eprintid: 19343
rev_number: 31
eprint_status: archive
userid: 1589
dir: disk0/00/01/93/43
datestamp: 2015-11-24 12:19:42
lastmod: 2024-05-24 12:51:52
status_changed: 2015-11-24 12:19:42
type: article
metadata_visibility: show
creators_name: Roggenbach, Jens
creators_name: Saur, Patrick
creators_name: Hofer, Stefan
creators_name: Bruckner, Thomas
creators_name: Preusch, Michael
creators_name: Carbone, Remo
creators_name: Walther, Andreas
title: Incidence of perioperative sleep-disordered breathing in patients undergoing major surgery: a prospective cohort study
subjects: ddc-610
divisions: i-910100
divisions: i-910300
divisions: i-911800
abstract: Background: Major surgery might have a modulating effect on nocturnal breathing patterns. The incidence and course of perioperative sleep-disordered breathing in individuals without a previous diagnosis of obstructive sleep apnea has not been investigated sufficiently so far.   Methods: In this study, polygraphic recordings have been obtained from 37 inpatients without a diagnosis of obstructive sleep apnea syndrome during the preoperative night before and six nights following major surgical procedures. Eligible patients consenting to participate in this study underwent polygraphic recordings including four items (O2-saturation, pulse, nasal air flow and snoring) during the study period. Polygraphic data obtained from the postoperative recordings were compared to preoperative recordings.   Results: Median (IQR [range]) apnea-hypopnea-index (AHI) for the whole group was 6,0 (2,5 - 14,7 [0–32,6]) in the preoperative night and increased in the following six nights post surgery: second night: 5,6 (2,6-15,0 [1,1 - 59,3]); third night: 16,9 (5,6 - 38,8 [2,9 - 64,3]); fourth night: 11,6 (5,9 - 17,3 [0,4 - 39,3]); fifth night: 15,2 (5,7 - 22,2 [0,2 - 55,5]); sixth night: 22,5 (5,2 - 35,4 [0,2 - 67,7]). AHI-scores of the third to sixth night post surgery differed significantly from data observed in the preoperative night.   Conclusion: A significant increase in the AHI occurred frequently after major surgical procedures in the late postoperative period. Sleep-disordered breathings in the late postoperative period deserve attention, as they potentially increase the risk of postoperative complications.  
date: 2014
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 165370005X
own_urn: urn:nbn:de:bsz:16-heidok-193433
language: eng
bibsort: ROGGENBACHINCIDENCEO2014
full_text_status: public
publication: Patient safety in surgery
volume: 8
number: 13
place_of_pub: London
pagerange: 1-5
issn: 1754-9493
citation:   Roggenbach, Jens ; Saur, Patrick ; Hofer, Stefan ; Bruckner, Thomas ; Preusch, Michael ; Carbone, Remo ; Walther, Andreas  (2014) Incidence of perioperative sleep-disordered breathing in patients undergoing major surgery: a prospective cohort study.  Patient safety in surgery, 8 (13).  pp. 1-5.  ISSN 1754-9493     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/19343/1/13037_2013_Article_223.pdf