Christel A L de Raaff1, Usha K Coblijn2, Nico de Vries3, Bart A van Wagensveld2. 1. Department of Surgery, Sint Lucas Andreas Hospital, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands. Electronic address: c.deraaff@slaz.nl. 2. Department of Surgery, Sint Lucas Andreas Hospital, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands. 3. Department of Otolaryngology, Sint Lucas Andreas Hospital, Amsterdam, the Netherlands.
Abstract
BACKGROUND: To evaluate the influence of obstructive sleep apnea (OSA) on postoperative cardiopulmonary complications in bariatric surgery patients. METHODS: PubMed, Embase, and the Cochrane central register databases were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used for reviewing. RESULTS: Thirteen studies were included (n = 98,935). OSA was documented in 36,368 (37%) patients. The cardiopulmonary complication rate varied between .0% and 25.8%; no clear association with OSA was found (rate .0% to 18%), possibly because of optimized situations such as continuous positive airway pressure. OSA appeared to be no independent risk factor for intensive care unit (ICU) admission, death, or longer length of stay in most studies. CONCLUSIONS: Overall, presented data showed no clear association of OSA with cardiopulmonary morbidity, ICU admissions, mortality, and length of stay after bariatric surgery. Although this questions the justification of admitting OSA patients to the ICU, future studies are required investigating the effect of monitoring strategies and optimizing treatments including continuous positive airway pressure use.
BACKGROUND: To evaluate the influence of obstructive sleep apnea (OSA) on postoperative cardiopulmonary complications in bariatric surgery patients. METHODS: PubMed, Embase, and the Cochrane central register databases were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used for reviewing. RESULTS: Thirteen studies were included (n = 98,935). OSA was documented in 36,368 (37%) patients. The cardiopulmonary complication rate varied between .0% and 25.8%; no clear association with OSA was found (rate .0% to 18%), possibly because of optimized situations such as continuous positive airway pressure. OSA appeared to be no independent risk factor for intensive care unit (ICU) admission, death, or longer length of stay in most studies. CONCLUSIONS: Overall, presented data showed no clear association of OSA with cardiopulmonary morbidity, ICU admissions, mortality, and length of stay after bariatric surgery. Although this questions the justification of admitting OSA patients to the ICU, future studies are required investigating the effect of monitoring strategies and optimizing treatments including continuous positive airway pressure use.
Authors: Christel A L de Raaff; Annouk S Pierik; Usha K Coblijn; Nico de Vries; H Jaap Bonjer; Bart A van Wagensveld Journal: Surg Endosc Date: 2016-05-13 Impact factor: 4.584
Authors: Sophie L van Veldhuisen; Kim Kuppens; Christel A L de Raaff; Marinus J Wiezer; Steve M M de Castro; Ruben N van Veen; Dingeman J Swank; Ahmet Demirkiran; Evert-Jan G Boerma; Jan-Willem M Greve; Francois M H van Dielen; Geert W J Frederix; Eric J Hazebroek Journal: BMJ Open Date: 2020-10-07 Impact factor: 2.692
Authors: Erik Stenberg; Luiz Fernando Dos Reis Falcão; Mary O'Kane; Ronald Liem; Dimitri J Pournaras; Paulina Salminen; Richard D Urman; Anupama Wadhwa; Ulf O Gustafsson; Anders Thorell Journal: World J Surg Date: 2022-01-04 Impact factor: 3.352