Undiagnosed Obstructive Sleep Apnea as Predictor of 90-Day Readmission for Brain Tumor Patients

Caplan, Ian F.; Glauser, Gregory; Goodrich, Stephen; Chen, H. Isaac; Lucas, Timothy H.; Lee, John Y.K.; McClintock, Scott D.; Malhotra, Neil R.

doi:10.1016/j.wneu.2019.11.050

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…Furthermore, Caplan et al in two different studies assessed patients who underwent supratentorial craniotomy. They showed that the STOP-Bang questionnaire is an effective way of predicting 30-day readmission and emergency department visits, and readmission risk in 90 days (24,25).…”

Section: Discussionmentioning

confidence: 99%

Assessment of STOP-Bang test ability to predict postoperative complications of supratentorial craniotomy

Sezari

Safari

Asgari

et al. 2023

Preprint

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Background: Sleep apnea is usually associated with negative outcomes and underdiagnoses. STOP-Bang Questionnaire is a screening method for obstructive sleep apnea (OSA) that is recognized for the diagnosis of OSA in surgical and medical patients. This cross-sectional study aimed to evaluate the ability of the STOP-Bang test to predict complications after supratentorial craniotomy. Methods: In a cross-sectional study, 200 patients who were candidates for supratentorial craniotomy surgery who were referred to Loghman Hospital from July 2019 to September 2020 were included in the study. The STOP-Bang questionnaire was completed the day before the operation or during the visit to the anesthesia clinic. Demographic characteristics, body mass index (BMI), neck and waist size, underlying disease, and airway examination were performed to assess the Mallampati score for patients. According to the STOP-Bang scoring system, patients were categorized into two groups: low risk (score less than 3) and high risk (score higher or equal to 3). Data were analyzed using SPSS software version 20. Results: A total of 125 patients (62.5%) were low risk and 75 patients (37.5%) were high-risk. There was no statistically significant difference between the two groups of patients in terms of gender (P = 0.108). BMI over 35 kg / m2 and age over 50 years were higher in the high-risk group. The incidence of Malampati III or IV was higher in the high-risk group (29.3 vs. 6.4%). Smoking was higher in the high-risk group (29.3 vs. 16.8%). The frequency of airway obstruction, re-intubation, hypoxia, and length of hospitalization in recovery, and in the intensive care unit was significantly higher in the high-risk group. The level of the ROC curve for airway obstruction required intervention equal to 70.2% (95% confidence interval: 79.6-6.7). STOP-Bang showed good predictive power (Diagnostic power> 50percentage) for the need for nasal or oral airway implantation, re-intubation, hypoxia and hypotension of arterial blood, and difficulty in breathing or speaking. A score higher than two showed the predictive power of all evaluated outcomes. Conclusion: Our findings showed that the occurrence of premature respiratory complications after supratentorial craniotomy surgery is more common in patients with a screening score of three or higher on the STOP-Bang test, and this test can detect adverse complications after surgery.

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Section: Discussionmentioning

confidence: 99%

Assessment of STOP-Bang test ability to predict postoperative complications of supratentorial craniotomy

Sezari

Safari

Asgari

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Notably, over 80% of sleep apnea cases are undiagnosed, indicating that the STOP-Bang questionnaire may be an important tool for risk stratifying patients not previously known to have OSA [ 18 ]. The STOP-Bang questionnaire has been validated to project post-surgical complications among patients undergoing craniotomy for supratentorial brain tumors [ 19 , 20 ]. However, there exists no research that assesses the predictive value of this tool on postoperative outcomes in purely spine surgery populations.…”

Section: Introductionmentioning

confidence: 99%

Outcomes Following Discectomy for Far Lateral Disc Herniation Are Not Predicted by Obstructive Sleep Apnea

Connolly¹,

Borja²,

Kvint³

et al. 2021

Cureus

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Introduction Previous studies have demonstrated that obstructive sleep apnea (OSA) is associated with adverse postoperative outcomes, but few studies have examined OSA in a purely spine surgery population. This study investigates the association of the STOP-Bang questionnaire, a screening tool for undiagnosed OSA, with adverse events following discectomy for far lateral disc herniation (FLDH). Methods All adult patients (n = 144) who underwent FLDH surgery at a single, multihospital, academic medical center (2013-2020) were retrospectively enrolled. Univariate logistic regression was performed to evaluate the relationship between risk of OSA (low- or high-risk) according to STOP-Bang score and postsurgical outcomes, including unplanned hospital readmissions, ED visits, and reoperations. Results Ninety-two patients underwent open FLDH surgery, while 52 underwent endoscopic procedures. High risk of OSA according to STOP-Bang score did not predict risk of readmission, ED visit, outpatient office visit, or reoperation of any kind within either 30 days or 30-90 days of surgery. High risk of OSA also did not predict risk of reoperation of any kind or repeat neurosurgical intervention within 30 days or 90 days of the index admission (either during the same admission or after discharge). Conclusion The STOP-Bang questionnaire is not a reliable tool for predicting post-operative morbidity and mortality for FLDH patients undergoing discectomy. Additional studies are needed to assess the impact of OSA on morbidity and mortality in other spine surgery populations.

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Fatigue and sleep-related issues in neuro-oncology

Willis,

Ravyts,

Lanoye

2024

Neuropsychological and Psychosocial Foundations of Neuro-Oncology

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Undiagnosed Obstructive Sleep Apnea as Predictor of 90-Day Readmission for Brain Tumor Patients

Cited by 4 publications

References 35 publications

Assessment of STOP-Bang test ability to predict postoperative complications of supratentorial craniotomy

Assessment of STOP-Bang test ability to predict postoperative complications of supratentorial craniotomy

Outcomes Following Discectomy for Far Lateral Disc Herniation Are Not Predicted by Obstructive Sleep Apnea

Fatigue and sleep-related issues in neuro-oncology

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