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Pre-operative screening for obstructive sleep apnoea

Johan Verbraecken, Jan Hedner, Thomas Penzel
European Respiratory Review 2017 26: 160012; DOI: 10.1183/16000617.0012-2016
Johan Verbraecken
1Dept of Pulmonary Medicine and Multidisciplinary Sleep Disorders Centre, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium
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  • For correspondence: johan.verbraecken@uza.be
Jan Hedner
2Dept of Sleep Medicine, Pulmonary Medicine and Allergology, Sahlgrenska University Hospital, Gothenburg, Sweden
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Thomas Penzel
3Sleep Medicine Center, Dept of Cardiology CC11, Charité – Universitätsmedizin Berlin, Berlin, Germany
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  • FIGURE 1
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    FIGURE 1

    Two-stage model. OSA: obstructive sleep apnoea; STOP-Bang: snoring, tiredness, observed apnoeas, pressure, body mass index, age, neck circumference, gender; ASA: American Society of Anesthesiologists.

  • FIGURE 2
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    FIGURE 2

    Three-stage model. OSA: obstructive sleep apnoea; STOP-Bang: snoring, tiredness, observed apnoeas, pressure, body mass index, age, neck circumference, gender; ASA: American Society of Anesthesiologists.

Tables

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  • TABLE 1

    STOP, the Berlin Questionnaire and the ASA checklist in pre-operative patients

    AHI ≥5 events per hAHI ≥15 events per hAHI ≥30 events per h
    Sensitivity
     STOP66%74%79%
     Berlin Questionnaire69%79%87%
     ASA checklist72%79%87%
    Specificity
     STOP60%53%49%
     Berlin Questionnaire56%50%46%
     ASA checklist38%37%36%
    • STOP: snoring, tiredness, observed apnoeas, pressure; ASA: American Society of Anesthesiologists; AHI: apnoea–hypopnoea index.

Supplementary Materials

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    J. Hedner ERR-0012-2016_Hedner

    T. Penzel ERR-0012-2016_Penzel

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Vol 26 Issue 143 Table of Contents
European Respiratory Review: 26 (143)
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Pre-operative screening for obstructive sleep apnoea
Johan Verbraecken, Jan Hedner, Thomas Penzel
European Respiratory Review Mar 2017, 26 (143) 160012; DOI: 10.1183/16000617.0012-2016

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Pre-operative screening for obstructive sleep apnoea
Johan Verbraecken, Jan Hedner, Thomas Penzel
European Respiratory Review Mar 2017, 26 (143) 160012; DOI: 10.1183/16000617.0012-2016
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  • Article
    • Abstract
    • Abstract
    • Introduction
    • Diagnosis of OSA
    • Screening for OSA
    • Methods used for screening OSA
    • Population-based studies
    • High-risk patients
    • Screening for SDB before surgical interventions
    • Focused history
    • Pre-operative screening questionnaires and clinical prediction models
    • Practical approach
    • Can pre-operative screening reduce waiting lists?
    • Effect of CPAP therapy in the peri-operative setting
    • Conclusion
    • Disclosures
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Subjects

  • Respiratory clinical practice
  • Sleep medicine
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More in this TOC Section

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