Other formats:
BibTeX
LaTeX
RIS
@article{1364735,
author = {Cundrle Jr., Ivan and Belehrad, Milos and Jelinek, Milan and Olson, Lyle J. and Ludka, Ondřej and Sramek, Vladimir},
article_location = {Amsterdam},
article_number = {"neuvedeno"},
doi = {http://dx.doi.org/10.1016/j.sleep.2016.03.009},
keywords = {Obstructive sleep apnea; Sleep-disordered breathing; Screening; Sedation},
language = {eng},
issn = {1389-9457},
journal = {Sleep Medicine},
title = {The utility of perioperative polygraphy in the diagnosis of obstructive sleep apnea},
volume = {25},
year = {2016}
}
TY - JOUR
ID - 1364735
AU - Cundrle Jr., Ivan - Belehrad, Milos - Jelinek, Milan - Olson, Lyle J. - Ludka, Ondřej - Sramek, Vladimir
PY - 2016
TI - The utility of perioperative polygraphy in the diagnosis of obstructive sleep apnea
JF - Sleep Medicine
VL - 25
IS - "neuvedeno"
SP - 151-155
EP - 151-155
PB - Elsevier Science BV
SN - 13899457
KW - Obstructive sleep apnea
KW - Sleep-disordered breathing
KW - Screening
KW - Sedation
N2 - Objective/Background: Obstructive sleep apnea (OSA) is highly prevalent and often undiagnosed in surgical patients. The aim of this study was to compare polygraphy (PG) performed on sedated patients during surgery to overnight polysomnography (PSG). It was hypothesized that perioperative PG may be used to diagnose OSA. Patients/Methods: Overnight PSG was performed three days prior to surgery. For surgery, spinal anesthesia and sedation with propofol infusion were used. Sedation depth was monitored by the Bispectral index and maintained for all patients (target level 75). Echocardiography studies were available in three patients, and all were diagnosed with diastolic dysfunction. Relatively high prevalence of CSA in patients with diastolic dysfunction has been previously reported. During surgery, PG recording (Embletta) was performed. Sleep apnea was defined by the type (central/obstructive apnea >= 50%) and by the apneahypopnea index (AHI) (events/hour: AHI < 5 no apnea; 5 <= AHI < 15 mild apnea; 15 <= AHI <30 moderate apnea; AHI 30 severe apnea). Bland-Altman plots were used for analysis, and 2 x 2 decision statistics were calculated for several cut-off values of the AHI. Data were shown as bias with limits of agreement (bias +/- 1.96 standard deviations). Results: Nineteen subjects were studied: nine (47%) were diagnosed with obstructive, seven (37%) with central sleep apnea, and three (16%) with no sleep apnea by overnight PSG. Perioperative PG bias was 12 (-37; 61) for AHI; 6 (-25; 37) for obstructive apnea; 0 (-4; 4) for central apnea, and 6 (-31; 43) for hypopnea. For the detection of OSA, a PG cut-off value of AHI 5 yielded 89% sensitivity and 60% specificity, AHI 15 yielded 86% sensitivity and 67% specificity, and AHI 30 yielded 100% sensitivity and 71% specificity. Conclusion: Wide limits of agreement preclude perioperative PG to be used as a diagnostic method; however, it may be useful to screen sedated surgical patients for OSA.
ER -
CUNDRLE JR., Ivan, Milos BELEHRAD, Milan JELINEK, Lyle J. OLSON, Ondřej LUDKA and Vladimir SRAMEK. The utility of perioperative polygraphy in the diagnosis of obstructive sleep apnea. \textit{Sleep Medicine}. Amsterdam: Elsevier Science BV, 2016, vol.~25, ''neuvedeno'', p.~151-155. ISSN~1389-9457. Available from: https://dx.doi.org/10.1016/j.sleep.2016.03.009.
|
