PittsburghV1, Ncbi, Merge, bibRecord, 004068

Early major medical complications after surgical management of obstructive sleep apnea: a retrospective cohort analysis and case series.

Identifieur interne : 004068 ( Ncbi/Merge ); précédent : 004067; suivant : 004069

Early major medical complications after surgical management of obstructive sleep apnea: a retrospective cohort analysis and case series.

Auteurs : Joseph E. Cillo [États-Unis] ; David J. Dattilo [États-Unis]

Source :

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 1531-5053 ] ; 2015.

RBID : pubmed:25443386

Descripteurs français

English descriptors

KwdEn :
- Adult, Age Factors, Aged, Body Mass Index, Cause of Death, Cohort Studies, Critical Care, Female, Follow-Up Studies, Humans, Male, Middle Aged, Oxygen (blood), Pharynx (surgery), Pneumonia, Aspiration (etiology), Pneumonia, Ventilator-Associated (etiology), Polysomnography (methods), Postoperative Complications, Pulmonary Edema (etiology), Retrospective Studies, Risk Factors, Sleep Apnea, Obstructive (surgery), Sleep Stages (physiology), Young Adult.
MESH :
- chemical , blood : Oxygen.
- etiology : Pneumonia, Aspiration, Pneumonia, Ventilator-Associated, Pulmonary Edema.
- methods : Polysomnography.
- physiology : Sleep Stages.
- surgery : Pharynx, Sleep Apnea, Obstructive.
- Adult, Age Factors, Aged, Body Mass Index, Cause of Death, Cohort Studies, Critical Care, Female, Follow-Up Studies, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Risk Factors, Young Adult.

Abstract

The purpose of this study was to determine the frequency and relative risk (RR) of early postoperative major medical complications after surgery for the management of obstructive sleep apnea.

