Sci Rep. 2020;10(1):14471.
Prediction of cardiopulmonary events using the STOP-Bang questionnaire in patients undergoing bronchoscopy with moderate sedation.
제1저자 조재영 · 교신저자 이진우
소속 (4)
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
- Department of Internal Medicine, Seoul National University College of Medicine, 103 Daehak-ro, Seoul, 03080, Republic of Korea.
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea. realrain7@gmail.com.
- Department of Internal Medicine, Seoul National University College of Medicine, 103 Daehak-ro, Seoul, 03080, Republic of Korea. realrain7@gmail.com.
Abstract
The objective was to evaluate the prevalence of patients at a high risk of having OSA by using a screening questionnaire and to investigate whether the questionnaire can predict patients who are at risk of cardiopulmonary events occurring during a bronchoscopy under sedation. We prospectively enrolled consecutive adult patients who underwent flexible bronchoscopies under moderate sedation. The snoring, tiredness, observed apnea, high blood pressure-body mass index, age, neck circumference and gender (STOP-Bang) questionnaire was used to identify patients at a high (score ≥ 3 of 8) or low risk (score < 3 of 8) of having OSA. The cardiopulmonary events included hypoxemia and hypotension. Multivariable logistic regression was performed with variables selected by the least absolute shrinkage and selection operator. The prevalence of a STOP-Bang score of ≥ 3 was 67.2% (195/290), and 36.9% (107/290) experienced cardiopulmonary events. The multivariable analysis adjusting for chronic obstructive pulmonary disease, chronic kidney disease, baseline SpO2, and procedure time revealed that a STOP-Bang score of ≥ 3 was significantly associated with cardiopulmonary events in a subgroup of patients without a history of cerebrovascular disease (adjusted odds ratio, 1.94; 95% confidence interval, 1.06-3.54). The STOP-Bang questionnaire can predict cardiopulmonary events occurring during this procedure.Trial registration: NCT03325153.
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그림 출처: PubMed Central 공개 논문 (PMC7468304)
Conflict of interest statement
The authors declare no competing interests.
그 밖의 정보
- 출판 형태
- Clinical Trial, Journal Article
- 저널
- Scientific reports · eISSN 2045-2322
- 전자 출판
- 2020-09-02
- MeSH
- Adult · Aged · Aged, 80 and over · Body Mass Index · Bronchoscopy / adverse effects · Procedural Sedation / adverse effects · Fatigue / complications / diagnosis / physiopathology · Female · Heart Arrest / complications / diagnosis / physiopathology · Humans · Hypertension / complications / diagnosis / physiopathology · Male · Middle Aged · Polysomnography · Risk Factors · Severity of Illness Index · Sleep Apnea, Obstructive / complications / diagnosis / physiopathology · Snoring / complications / diagnosis / physiopathology · Surveys and Questionnaires
- 데이터
- ClinicalTrials.gov: NCT03325153
- 참고문헌
- 33편