The association of pre‐operative <scp>STOP</scp>‐<scp>BANG</scp> scores with postoperative critical care admission

Chia, Puey Ling; Seet, Edwin; Macachor, Joselo D.; Iyer, Uma Shridhar; Wu, Dean

doi:10.1111/anae.12369

Cited by 57 publications

(44 citation statements)

References 11 publications

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“…11 Four studies were carried out in Europe, 12-15 2 in the US, 16,17 and 2 in Singapore. 18,19 Samples sizes ranged from 127 to 5,342. Of the 8 studies, 4 were prospective 12,14-16 and 4 were retrospective.…”

Section: Stop-bangmentioning

confidence: 99%

“…Of the 8 studies, 4 were prospective 12,14-16 and 4 were retrospective. 13,[17][18][19] All studies included were cohort studies. The primary outcomes of 3 studies focused on complications relating to airway management.…”

Section: Stop-bangmentioning

confidence: 99%

“…Postoperative cardiac and/or pulmonary complications were the primary outcomes of 4 studies. [12][13][14]17 One study assessed critical care admissions, 19 and another study focused on unexpected perioperative and early postoperative complications. 18 High risk of OSA was classified as a STOP-Bang score ≥ 3 in 5 of the studies, 13-17 a score ≥ 5 in one study, 12 and 2 studies did not pool patients into high and low risk categories.…”

Section: Stop-bangmentioning

confidence: 99%

“…19 Other independent risk factors for critical care admission included history of OSA, ASA ≥ 2, asthma, and age > 60 years. The same patient sample was used by Seet et al, who found that patients with STOP-Bang scores ≥ 3 were at risk of unexpected intraoperative complications and early postoperative complications when compared to those with a score of 0 (OR 3.6, CI 2.1-6.3, p < 0.001).…”

Section: Other Complicationsmentioning

confidence: 99%

“…11,18,19 In those that did, baseline characteristics frequently differed between high and low risk for OSA groups. 12,14,15,20,22 This is unsurprising, given that high and low risk status is conferred by the presence of specific features within each screening tool.…”

Section: Limitations: Confoundersmentioning

confidence: 99%

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Can Screening Tools for Obstructive Sleep Apnea Predict Postoperative Complications? A Systematic Review of the Literature

Dimitrov

Macavei

2016

Journal of Clinical Sleep Medicine

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Study Objectives: Obstructive sleep apnea (OSA) is a common, underdiagnosed condition that is associated with significant morbidity and mortality in the perioperative setting. Increasing evidence suggests that the utility of preoperative screening tools may go beyond identification of OSA, to the prediction of perioperative complications. The primary objective of this study was to systematically review the literature on all studies assessing whether high risk scores on the STOP-Bang questionnaire, American Society of Anesthesiologists (ASA) checklist, and the Berlin Questionnaire (BQ) are associated with higher rates of postoperative complications. Methods: A systematic review of English language records was performed using Medline, EMBASE, and PsychInfo with additional studies identified by manual search through reference lists. Only studies that evaluated the ability of the STOP-Bang, the BQ, and ASA checklist to predict postoperative complications in adults were included. Results: Twelve studies were included in the final review. Eight studies looked at STOP-Bang, 3 at the Berlin Questionnaire, and 2 at the ASA Checklist. Significant differences across study characteristics prevented a meta-analysis and the studies were evaluated qualitatively. Conclusions: The ASA checklist, Berlin Questionnaire, and STOP-Bang questionnaire may be able to risk stratify patients for perioperative and postoperative complications. Further research is required, with a particular focus on specific surgery types and adjustment of potentially confounding factors in the analysis. Keywords: OSA, screening questionnaires, STOP-Bang, Berlin Questionnaire, ASA Checklist, postoperative complications Citation: Dimitrov L, Macavei V. Can screening tools for obstructive sleep apnea predict postoperative complications? A systematic review of the literature.

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Section: Stop-bangmentioning

confidence: 99%

Section: Stop-bangmentioning

confidence: 99%

Section: Stop-bangmentioning

confidence: 99%

Section: Other Complicationsmentioning

confidence: 99%

Section: Limitations: Confoundersmentioning

confidence: 99%

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Can Screening Tools for Obstructive Sleep Apnea Predict Postoperative Complications? A Systematic Review of the Literature

Dimitrov

Macavei

2016

Journal of Clinical Sleep Medicine

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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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Preoperative, Perioperative, and Postoperative Evaluation and Management of Sleep-Disordered Breathing

Seet

Chung

2017

Sleep Disorders Medicine

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The association of pre‐operative STOP‐BANG scores with postoperative critical care admission

Cited by 57 publications

References 11 publications

Can Screening Tools for Obstructive Sleep Apnea Predict Postoperative Complications? A Systematic Review of the Literature

Can Screening Tools for Obstructive Sleep Apnea Predict Postoperative Complications? A Systematic Review of the Literature

International Consensus Statement on Obstructive Sleep Apnea

Preoperative, Perioperative, and Postoperative Evaluation and Management of Sleep-Disordered Breathing

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