What is preoperative STOP-BANG?This is a questionnaire that evaluates the following patient characteristics:
Snoring, Tiredness during daytime, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, Gender
Snoring, Tiredness during daytime, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, Gender
Patient population
135 adult patients undergoing elective surgery at a tertiary care center were administered the STOP-BANG questionnaire.
41.5% of patients had high risk scores for OSAS.
Patients at high risk of OSAS had a much higher rate of postoperative complications compared with patients at low risk (19.6% vs 1.3%).
STOP-BANG questionnaire predicts high risk
The STOP-BANG questionnaire is useful for preoperative identification of patients at higher than normal risk for surgical complications, probably because it identifies patients with occult OSAS.
References
Obstructive Sleep Apnea Syndrome and Postoperative Complications. Clinical Use of the STOP-BANG Questionnaire. Tajender S. Vasu, MD; Karl Doghramji, MD; Rodrigo Cavallazzi, MD; Ritu Grewal, MD; Amyn Hirani, MD; Benjamin Leiby, PhD; Dimitri Markov, MD; David Reiter, MD; Walter K. Kraft, MD; Thomas Witkowski, MD. Arch Otolaryngol Head Neck Surg. 2010;136(10):1020-1024. doi:10.1001/archoto.2010.1020
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These are great if used with common sense. Many people see this type of tool and automatically implement them in the wrong place, with the wrong resources, etc. In fact, one hospital wanted a STOP-BANG score on everyone coming into the OR. If their score was "X", then a respiratory therapist had to fit them with a bipap preoperatively. This was a tremendous waste of resources, delayed surgeries, etc.
ReplyDeleteTake home message: tools, when used correctly, become good tools.