Sleep-Disordered Breathing and Postoperative Outcomes After Bariatric Surgery: Analysis of the Nationwide Inpatient Sample

Background Sleep-disordered breathing (SDB), also known as obstructive sleep apnea (OSA), has been increasingly recognized as a possible risk factor for adverse perioperative outcomes in non-bariatric surgeries. However, the impact of SDB on postoperative outcomes in patients undergoing bariatric su...

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Bibliographic Details
Published in:Obesity surgery 2013-11, Vol.23 (11), p.1842-1851
Main Authors: Mokhlesi, Babak, Hovda, Margaret D., Vekhter, Benjamin, Arora, Vineet M., Chung, Frances, Meltzer, David O.
Format: Article
Language:English
Subjects:
Adult
Bariatric Surgery - adverse effects
Databases, Factual
Emergency Treatment - adverse effects
Emergency Treatment - methods
Female
Gastrointestinal surgery
Health care expenditures
Health Resources - utilization
Hospital Mortality
Humans
Inpatients - statistics & numerical data
Intubation
Intubation, Intratracheal - adverse effects
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Mortality
Obesity
Obesity, Morbid - complications
Obesity, Morbid - physiopathology
Obesity, Morbid - surgery
Odds Ratio
Original Contributions
Respiration
Respiration, Artificial - statistics & numerical data
Risk Assessment
Risk Factors
Sleep apnea
Sleep Apnea, Obstructive - etiology
Sleep Apnea, Obstructive - physiopathology
Surgery
Surgical outcomes
Treatment Outcome
United States - epidemiology
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Summary:Background Sleep-disordered breathing (SDB), also known as obstructive sleep apnea (OSA), has been increasingly recognized as a possible risk factor for adverse perioperative outcomes in non-bariatric surgeries. However, the impact of SDB on postoperative outcomes in patients undergoing bariatric surgery remains less clearly defined. We hypothesized that SDB would be independently associated with worse postoperative outcomes. Methods Data were obtained from the Nationwide Inpatient Sample database and included a total of 91,028 adult patients undergoing bariatric surgeries from 2004 to 2008. The primary outcomes were in-hospital death, total charges, and length of stay. There were two secondary outcomes of interest: respiratory and cardiac complications. Regression models were fitted to assess the independent association between SDB and the outcomes of interest. Results SDB was independently associated with decreased mortality (OR = 0.34, 95% CI = 0.23–0.50, p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-013-0991-2