Preoperative screening of patients at high risk of obstructive sleep apnea and postoperative complications: A systematic review and meta-analysis

• Published in: Journal of clinical anesthesia 2022-08, Vol.79, p.110692-110692, Article 110692
• Main Authors: Wang, Shuo, Li, Shiyong, Zhao, Yilin, Zhao, Xiaoping, Zhou, Zhiqiang, Hao, Quanshui, Luo, Ailin, Sun, Rao
• Format: Article
• Language: English
• Subjects: Adult; Anesthesia; Berlin questionnaire; Bias; Cohort Studies; Heart surgery; Humans; Mass Screening; Meta-analysis; Mortality; Obstructive sleep apnea; Postoperative complications; Postoperative Complications - diagnosis; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postoperative Period; Questionnaires; Respiratory distress syndrome; Sleep apnea; Sleep Apnea, Obstructive - diagnosis; Sleep Apnea, Obstructive - epidemiology; STOP-bang; Surveys and Questionnaires; Systematic review
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2022.110692

To determine the association between postoperative complications and a high versus low risk of obstructive sleep apnea (OSA) as determined via screening tools. Systematic review and meta-analysis of cohort studies. PubMed, EMBASE, Web of Science, and the Cochrane Library were searched from their inception to January 5, 2021. Operating room, postoperative recovery area, and ward. Adult patients scheduled for surgery. We used Review Manager 5.4 to pool the data. The quality of evidence was rated using the Grading of Recommendations, Assessment, Development and Evaluation system. The primary outcome was the composite endpoint of postoperative respiratory complications. The secondary outcomes were postoperative cardiac and neurological complications, intensive care unit (ICU) admission, and mortality. Twenty-six studies with 50,592 patients were included. A STOP-Bang score ≥ 3 (versus