Article (Scientific journals)
Influence of Different Measurements on the Ability of P-SAP and DES-OSA Scores to Detect Severe Obstructive Sleep Apnea.
Deflandre, Eric; Cester, Luca; Degey, Stephanie V
2021In Anesthesia and Analgesia, 132 (6), p. 1720 - 1726
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Keywords :
Adult; Aged; Female; Humans; Male; Middle Aged; Perioperative Care/methods; Polysomnography/methods; Postoperative Complications/diagnosis; Postoperative Complications/physiopathology; Sleep Apnea, Obstructive/diagnosis; Sleep Apnea, Obstructive/physiopathology; Severity of Illness Index; Perioperative Care; Polysomnography; Postoperative Complications; Sleep Apnea, Obstructive; Anesthesiology and Pain Medicine
Abstract :
[en] ("[en] BACKGROUND: Severe obstructive sleep apnea (sOSA) represents a risk factor of postoperative complications. Perioperative sleep apnea prediction (P-SAP) and DES-obstructive sleep apnea (DES-OSA) (DES being the acronym for 2 of the participating investigators and OSA for obstructive sleep apnea) scores were validated in the detection of such patients. They include the measurement of neck circumference (NC) and distance between thyroid and chin (DTC). The aim of this study was to evaluate the influence of the measurement method of NC and DTC on the ability of the 2 scores to detect sOSA. METHODS: A total of 371 preoperative patients were enrolled. For each of them, 6 combinations of P-SAP and DES-OSA scores were evaluated. We compared the results of the 6 combinations with the data extracted from the polysomnography (PSG) if available. The ability of the score to detect sOSA patients was evaluated using sensitivity (Se), specificity (Sp), Youden index (YI), area under receiver operating characteristic curve (AUROC), the Probit model, and the Kappa coefficient of Cohen. A P < .05 was considered as significant, a Bonferroni correction was applied if needed. RESULTS: Three hundred and seventy-one patients had a PSG. The Se and the Sp of the DES-OSA score, and the Sp of the P-SAP score, in their ability to detect severe OSA patients, were influenced by the measurement method of the DTC and of the NC. Nevertheless, the AUROC, the Youden index, the Probit model, and the Kappa coefficient of Cohen are not influenced by the variability of measurement. CONCLUSIONS: This study highlights that the measurement method of NC and DTC can influence the results of the 2 scores. We conclude that a strict protocol for the measurement of NC and DTC should be applied (DTC measurement should be performed on a patient with a head in neutral position and the NC measurement should be performed at the cricoid level).","[en] ","")
Disciplines :
Anesthesia & intensive care
Author, co-author :
Deflandre, Eric ;  Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation ; From the Departments of Anesthesia and Ambulatory Surgery, Clinique Saint-Luc de Bouge, Namur, Belgium
Cester, Luca ;  Université de Liège - ULiège
Degey, Stephanie V;  Department of Perioperative Medicine, Cabinet Medical ASTES, Jambes, Belgium
Language :
English
Title :
Influence of Different Measurements on the Ability of P-SAP and DES-OSA Scores to Detect Severe Obstructive Sleep Apnea.
Publication date :
01 June 2021
Journal title :
Anesthesia and Analgesia
ISSN :
0003-2999
eISSN :
1526-7598
Publisher :
Lippincott Williams and Wilkins, United States
Volume :
132
Issue :
6
Pages :
1720 - 1726
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 15 December 2022

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