Obstructive sleep apnea syndrome and postoperative complications: clinical use of the STOP-BANG questionnaire.

Publication/Presentation Date

10-1-2010

Abstract

OBJECTIVE: To determine whether high risk scores on preoperative STOP-BANG (Snoring, Tiredness during daytime, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, Gender) questionnaires during preoperative evaluation correlated with a higher rate of complications of obstructive sleep apnea syndrome (OSAS).

DESIGN: Historical cohort study.

SETTING: Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

PATIENTS: Adult patients undergoing elective surgery at a tertiary care center who were administered the STOP-BANG questionnaire for 3 consecutive days in May 2008.

MAIN OUTCOME MEASURES: Number and types of complications.

RESULTS: A total of 135 patients were included in the study, of whom 56 (41.5%) had high risk scores for OSAS. The mean (SD) age of patients was 57.9 (14.4) years; 60 (44.4%) were men. Patients at high risk of OSAS had a higher rate of postoperative complications compared with patients at low risk (19.6% vs 1.3%; P < .001). Age, American Society of Anesthesiologists class of 3 or higher, and obesity were associated with an increased risk of postoperative complications. On multivariate analysis, high risk of OSAS and American Society of Anesthesiologists class 3 or higher were associated with higher odds of complications.

CONCLUSION: 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.

Volume

136

Issue

10

First Page

1020

Last Page

1024

ISSN

1538-361X

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

20956751

Department(s)

Administration and Leadership

Document Type

Article

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