Evidence map›Paper›PMID 41583312›Full record

ArticleCureus2025

STOP-Bang-Defined Obstructive Sleep Apnea Risk and Postoperative Nausea and Vomiting in Laparoscopic Surgery Patients: A Prospective Cohort Study.

Nauman Haider, Atta Okasha, Ayesha Mansoor, Kayode A Babasanya, Riaz Ahmed, Faryal Ali, Umair Majeed, Muhammad Faizan Khan Khalil, Asaad Hussein, Shaumile H Khan and 1 more

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Nauman HaiderUrology, Jinnah Hospital, Lahore, PAK.
Atta OkashaInternal Medicine, Arab Academy for Management, Banking and Financial Sciences (AAMBFS), Cairo, EGY.
Ayesha MansoorMedicine, Faisalabad Medical University, Faisalabad, PAK.
Kayode A BabasanyaEmergency Medicine, Medway Maritime Hospital, Gillingham, GBR.
Riaz AhmedSurgery, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Faryal AliGeneral Surgery, Pakistan Institute of Medical Sciences, Islamabad, PAK.
Umair MajeedMedicine, Holy Family Red Crescent Medical College Hospital, Dhaka, BGD.
Muhammad Faizan Khan KhalilSurgery, Combined Military Hospital, Kohat, PAK.
Asaad HusseinGeneral Practice, Ankara Yıldırım Beyazıt University, Ankara, TUR.
Shaumile H KhanMedicine, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, PAK.
Hiba MalikInternal Medicine, Central Park Medical College, Lahore, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) is frequently underdiagnosed and may influence perioperative outcomes. Postoperative nausea and vomiting (PONV) are common adverse effects following laparoscopic surgery. The purpose of this study was to determine the relationship between PONV and the risk or predisposition of OSA based upon STOP-Bang criteria in laparoscopic surgery patients.

methodsThis is a prospective cohort study conducted in government and private hospitals in Lahore from January to July 2025. The sample consisted of 200 patients who underwent elective laparoscopic surgery under general anesthesia, recruited via convenience sampling. The OSA risk was categorised using the STOP-Bang questionnaire, whereas PONV was measured by the Apfel simplified risk score and the visual analogue scale (VAS). Statistical analyses were performed using SPSS v.26, including descriptive statistics, Spearman correlations, Mann-Whitney U tests, Kruskal-Wallis tests, chi-square tests, and multiple linear regression analyses, while controlling for age, gender, medication use, surgical history, and anesthesia history.

resultsAmong the 200 participants, 152 (76%) were female, and 48 (24%) were male. The most common age ranges were 56-60 years (73 participants, 36%) and 46-55 years (54 participants, 27%). The relationships among the Apfel, VAS, and STOP-Bang scores showed moderately positive correlations (r = 0.23, p < 0.01; r = 0.19, p < 0.01). Regression analysis showed that STOP-Bang scores (beta = 0.152, p = 0.003), nausea severity (beta = 0.176, p = 0.003), female gender (beta = 0.125, p = 0.008), and medication use (beta = 0.142, p = 0.003) were associated with higher Apfel scores. Younger age was associated with higher PONV scores (χ² = 21.77, p = 0.001). Female patients scored significantly higher on the STOP-Bang, Apfel, and VAS than males (p < 0.05).

conclusionSTOP-Bang-defined OSA risk has a significant association with PONV in laparoscopic surgery patients. Female gender and younger age increased susceptibility to PONV, whereas OSA risk was augmented in older people. These results illustrate the clinical utility of integrating STOP-Bang screening into preoperative evaluation to optimise perioperative care and individualise preventive measures against PONV. These findings support integrating STOP-Bang screening into preoperative risk assessment to improve postoperative outcomes.

Indexed as

apfel scorelaparoscopic surgeryobstructive sleep apneaperioperative riskpostoperative nausea and vomitingstop-bang

Identifiers

PMID41583312
PMCPMC12831034

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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.