Prevalence of undiagnosed obstructive sleep apnea among adult surgical patients in an academic medical center

Sleep Medicine

Volumn 10, Issue 7, 2009, Pages 753-758

  Finkel, Kevin J ^a   Searleman, Adam C ^a   Tymkew, Heidi ^a   Tanaka, Christopher Y ^a   Saager, Leif ^a   Safer Zadeh, Elika ^a   Bottros, Michael ^a   Selvidge, Jacqueline A ^a   Jacobsohn, Eric ^b   Pulley, Debra ^a   Duntley, Stephen ^a   Becker, Colleen ^c   Avidan, Michael S ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF MANITOBA   (Canada)

^c BARNES JEWISH HOSPITAL   (United States)

Author keywords

Obstructive sleep apnea; Perioperative safety; Screening; Surgical patients

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEASIBILITY STUDY; FEMALE; HIGH RISK PATIENT; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; PATIENT ASSESSMENT; PATIENT SAFETY; PERIOPERATIVE COMPLICATION; POLYSOMNOGRAPHY; POSTOPERATIVE COMPLICATION; PREVALENCE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RESPIRATORY TRACT DISEASE; SLEEP APNEA SYNDROME; SURGICAL PATIENT; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; ADULT; AGED; DIABETES MELLITUS; DISORDERS OF EXCESSIVE SOMNOLENCE; ETHNIC GROUPS; FEASIBILITY STUDIES; FEMALE; HUMANS; HYPERTENSION; MALE; MIDDLE AGED; POLYSOMNOGRAPHY; POSTOPERATIVE PERIOD; PREDICTIVE VALUE OF TESTS; PREVALENCE; PROSPECTIVE STUDIES; QUESTIONNAIRES; SEVERITY OF ILLNESS INDEX; SLEEP APNEA, OBSTRUCTIVE; STROKE;

EID: 67650764010     PISSN: 13899457     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.sleep.2008.08.007     Document Type: Article

References (31)

1. Hiestand D.M., Britz P., Goldman M., and Phillips B. Prevalence of symptoms and risk of sleep apnea in the US population: results from the national sleep foundation sleep in America 2005 poll. Chest 130 3 (2006) 780-786
2. Young T., Peppard P.E., and Gottlieb D.J. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 165 9 (2002) 1217-1239
3. Dancey D.R., Hanly P.J., Soong C., Lee B., Shepard Jr. J., and Hoffstein V. Gender differences in sleep apnea: the role of neck circumference. Chest 123 5 (2003) 1544-1550
4. Young T., Palta M., Dempsey J., Skatrud J., Weber S., and Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328 17 (1993) 1230-1235
5. Wetter D.W., Young T.B., Bidwell T.R., Badr M.S., and Palta M. Smoking as a risk factor for sleep-disordered breathing. Arch Intern Med 154 19 (1994) 2219-2224
6. Peppard P.E., Young T., Palta M., Dempsey J., and Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 284 23 (2000) 3015-3021
7. Benumof J.L. Obesity, sleep apnea, the airway and anesthesia. Curr Opin Anaesthesiol 17 1 (2004) 21-30
8. Young T., Evans L., Finn L., and Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep 20 9 (1997) 705-706
9. Namen A.M., Landry S.H., Case L.D., McCall W.V., Dunagan D.P., and Haponik E.F. Sleep histories are seldom documented on a general medical service. South Med J 94 9 (2001) 874-879
10. Flemons W.W., Douglas N.J., Kuna S.T., Rodenstein D.O., and Wheatley J. Access to diagnosis and treatment of patients with suspected sleep apnea. Am J Respir Crit Care Med 169 6 (2004) 668-672
11. Loadsman J.A., and Hillman D.R. Anaesthesia and sleep apnoea. Br J Anaesth 86 2 (2001) 254-266
12. Boushra NN. Anaesthetic management of patients with sleep apnoea syndrome. Can J Anaesth (Journal canadien d'anesthesie) 1996;43(6):599-616.
13. Chung F., Yegneswaran B., Liao P., et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 108 5 (2008) 822-830
14. Blake D.W., Chia P.H., Donnan G., and Williams D.L. Preoperative assessment for obstructive sleep apnoea and the prediction of postoperative respiratory obstruction and hypoxemia. Anaesth Intensive care 36 3 (2008) 379-384
15. Kaw R., Golish J., Ghamande S., Burgess R., Foldvary N., and Walker E. Incremental risk of obstructive sleep apnea on cardiac surgical outcomes. J Cardiovasc Surg 47 6 (2006) 683-689
16. Gupta R.M., Parvizi J., Hanssen A.D., and Gay P.C. Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study. Mayo Clin Proc 76 9 (2001) 897-905
17. Hwang D., Shakir N., Limann B., et al. Association of sleep-disordered breathing with postoperative complications. Chest 133 5 (2008) 1128-1134
18. West S.D., Nicoll D.J., and Stradling J.R. Prevalence of obstructive sleep apnoea in men with type 2 diabetes. Thorax 61 11 (2006) 945-950
19. Peppard P.E., Young T., Palta M., and Skatrud J. Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 342 19 (2000) 1378-1384
20. Yaggi H.K., Concato J., Kernan W.N., Lichtman J.H., Brass L.M., and Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med 353 19 (2005) 2034-2041
21. Shahar E., Whitney C.W., Redline S., et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the sleep heart health study. Am J Respir Crit Care Med 163 1 (2001) 19-25
22. Gross J.B., Bachenberg K.L., Benumof J.L., et al. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. Anesthesiology 104 5 (2006) 1081-1093 [quiz 117-8]
23. Levendowski D.J., Olmstead R., Popovic D., Carper D., Berka C., and Westbrook P.R. Validation of an apnea risk evaluation questionnaire. Sleep Diagn Ther 2 2 (2007) 20-26
24. Netzer N.C., Stoohs R.A., Netzer C.M., Clark K., and Strohl K.P. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 131 7 (1999) 485-491
25. Flemons W.W., Whitelaw W.A., Brant R., and Remmers J.E. Likelihood ratios for a sleep apnea clinical prediction rule. Am J Respir Crit Care Med 150 5 Pt 1 (1994) 1279-1285
26. Johns M.W. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14 6 (1991) 540-545
27. Westbrook P.R., Levendowski D.J., Cvetinovic M., et al. Description and validation of the apnea risk evaluation system: a novel method to diagnose sleep apnea-hypopnea in the home. Chest 128 4 (2005) 2166-2175
28. Ayappa I., Norman R.G., Seelall V., and Rapoport D.M. Validation of a self-applied unattended monitor for sleep disordered breathing. J Clin Sleep Med 4 1 (2008) 26-37
29. Newcombe R.G. Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat Med 17 8 (1998) 857-872
30. Westbrook P.R., Dickel M., Nicholson D., et al. Comparison of two limited-channel systems for the diagnosis of sleep apnea/hypopnea in the home. Sleep Diagn Ther 2 1 (2007) 33-37
31. Chung F., Yegneswaran B., Liao P., et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology 108 5 (2008) 812-821