Journal of Sleep Disorders: Treatment and CareISSN: 2325-9639

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Research Article, J Sleep Disor Treat Care Vol: 3 Issue: 3

Increased Risk of Serious Post-Operative Cardiopulmonary Complications in Undiagnosed Severe Obstructive Sleep Apnea

Vincent Déry*, Luc Lanthier and Matthieu Touchette
Université de Sherbrooke, Canada
Corresponding author : Vincent Déry, MD
Université de Sherbrooke, 1660 Ernest-Therriault, Sherbrooke, Qc, Canada J1E4L3
Tel: 819-812-4713; Fax: 819-829-6295
E-mail: vincent.dery@usherbrooke.ca
Received April 07, 2014 Accepted July 25, 2014 Published July 28, 2014
Citation:Déry V, Lanthier L, Touchette M (2014) Increased Risk of Serious Post-Operative Cardiopulmonary Complications in Undiagnosed Severe Obstructive Sleep Apnea. J Sleep Disor: Treat Care 3:3. doi:10.4172/2325-9639.1000141

 

Abstract

Increased Risk of Serious Post-Operative Cardiopulmonary Complications in Undiagnosed Severe Obstructive Sleep Apnea

Background: Previous trials suggest that OSA (obstructive sleep apnea) is associated with an increased rate of postoperative complications. Our objective was to determine whether OSA is an independent risk factor for serious cardiopulmonary complications and to assess the possible role of OSA severity. Methods: We analysed 5133 polysomnograms conducted between 2002 and 2011 for suspicion of OSA. We reviewed medical charts to assess the occurrence of postoperative complications in patients who had undergone elective or urgent surgery in the three years preceding the polysomnogram study. Patients with OSA were compared to patients who had a normal polysomnogram. The primary outcome was a composite of serious cardiac or respiratory complications and unplanned admission to intensive care unit. Multivariate analysis with risk stratification according to OSA severity and apnea-hypopnea index were planned to the protocol.

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