检索结果-南通市图书馆

Identification of surgical patients at high risk of OSAS using the berlin questionnaire to detect potential high risk of adverse respiratory events in post anesthesia care unit

引用

Frontiers of Medicine 2018年第2期12卷 189-195页

作者： Fei Liu Li Liu Fang Zheng Xiangdong Tang Yongxin Bao Yunxia Zuo Department of Anesthesiology West China Hospital Sichuan University Chengdu 610041 China School of Computing Chongqing University Chongqing 400044 China School of Information Science & Engineering Lanzhou University Lanzhou 730000 China Sleep Medicine Center Mental Health Center Translational Neuroscience Center West China Hospital Sichuan University Chengdu 610041China Qingdao Women's and Children's Hospital Qingdao 266000 China

Obstructive sleep apnea syndrome （OSAS） increases the risk of post-surgery complications. This study uses berlin questionnaire （BQ） to identify Chinese adult surgical patients who are at a high risk of OSAS and to determine if the BQ could be used to detect potential high risk of adverse respiratory events in the post anesthesia care unit （PACU）. Results indicated that only 11.4% of the patients were considered at a high risk of OSAS. Age and body mass index are the key factors for the risk of OSAS prevalence in China and also gender specific. Furthermore, the incidence of adverse respiratory events in the PACU was higher in patients with high risk of OSAS than others （6.8% vs. 0.9%, P 〈 0.001）. They also stayed longer than others in the PACU （95 ~ 28 min vs. 62 ~ 19 min, P 〈 0.001）. Age, high risk for OSAS, and smoking were independent risk factors for the occurrence of adverse respiratory events in the PACU. The BQ may be adopted as a screening tool for anesthesiologists in China to identify patients who are at high risk of OSAS and determine the potential risk of developing postoperative respiratory complications in the PACU.

关键词： obstructive sleep apnea berlin questionnaire Chinese surgical patients adverse respiratory event

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

High risk for obstructive sleep apnea and risk of hypertension in military personnel: The CHIEF sleep study

引用

World Journal of Clinical Cases 2023年第30期11卷 7309-7317页

作者： Wei-Nung Liu Ko-Huan Lin Kun-Zhe Tsai Chen-Chih Chu Yun-Chen Chang Younghoon Kwon Gen-Min Lin Department of Medicine Tri-Service General HospitalNational Defense Medical CenterTaipei 114TaiwanChina Department of Psychiatry Hualien Tzu Chi HospitalHualien City 970TaiwanChina Department of Stomatology of Periodontology Mackay Memorial HospitalTaipei 104TaiwanChina School of Nursing and Graduate Institute of Nursing China Medical UniversityTaichung 406TaiwanChina Department of Medicine University of WashingtonSeattle98104-2499United States Department of Medicine Hualien Armed Forces General HospitalHualien City 970TaiwanChina

BACKGROUND Epidemiological studies have revealed an association between obstructive sleep apnea(OSA)and hypertension in the general population,while the association in military personnel was rarely *** To examine the association between high risk for OSA and hypertension by phenotypes in military young *** A total of 746 military personnel,aged 27.9 years,were included in the cardiorespiratory fitness and health in armed forces(CHIEF)-sleep study in Taiwan in *** medications were not used by the *** risk for OSA was assessed using the berlin *** was defined using the 7th Report of the Joint National Committee on Prevention,Detection,Evaluation,and Treatment of High Blood Pressure(JNC 7)and the 2017 American College of Cardiology(ACC)/American Heart Association(AHA)*** cutoff levels of systolic and diastolic blood pressure(SBP and DBP)for the 2017 ACC/AHA-and JNC 7-based guidelines were 130/140 mmHg and 80/90 mmHg,*** phenotypes included isolated systolic and diastolic hypertension(ISH,high SBP only and IDH,high DBP only)and combined hypertension(both high SBP and DBP).Multivariable logistic regression analysis with adjustment for demographics,lifestyle and metabolic *** The prevalence of high risk for OSA,JNC 7-based hypertension and 2017 ACC/AHA-based hypertension were 8.0%,5.2%and 22.0%,*** with a high risk for OSA had a higher probability of JNC 7-based overall and combined hypertension(odds ratios(ORs))and 95%confidence intervals:2.82(1.07-7.42)and 7.54(1.10-51.54),although the probabilities of ISH and IDH were unaffected by a high risk for OSA(ORs:1.96 and 2.35,respectively,both P>0.05).In contrast,no associations for any hypertension phenotypes were found according to the 2017 ACC/AHA *** A high risk for OSA was associated with severe hypertension and combined hypertension among Asian military young adults.

