scholarly journals Undiagnosed Obstructive Sleep Apnea and Postoperative Outcomes: A Prospective Observational Study

Respiration ◽  
2017 ◽  
Vol 94 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Uma Devaraj ◽  
Srinivas Rajagopala ◽  
Ajay Kumar ◽  
Priya Ramachandran ◽  
Philip J. Devereaux ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Postoperative Outcomes ◽  
Obstructive Sleep

Prospective Observational Study of Military Personnel With Obstructive Sleep Apnea: Changes in Symptoms of Service Related Illnesses and IGF-1 Expression

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 989A ◽  
Author(s):  
Vincent Mysliwiec ◽  
Jessica Gill ◽  
Hyunhwa Lee ◽  
Tristin Baxter ◽  
Morgan Heinzelmann ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Observational Study ◽  
Military Personnel ◽  
Prospective Observational Study ◽  
Obstructive Sleep

scholarly journals The Associations of Gender, Menopause, Age, and Asthma with REM-Predominant Obstructive Sleep Apnea: A Prospective Observational Study

2020 ◽  
Vol Volume 12 ◽  
pp. 721-735
Author(s):  
Rakan A Bahammam ◽  
Khalid M Al-Qahtani ◽  
Salih A Aleissi ◽  
Awad H Olaish ◽  
Aljohara S Almeneessier ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Obstructive Sleep

scholarly journals Obstructive sleep apnea as an independent predictor of postoperative delirium and pain: protocol for an observational study of a surgical cohort

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 328 ◽  
Author(s):  
Patricia Strutz ◽  
William Tzeng ◽  
Brianna Arrington ◽  
Vanessa Kronzer ◽  
Sherry McKinnon ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Observational Study ◽  
Postoperative Delirium ◽  
Pain Perception ◽  
Independent Predictor ◽  
Pain Severity ◽  
Visual Analogue Pain Scale ◽  
Visual Analogue Pain ◽  
Obstructive Sleep

Introduction: Postoperative delirium and pain are common complications in adults, and are difficult both to prevent and treat. Obstructive sleep apnea (OSA) is prevalent in surgical patients, and has been suggested to be a risk factor for postoperative delirium and pain. OSA also might impact pain perception, and alter pain medication requirements. This protocol describes an observational study, with the primary aim of testing whether OSA is an independent predictor of postoperative complications, focusing on (i) postoperative incident delirium and (ii) acute postoperative pain severity. We secondarily hypothesize that compliance with prescribed treatment for OSA (typically continuous positive airway pressure or CPAP) might decrease the risk of delirium and the severity of pain. Methods and analysis: We will include data from patients who have been enrolled into three prospective studies: ENGAGES, PODCAST, and SATISFY-SOS. All participants underwent general anesthesia for a non-neurosurgical inpatient operation, and had a postoperative hospital stay of at least one day at Barnes Jewish Hospital in St. Louis, Missouri, from February 2013 to May 2018.  Patients included in this study have been assessed for postoperative delirium and pain severity as part of the parent studies. In the current study, determination of delirium diagnosis will be based on the Confusion Assessment Method, and the Visual Analogue Pain Scale will be used for pain severity. Data on OSA diagnosis, OSA risk and compliance with treatment will be obtained from the preoperative assessment record. Other variables that are candidate risk factors for delirium and pain will also be extracted from this record. We will use logistic regression to test whether OSA independently predicts postoperative delirium and linear regression to assess OSAs relationship to acute pain severity. We will conduct secondary analyses with subgroups to explore whether these relationships are modified by compliance with OSA treatment.

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