Risk of major cardiovascular and cerebrovascular complications after elective surgery in patients with sleep-disordered breathing: A retrospective cohort analysis.

European Journal of Anaesthesiology
Rabail ChaudhryFrances Chung

Abstract

There is limited and conflicting data on whether sleep-disordered breathing (SDB) is associated with postoperative major cardiovascular and cerebrovascular events (MACCE), and mortality. To determine whether SDB is associated with increased risks of MACCE, mortality and length of hospital stay. Retrospective cohort analysis from the Nationwide Inpatient Sample. Adults who underwent elective abdominal, orthopaedic, prostatic, gynaecological, thoracic, transplant, vascular or cardiac surgery in the United States of America between 2011 and 2014. The study cohort included 1813 974 surgical patients, of whom 185 615 (10.2%) had SDB. Emergency or urgent surgical procedures were excluded. The incidences of MACCE, respiratory and vascular complications, in-hospital mortality and mean length of hospital stay were stratified by SDB. Linear and logistic regression models were constructed to determine the independent association between SDB and outcomes of interest. The incidences of MACCE [25.3 vs. 19.8%, odds ratio (OR) 1.20, P < 0.001] and respiratory complications (11.75 vs. 8.0%, OR 1.43, P < 0.001) were significantly higher in patients with SDB than in those without SDB. SDB was associated with higher rates of atrial fibrillation (1...Continue Reading

References

Feb 1, 1994·American Journal of Respiratory and Critical Care Medicine·D SajkovR D McEvoy
May 11, 2000·The New England Journal of Medicine·P E PeppardJ Skatrud
Jul 14, 2004·Circulation·Apoor S GamiVirend K Somers
Mar 25, 2005·The New England Journal of Medicine·Apoor S GamiVirend K Somers
Jun 16, 2009·American Journal of Physiology. Heart and Circulatory Physiology·Zhuo YuHuang-Tian Yang
Sep 24, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Pu LiaoFrances Chung
Mar 27, 2010·American Journal of Respiratory and Critical Care Medicine·Susan RedlineNaresh M Punjabi
Nov 18, 2010·Anesthesia and Analgesia·Stavros MemtsoudisMadhu Mazumdar
Aug 27, 2011·Chest·Roop KawNancy Foldvary-Schafer
Sep 7, 2012·The Journal of Arthroplasty·Michele R D'Apuzzo, James A Browne
Oct 24, 2012·Sleep & Breathing = Schlaf & Atmung·Neomi ShahRobert C Kaplan
Apr 17, 2013·American Journal of Epidemiology·Paul E PeppardKhin Mae Hla
Jun 21, 2013·The New England Journal of Medicine·Stavros G MemtsoudisMadhu Mazumdar
Sep 21, 2013·Journal of Shoulder and Elbow Surgery·Justin W GriffinStephen F Brockmeier
Oct 26, 2013·Anesthesiology·Frances ChungWeimin Kang
Jan 22, 2014·Anesthesia and Analgesia·Stavros G MemtsoudisMadhu Mazumdar
Jan 28, 2014·The American Journal of Cardiology·Erik M van OostenAdrian Baranchuk
Jul 19, 2015·Sleep Medicine Reviews·Dominik LinzMichael Böhm
Aug 4, 2015·Sleep·Melissa C LipfordSean M Caples
Jul 22, 2017·Journal of the American Heart Association·Divyanshu MohananeyMilind Y Desai
May 16, 2019·JAMA : the Journal of the American Medical Association·Matthew T V ChanUNKNOWN Postoperative Vascular Complications in Unrecognized Obstructive Sleep Apnea (POSA) Study Investigators

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Citations

Apr 16, 2021·Anesthesia and Analgesia·Crispiana Cozowicz, Stavros G Memtsoudis

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