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Updated: May 29, 2026
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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Postoperative complications in patients with obstructive sleep apnea
Roop Kaw1, Vinay Pasupuleti2, Esteban Walker3
1Department of Hospital Medicine, Cleveland Clinic, Cleveland, OH; Department of Anesthesia Outcomes Research, Cleveland Clinic, Cleveland, OH.
Chest
|August 27, 2011
Summary
Unrecognized obstructive sleep apnea (OSA) increases risks for patients undergoing noncardiac surgery (NCS), leading to more postoperative hypoxemia, ICU transfers, and longer hospital stays. OSA diagnosis is crucial for better surgical outcomes.
Area of Science:
- Anesthesiology
- Sleep Medicine
- Critical Care Medicine
Background:
- Unrecognized obstructive sleep apnea (OSA) is linked to adverse perioperative outcomes in noncardiac surgery (NCS).
- Preoperative assessment is key for identifying patients at risk.
- Understanding OSA's impact on surgical outcomes is vital for patient safety.
Purpose of the Study:
- To investigate the association between obstructive sleep apnea (OSA) and postoperative outcomes in patients undergoing noncardiac surgery (NCS).
- To determine if OSA diagnosis impacts complication rates and hospital length of stay (LOS).
Main Methods:
- Retrospective study of 39,771 patients undergoing preoperative assessment.
- Included patients undergoing NCS within 3 years of polysomnography (PSG).
- Defined OSA by apnea-hypopnea index (AHI) ≥ 5; propensity score matching adjusted for baseline differences.
Main Results:
- Of 471 eligible patients, 282 had OSA.
- OSA patients showed higher rates of postoperative hypoxemia (OR, 7.9), overall complications (OR, 6.9), and ICU transfer (OR, 4.43).
- OSA was associated with a longer hospital LOS (OR, 1.65).
Conclusions:
- Patients with obstructive sleep apnea (OSA) face elevated risks for postoperative hypoxemia, ICU admission, and extended hospital stays following noncardiac surgery.
- Early identification and management of OSA may improve surgical outcomes.
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