Trial reportThe Annals of thoracic surgery2018
Preoperative STOP-BANG Scores and Postoperative Delirium and Coma in Thoracic Surgery Patients.
Trial report in The Annals of thoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Effect of obstructive sleep apnea on postoperative delirium: a system review and meta-analysis.Sleep & breathing = Schlaf & Atmung · 2024Pooled it
- Perioperative Sleep Disturbances and Postoperative Delirium in Adult Patients: A Systematic Review and Meta-Analysis of Clinical Trials.Frontiers in psychiatry · 2020Pooled it
- Delirium Severity Trajectories and Outcomes in ICU Patients. Defining a Dynamic Symptom Phenotype.Annals of the American Thoracic Society · 2020Trial
- Is there an association between subjective sleep quality and daily delirium occurrence in critically ill adults? A post hoc analysis of a randomised controlled trial.BMJ open respiratory research · 2020Trial
- Article
- Article
- Moderate-to-high risk of obstructive sleep apnea with excessive daytime sleepiness is associated with postoperative neurocognitive disorders: a prospective one-year follow-up cohort study.Frontiers in neuroscience · 2023Article
- Pediatric delirium is associated with increased brain injury marker levels in cardiac surgery patients.Scientific reports · 2022Article
- The potential link between obstructive sleep apnea and postoperative neurocognitive disorders: current knowledge and possible mechanisms.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Review
- Relationship of sleep disturbance and postoperative delirium: a systematic review and meta-analysis.Gland surgery · 2022Article
- Serum Biomarkers in Postoperative Delirium After Esophagectomy.The Annals of thoracic surgery · 2022Article
- Review
- ICU Delirium-Prediction Models: A Systematic Review.Critical care explorations · 2020Article
- Obstructive sleep apnea and perioperative delirium among thoracic surgery intensive care unit patients: perspective on the STOP-BANG questionnaire and postoperative outcomes.Journal of thoracic disease · 2019Article
- Is obstructive sleep apnea related to postoperative delirium, postoperative, coma or both?Journal of thoracic disease · 2019Article
- Preoperative stratification for postoperative delirium: obstructive sleep apnea is a predictor, the STOP-BANG is not?Journal of thoracic disease · 2019Article
- How can we reduce the incidence of postoperative mental disorders after thoracic surgery?Journal of thoracic disease · 2019Article
- Incidence of postoperative delirium in patients with preoperative and postoperative Obstructive Sleep Apnea Syndrome. A Systematic Review of the literature.Saudi journal of anaesthesiaReview
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundObstructive sleep apnea (OSA) is associated with higher rates of postoperative delirium. The relationship between preoperative OSA risk and postoperative delirium and coma in thoracic surgery patients hospitalized in the intensive care unit (ICU) is not well understood. This study tests the hypothesis that thoracic surgery patients hospitalized in ICU with a higher preoperative risk for OSA are more likely to develop postoperative delirium and coma, resulting in longer hospital stays.
methodsPreoperative OSA risk was measured using the STOP-BANG questionnaire. STOP-BANG scores of greater than or equal to 3 were defined as intermediate-high risk for OSA; 128 patients who underwent major thoracic surgery completed the STOP-BANG questionnaire preoperatively. The Richmond Agitation and Sedation Scale was used to assess level of consciousness. The Confusion Assessment Method for the ICU was used to assess for delirium. Linear regression was used to assess the relationship between risk of OSA and outcome measures. Results were adjusted for age, sex, body mass index, Charlson Comorbidity Index, instrumental activities of daily living, and surgery type.
resultsA total of 96 of 128 patients (76%) were in the intermediate-high-risk OSA group. Adjusted analyses showed that the intermediate-high-risk OSA group had a longer duration of postoperative ICU delirium and coma compared with the low-risk OSA group (1.4 ± 1.3 days versus 0.9 ± 1.4 days; P = 0.04). Total number of hospital days was not significantly different.
conclusionsHigher preoperative risk for OSA in thoracic surgery patients was associated with a longer duration of postoperative delirium and coma.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.