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首页> 美国卫生研究院文献>Anesthesiology Research and Practice >Length of Stay in Ambulatory Surgical Oncology Patients at High Risk for Sleep Apnea as Predicted by STOP-BANG Questionnaire
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Length of Stay in Ambulatory Surgical Oncology Patients at High Risk for Sleep Apnea as Predicted by STOP-BANG Questionnaire

机译：STOP-BANG调查表预测睡眠呼吸暂停高风险的非卧床手术肿瘤患者的住院时间

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Background. The STOP-BANG questionnaire has been used to identify surgical patients at risk for undiagnosed obstructive sleep apnea (OSA) by classifying patients as low risk (LR) if STOP-BANG score < 3 or high risk (HR) if STOP-BANG score ≥ 3. Few studies have examined whether postoperative complications are increased in HR patients and none have been described in oncologic patients. Objective. This retrospective study examined if HR patients experience increased complications evidenced by an increased length of stay (LOS) in the postanesthesia care unit (PACU). Methods. We retrospectively measured LOS and the frequency of oxygen desaturation (<93%) in cancer patients who were given the STOP-BANG questionnaire prior to cystoscopy for urologic disease in an ambulatory surgery center. Results. The majority of patients in our study were men (77.7%), over the age of 50 (90.1%), and had BMI < 30 kg/m2 (88.4%). STOP-BANG results were obtained on 404 patients. Cumulative incidence of the time to discharge between HR and the LR groups was plotted. By 8 hours, LR patients showed a higher cumulative probability of being discharged early (80% versus 74%, P = 0.008). Conclusions. Urologic oncology patients at HR for OSA based on the STOP-BANG questionnaire were less likely to be discharged early from the PACU compared to LR patients.
机译：背景。 STOP-BANG问卷已用于通过将STOP-BANG得分<3的低危（LR）或STOP-BANG得分≥的高危（HR）归类为低风险（LR）来识别有无法诊断的阻塞性睡眠呼吸暂停（OSA）风险的外科患者3.很少有研究检查HR患者术后并发症是否增加，而肿瘤患者中没有描述。目的。这项回顾性研究检查了HR患者在麻醉后护理单位（PACU）中住院时间（LOS）的增加是否显示出并发症的增加。方法。我们回顾性地测量了在非卧床手术中心接受膀胱镜检查以检查泌尿系统疾病之前接受STOP-BANG问卷调查的癌症患者的LOS和氧饱和度降低的频率（<93％）。结果。我们研究的大多数患者为男性（77.7％），年龄在50岁以上（90.1％），并且BMI <30 kg / m 2 （88.4％）。 404名患者获得了STOP-BANG结果。绘制了HR组和LR组之间放电时间的累积发生率。到8小时时，LR患者表现出较高的早期出院累积概率（80％对74％，P = 0.008）。结论。与LR患者相比，基于STOP-BANG问卷的HR OSA泌尿外科肿瘤患者从PACU出院的可能性较小。

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