DOI: 10.1016/j.joms.2014.07.023
PubMed: 25443386

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pubmed:25443386

Le document en format XML

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<author><name sortKey="Cillo, Joseph E" sort="Cillo, Joseph E" uniqKey="Cillo J" first="Joseph E" last="Cillo">Joseph E. Cillo</name>
<affiliation wicri:level="2"><nlm:affiliation>Assistant Professor and Program Director, Division of Oral and Maxillofacial Surgery, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address: jecdna@aol.com.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
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<wicri:cityArea>Assistant Professor and Program Director, Division of Oral and Maxillofacial Surgery, Allegheny General Hospital, Allegheny Health Network, Pittsburgh</wicri:cityArea>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
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<term>Cause of Death</term>
<term>Cohort Studies</term>
<term>Critical Care</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Oxygen (blood)</term>
<term>Pharynx (surgery)</term>
<term>Pneumonia, Aspiration (etiology)</term>
<term>Pneumonia, Ventilator-Associated (etiology)</term>
<term>Polysomnography (methods)</term>
<term>Postoperative Complications</term>
<term>Pulmonary Edema (etiology)</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Sleep Apnea, Obstructive (surgery)</term>
<term>Sleep Stages (physiology)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cause de décès</term>
<term>Complications postopératoires</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Oedème pulmonaire (étiologie)</term>
<term>Oxygène (sang)</term>
<term>Pharynx ()</term>
<term>Phases du sommeil (physiologie)</term>
<term>Pneumopathie de déglutition (étiologie)</term>
<term>Pneumopathie infectieuse sous ventilation assistée (étiologie)</term>
<term>Polysomnographie ()</term>
<term>Soins de réanimation</term>
<term>Sujet âgé</term>
<term>Syndrome d'apnées obstructives du sommeil ()</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Oxygen</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pneumonia, Aspiration</term>
<term>Pneumonia, Ventilator-Associated</term>
<term>Pulmonary Edema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Polysomnography</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Phases du sommeil</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Sleep Stages</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Oxygène</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Pharynx</term>
<term>Sleep Apnea, Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Oedème pulmonaire</term>
<term>Pneumopathie de déglutition</term>
<term>Pneumopathie infectieuse sous ventilation assistée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Body Mass Index</term>
<term>Cause of Death</term>
<term>Cohort Studies</term>
<term>Critical Care</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cause de décès</term>
<term>Complications postopératoires</term>
<term>Facteurs de l'âge</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Jeune adulte</term>
<term>Mâle</term>
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<term>Sujet âgé</term>
<term>Syndrome d'apnées obstructives du sommeil</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study was to determine the frequency and relative risk (RR) of early postoperative major medical complications after surgery for the management of obstructive sleep apnea.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25443386</PMID>
<DateCreated><Year>2014</Year>
<Month>12</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>03</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-5053</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>73</Volume>
<Issue>1</Issue>
<PubDate><Year>2015</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Early major medical complications after surgical management of obstructive sleep apnea: a retrospective cohort analysis and case series.</ArticleTitle>
<Pagination><MedlinePgn>123-8</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.joms.2014.07.023</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0278-2391(14)01237-3</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study was to determine the frequency and relative risk (RR) of early postoperative major medical complications after surgery for the management of obstructive sleep apnea.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">This was a retrospective cohort analysis of patients who had undergone surgery for the treatment of polysomnogram-confirmed obstructive sleep apnea at 2 hospitals in Pittsburgh, PA, between 1992 and 2013. Early postoperative major medical complications were defined as either a life-threatening complication requiring intensive care unit intervention or death within the immediate hospital course. Standard demographic data, apnea-hypopnea index, Epworth Sleepiness Score, minimum nocturnal oxygen saturation, and body mass index were collected. The 2-tailed independent t test, Fisher exact test, and RR with 95% confidence interval were used.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 267 consecutive patients who underwent surgery for obstructive sleep apnea and met the inclusion criteria were included in this study. A total of 6 patients (6 of 267, 2.2%) had early major medical postoperative complications. When stratified by surgical group (intrapharyngeal vs extrapharyngeal), there were 162 intrapharyngeal patients with 2 complications (1.2%) and 105 extrapharyngeal patients with 4 complications (3.8%). We found no statistically significant difference in frequency (2 of 162 intrapharyngeal patients [1.2%] vs 4 of 105 extrapharyngeal patients [3.8%], P = .17) or RR (3.1; 95% confidence interval, 0.58 to 16.55; P = .1885) between the groups. There were statistically significant differences for mean age, apnea-hypopnea index, Epworth Sleepiness Score, minimum nocturnal oxygen saturation, and body mass index between the surgical groups.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The overall frequency of early major medical postoperative complications in upper airway surgery for obstructive sleep apnea is low, with no statistically significant difference in frequency and RR between intrapharyngeal and extrapharyngeal surgery. There may, however, be a clinically significance difference in RR possibly because of associated differences in risk factors between the groups.</AbstractText>
<CopyrightInformation>Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cillo</LastName>
<ForeName>Joseph E</ForeName>
<Initials>JE</Initials>
<Suffix>Jr</Suffix>
<AffiliationInfo><Affiliation>Assistant Professor and Program Director, Division of Oral and Maxillofacial Surgery, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address: jecdna@aol.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dattilo</LastName>
<ForeName>David J</ForeName>
<Initials>DJ</Initials>
<AffiliationInfo><Affiliation>Division Director, Division of Oral and Maxillofacial Surgery, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>07</Month>
<Day>30</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Oral Maxillofac Surg</MedlineTA>
<NlmUniqueID>8206428</NlmUniqueID>
<ISSNLinking>0278-2391</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>S88TT14065</RegistryNumber>
<NameOfSubstance UI="D010100">Oxygen</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002423" MajorTopicYN="N">Cause of Death</DescriptorName>
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<MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName>
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<QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="Y">Postoperative Complications</DescriptorName>
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<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
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<MeshHeading><DescriptorName UI="D020181" MajorTopicYN="N">Sleep Apnea, Obstructive</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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Early major medical complications after surgical management of obstructive sleep apnea: a retrospective cohort analysis and case series.

Early major medical complications after surgical management of obstructive sleep apnea: a retrospective cohort analysis and case series.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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Pour manipuler ce document sous Unix (Dilib)

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Pour générer des pages wiki