The Role of the Preoperative Screening of Sleep Apnoea by Berlin Questionnaire and Epworth Sleepiness Scale for Postoperative Atrial Fibrillation

Mungan, Ufuk; Özeke, Özcan; Mavioğlu, Levent; Ertan, Cagatay; Karaca, İbrahim; Keskin, Gökhan; Kokcu, Zuhal; Selimoglu, Yasemin; Demir, Ahmet Duran; Özatık, Mehmet Ali

doi:10.1016/j.hlc.2012.08.003

Cited by 27 publications

(20 citation statements)

References 31 publications

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“…Mungan et al showed that high risk OSA patients were at a greater risk of developing postoperative AF (POAF) in this case-control study. 21 There was a higher prevalence of high risk for OSA in the POAF group (58% vs 34%; p = 0.044).…”

Section: Berlin Questionnairementioning

confidence: 84%

“…POAF and longer intubation following CABG surgery is significantly more common in high-risk patients based on the Berlin Questionnaire. 20,21 Both studies that have looked at the ASA checklist and postoperative complications have shown an increased frequency in a number of postoperative respiratory complications. 11,22 The evidence presented here however is not robust enough to concretely conclude that any of the 3 tools discussed here are able to independently risk stratify patients for perioperative and/or postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

“…11,20,21 Two of the studies were conducted in patients undergoing coronary bypass grafting (CABG), whereas the third included a broader range of surgeries. Sample sizes, primary outcomes, and patient demographics are summarized in Table 1.…”

Section: Berlin Questionnairementioning

confidence: 99%

“…Two studies looked at complications following CABG. 20,21 In a prospective study of 61 patients undergoing CABG in a center in Iran, patients at high risk for OSA using the Berlin Questionnaire screening tool had longer duration of intubation (0.75 ± 0.60 vs. 0.41 ± 0.56 days, p = 0.03). 20 Patients at high risk were more likely to have a higher BMI, and suffer from certain comorbidities (hypertension, dyslipidemia, and pulmonary disease).…”

Section: Berlin Questionnairementioning

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: Berlin Questionnairementioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Berlin Questionnairementioning

confidence: 99%

Section: Berlin Questionnairementioning

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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“…al., 2006;DANZI-SOARES et al, 2012;MUNGAN et al, 2013). Segundo a Academia Americana de Medicina do Sono (AASM) (2015), sua incidência é 2 a 3 vezes maior em pacientes com doenças cardiovasculares e sua prevalência gira em torno de 50% nesta população de doentes.…”

Section: Introductionunclassified

Frequência de sonolência diurna e apneia obstrutiva do sono em pacientes submetidos à cirurgia cardíaca participantes de um Programa de Reabilitação Cardiorrespiratória

Back¹,

Goulart²,

Martin³

et al. 2016

RJP

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RESUMOAs doenças cardiovasculares compreendem a principal causa de morte no mundo. Estudos recentes apontam a correlação entre os distúrbios do sono e as cardiopatias. A Apneia Obstrutiva do Sono (AOS) e a Sonolência Diurna Excessiva (SDE) estão entre os distúrbios mais prevalentes entre os cardiopatas. Neste sentido, objetivou-se avaliar a probabilidade de AOS e SDE em cardiopatas inseridos na Reabilitação Cardíaca do Hospital Santa Cruz do Sul, RS. Trata-se de um estudo de casos que avaliou pacientes cardiopatas, nas condições pré e pós-cirurgia cardíaca através do questionário de Berlim que avalia a probabilidade AOS e a Escala de Sonolência de Epworth que avalia a probabilidade de SDE. Amostra composta por 06 cardiopatas, sendo 04 do sexo masculino, com idade média 61,6±10 anos, Índice de Massa Corporal 27,6±3,3 Kg/m 2 . Observou-se alta probabilidade de AOS (66,7%) e frequência elevada de SDE (50%) pré-operatória. No pós-operatório houve diminuição da frequência de SDE (33,3%) e nenhum indivíduo apresentou alta probabilidade de AOS. Desta forma, concluiu-se que os pacientes estudados apresentaram elevada frequência de AOS e SDE na condição pré-operatória com melhora destes distúrbios no pós-operatório de cirurgia cardíaca.Palavras chave: Cardiopatias. Apneia Obstrutiva do Sono. Sonolência Diurna Excessiva. Reabilitação Cardíaca. ABSTRACTCardiovascular diseases include the leading cause of death worldwide. Recent studies indicate a correlation between sleep disorders and heart disease. Obstructive Sleep Apnea (AOS) and Sleepiness Excessive Daytime (SDE) are among the most prevalent disorders among cardiac patients. In this regard, aimed to assess the likelihood of OSA and SDE in cardiac inserted in Cardiac Rehabilitation Hospital Santa Cruz do Sul, RS. This is a case study that evaluated patients with heart disease, the pre conditions andafter cardiac surgery through the Berlin questionnaire assessing OSA probability and Epworth Sleepiness Scale to assess the likelihood of SDE. ____________________________

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Implants in the Aesthetic Zone: Occlusal Considerations

StevensonIII

Agnihotry²

2018

Implants in the Aesthetic Zone

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The Role of the Preoperative Screening of Sleep Apnoea by Berlin Questionnaire and Epworth Sleepiness Scale for Postoperative Atrial Fibrillation

Cited by 27 publications

References 31 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

Frequência de sonolência diurna e apneia obstrutiva do sono em pacientes submetidos à cirurgia cardíaca participantes de um Programa de Reabilitação Cardiorrespiratória

Implants in the Aesthetic Zone: Occlusal Considerations

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