suffer from OSA and 37% of patients were found to be compliant to CPAP.…”

Screening for Obstructive Sleep Apnea Syndrome in the Preoperative Patients

“…We have shown that patients who are screened positive for STOP questions are more likely to have postoperative complications [10,20]. These results were confirmed in a recent study that patients who are screened positive for STOP-Bang questionnaire are more likely to have postoperative complications versus those who are screened negative (19.3 % vs. 1.3 % p<0.001) [38].…”