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SCI 발표논문

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Sci Rep. 2020;10(1):14471.

Prediction of cardiopulmonary events using the STOP-Bang questionnaire in patients undergoing bronchoscopy with moderate sedation.

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제1저자 조재영 · 교신저자 이진우

소속 (4)
  1. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  2. Department of Internal Medicine, Seoul National University College of Medicine, 103 Daehak-ro, Seoul, 03080, Republic of Korea.
  3. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea. realrain7@gmail.com.
  4. 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.

Figures

Figure 1
Figure 1 Flowchart of patient selection. BAL bronchoalveolar lavage, EBUS endobronchial ultrasound, OSA obstructive sleep apnea, SpO2 pulse oximeter oxygen saturation. *Initially, outpatients undergoing bronchoscopy were excluded. From 24 November 2017, outpatients were enrolled along with inpatients.

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
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