Evidence map›Paper›PMID 35091903›Full record

ArticleObesity surgery2022

Periocular Manifestation of Obstructive Sleep Apnea as a Novel Perioperative Screening Tool.

Megan Folsom, James Gigantelli, Brent Timperley, Kurtis Johnson, Danstan Bagenda, Huiling Pang, Sheila Ellis

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 44% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Megan FolsomDepartment of Anesthesiology, University of Nebraska Medical Center, 42nd and Emile, Omaha, NE, 68198, USA. mhedlund@kumc.edu.
James GigantelliDepartment of Ophthalmology, Marshall University, 1 John Marshall Drive, Huntington, WV, 25755, USA.
Brent TimperleyDepartment of Ophthalmology, University of Nebraska Medical Center, 42nd and Emile, Omaha, NE, 68198, USA.
Kurtis JohnsonDepartment of Anesthesiology, University of Nebraska Medical Center, 42nd and Emile, Omaha, NE, 68198, USA.
Danstan BagendaDepartment of Anesthesiology, University of Nebraska Medical Center, 42nd and Emile, Omaha, NE, 68198, USA.
Huiling PangDepartment of Anesthesiology, University of Nebraska Medical Center, 42nd and Emile, Omaha, NE, 68198, USA.
Sheila EllisDepartment of Anesthesiology, University of Nebraska Medical Center, 42nd and Emile, Omaha, NE, 68198, USA.
University of Nebraska Medical Center · USMarshall University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea (OSA) presents perioperative challenges with increased risk for complications. Floppy eyelid syndrome (FES) is associated with OSA yet has not been addressed perioperatively. The current standard for perioperative OSA screening includes assessing patient risk factors or the STOP-BANG tool, which requires an active participant. We aimed to confirm a connection between FES and OSA in presurgical patients and develop a screening method appropriate for patients with perioperative OSA risk. MATERIALS AND

methods162 presurgical pre-anesthesia clinic patients were enrolled. Screening questions determined eligibility. Those who were pregnant or aged < 19 were excluded. Control group included those with a STOP-BANG score < 3. Experimental group included those with BMI > 35 and OSA diagnosis. Examiners photographed participants' eyes with vertical and horizontal retraction while two blinded ophthalmologists used a grading scale to review grade of eyelid laxity.

resultsDifferences in habitus, ASA score, and hypertension as a comorbidity were significant. Sensitivity of FES screening was 52% (CI 37-66%) and specificity was 56% (CI 46-66%) for reviewer 1. For reviewer 2, sensitivity was 48% (CI 28-69%) and specificity was 72% (CI 60-81%). Negative predictive value was 86% (CI 81-90) for reviewer 1 and 88% (CI 83-92%) for reviewer 2. Inter-rater agreement was moderate.

conclusionWhile specificity and sensitivity were lower than anticipated, negative predictive value was high. Given this strong negative predictive value, our findings indicate using eyelid retraction to screen for FES has perioperative clinical utility. These findings encourage further research addressing the connection of lid laxity/FES to OSA. KEY POINTS: • Aimed to investigate if a FES screening tool could identify perioperative OSA risk. • Negative predictive value for FES with OSA was 86%. • Observing periocular lid laxity has clinical utility; is feasible in any patient.

Indexed as

Eyelid DiseasesHypertensionObesity, MorbidSleep Apnea, ObstructiveAdultHumansMass ScreeningSurveys and QuestionnairesEyelid laxityFloppy eyelid syndromeObstructive sleep apneaPerioperative medicinePreoperative assessmentScreening tool

Identifiers

PMID35091903
PMCPMC8933341
OpenAlexW4210268577

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.