Screening for obstructive sleep apnea before surgery: why is it important?
نویسندگان
چکیده
PURPOSE OF REVIEW The purpose of this article is to review the screening tools available in the preoperative clinic for patients at risk of obstructive sleep apnea. RECENT FINDINGS Obstructive sleep apnea (OSA) is the most prevalent sleep disorder. An estimated 82% of men and 92% of women with moderate-to-severe sleep apnea have not been diagnosed. Patients with undiagnosed OSA may have increased perioperative complications. The perioperative risk of patients with OSA may be reduced by appropriate screening to detect undiagnosed OSA in patients. The snoring (S), tiredness (T) during daytime, observed apnea (O), and high blood pressure (P) (STOP) questionnaire is a concise and easy-to-use screening tool to identify patients with a high risk of OSA. It has been validated in surgical patients at preoperative clinics as a screening tool. Incorporating BMI, age, neck size and gender into the STOP questionnaire (STOP-Bang), will further increase the sensitivity and negative predictive value (NPV), especially for patients with moderate-to-severe OSA. SUMMARY The STOP questionnaire is short and can be easily incorporated into routine screening of general or surgical patients.
منابع مشابه
A Comparative study of four Persian versions of sleep questionnaires for screening obstructive sleep apnea syndrome (OSAS)
Background: Diagnosis of obstructive sleep apnea syndrome (OSAS) is valuable, but it is time-consuming and expensive. Appropriate screening instruments help clinicians select high-risk individuals for further investigations. In the present study, we compared 4 popular instruments used in screening OSAS including Berlin, STOP, STOP-BANG questionnaires, and Epworth Sleepiness Scale (ESS). ...
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ورودعنوان ژورنال:
- Current opinion in anaesthesiology
دوره 22 3 شماره
صفحات -
تاریخ انتشار 2009