| Oximetry alone versus portable polygraphy for sleep apnea screening before bariatric surgery. | |
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MedLine Citation:
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PMID: 20052560 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Screening for obstructive sleep apnea (OSA) is recommended as part of the preoperative assessment of obese patients scheduled for bariatric surgery. The objective of this study was to compare the sensitivity of oximetry alone versus portable polygraphy in the preoperative screening for OSA. METHODS: Polygraphy (type III portable monitor) and oximetry data recorded as part of the preoperative assessment before bariatric surgery from 68 consecutive patients were reviewed. We compared the sensitivity of 3% or 4% desaturation index (oximetry alone) with the apnea-hypopnea index (AHI; polygraphy) to diagnose OSA and classify the patients as normal (<10 events per hour), mild to moderate (10-30 events per hour), or severe (>30 events per hour). RESULTS: Using AHI, the prevalence of OSA (AHI > 10 per hour) was 57.4%: 16.2% of the patients were classified as severe, 41.2% as mild to moderate, and 42.6% as normal. Using 3% desaturation index, 22.1% were classified as severe, 47.1% as mild to moderate, and 30.9% as normal. With 4% desaturation index, 17.6% were classified as severe, 32.4% as mild, and 50% as normal. Overall, 3% desaturation index compared to AHI yielded a 95% negative predictive value to rule out OSA (AHI > 10 per hour) and a 100% sensitivity (0.73 positive predictive value) to detect severe OSA (AHI > 30 per hour). CONCLUSIONS: Using oximetry with 3% desaturation index as a screening tool for OSA could allow us to rule out significant OSA in almost a third of the patients and to detect patients with severe OSA. This cheap and widely available technique could accelerate preoperative work-up of these patients. |
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Authors:
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Maude Malbois; Vittorio Giusti; Michel Suter; Cyril Pellaton; Jean-Fr?d?ric Vodoz; Raphael Heinzer |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-01-06 |
Journal Detail:
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Title: Obesity surgery Volume: 20 ISSN: 1708-0428 ISO Abbreviation: Obes Surg Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-23 Completed Date: 2010-05-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9106714 Medline TA: Obes Surg Country: United States |
Other Details:
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Languages: eng Pagination: 326-31 Citation Subset: IM |
Affiliation:
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University of Lausanne, Lausanne, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Bariatric Surgery Female Humans Male Middle Aged Obesity, Morbid / physiopathology*, surgery Oximetry* / standards Polysomnography* / standards Predictive Value of Tests Preoperative Period Prevalence Reproducibility of Results Sensitivity and Specificity Severity of Illness Index Sleep Apnea, Obstructive / diagnosis*, epidemiology, pathology Young Adult |
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