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Obstructive Sleep Apnea After Surgery
Does OSA affect cardiopulmonary complications?
Patients with obstructive sleep apnea (OSA) who are not treated with positive airway pressure preoperatively are at increased risks for cardiopulmonary complications after general and vascular surgery, according to a study of 26,842 patients, including 2,646 with a diagnosis or a suspicion of OSA. Of the patients with OSA, 1,465 were untreated. Researchers found that compared with treated OSA, untreated OSA was independently associated with:
• More cardiopulmonary complication [adjusted odds ratio (aOR), 1.8]
• More unplanned reintubations (aOR, 2.5)
• More myocardial infarction (aOR, 2.6)
Citation: Abdelsattar ZM, Hendren S, Wong SL, Campbell DA, Ramachandran SK. The impact of untreated obstructive sleep apnea on cardiopulmonary complications in general and vascular surgery: a cohort study. Sleep. 38(8). doi: http://dx.doi.org/10.5665/sleep.4892.