关键词： Asian young adults berlin questionnaire Hypertension phenotypes Military Sleep apnea

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Patients presenting for colonoscopy: A great opportunity to screen for sleep apnea

引用

World Journal of Gastrointestinal Endoscopy 2016年第19期8卷 697-700页

作者： Glenn Harvin Eslam Ali Amit Raina William Leland Sabeen Abid Zahid Vahora Hossein Movahed Sumyra Kachru Rick Tee Brody School of Medicine at East Carolina University Vidant Medical Center

AIMTo discover the prevalence and the feasibility of screening for obstructive sleep apnea (OSA) in patients presenting for routine colonoscopy. METHODSAdult patients having a colonoscopy for routine indications at our outpatient endoscopy center were eligible if they did not carry a diagnosis of OSA or had not had a prior sleep study. All patients were administered the berlin questionnaire prior to the procedure. Mallampati, neck circumference, height, weight, and BMI were obtained for each patient. Patients were observed for any drops in oxygen saturation 10 s. Patients were determined to be high-risk if they met at least 2 of the 3 symptom categories for the berlin questionnaire. RESULTSA total of 60 patients were enrolled and completed the study; mean age was 56 years (range 23-72 year). Twenty-six patients had a positive berlin questionnaire (43.3%), 31 patients had a negative berlin questionnaire (51.6%) and 3 patients had an equivocal result (5.0%). Patients with a positive berlin questionnaire were more likely to be of increased weight (mean 210.5 lbs vs mean 169.8 lbs, P = 0.003), increased BMI (33.0 kg/m2vs 26.8 kg/m2, P = 0.0016), and have an increased neck circumference (38.4 cm vs 35.5 cm, P = 0.012). Patients with a positive berlin questionnaire were more likely to have a drop in oxygen saturation vs 36.4%, P = 0.01). Patients with snoring were more likely to have a positive berlin questionnaire (8/9 patients vs 1/31 patients with negative berlin questionnaire; P = 0.0045). CONCLUSIONRisk for OSA is extremely common in a population presenting for a routine colonoscopy, and screening at the time of a colonoscopy offers an excellent opportunity to identify these patients.

关键词： Colonoscopy Obstructive sleep apnea berlin questionnaire Sedation Screening

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Screening and managing obstructive sleep apnoea in nocturnal heart block patients:An observational study

Screening and managing obstructive sleep apnoea in nocturnal...

引用

中国睡眠研究会第九届学术年会

作者： Xu Wu Zilong Liu Su Chi Chang Cuiping Fu Shanqun Li Department of Pulmonary Medicine Zhongshan Hospital Fudan University

Background:Nocturnal heart block often occurs in patients with obstructive sleep apnoea(OSA).It is more likely to be undiagnosed in heart block patients who are ignorant of the symptoms of sleep *** questionnaire(BQ) is a highly reliable way to discover the risk factors of OSA,whereas the validity in sleep-related heart block patients is *** performed an observational study to address these issues and confirmed the potential protective effect of continuous positive airway pressure(CPAP).Methods:Patients who were previously diagnosed with nocturnal heart block with R-R pauses exceeding 2 seconds were retrospective screened from the ECG centre of Zhongshan *** participantscompleted berlin questionnaire and underwent polysomnography synchronously with 24-hour Holter monitoring.A cross-sectional analysis was performed to confirm the association between nocturnal arrhythmia and OSA,as well as to assess the diagnostic accuracy of the ***,subjects diagnosed with OSA(apnoea-hypopnoea index > 5) underwent 3consecutive days of CPAP *** the third day,patients repeated 24-hour Holter monitoring within the institution of ***:The symptoms of disruptive snoring and hypersomnolence in 72 enrolled patients were more related to the occurrence of nocturnal heart block(r = 0.306,0.226,respectively,p = 0.015,0.019) than syncope(r=0.134,p=0.282) and palpitations(r = 0.106,p= 0.119),which were prominent trait of our study *** sensitivity,specificity,positive and negative predictive value of the BQ at a cut-off point of 5 of AHI for detecting OSA in heart block patients was 81.0%,44.4%,91.07%and 25%.Nocturnal heart block does not appear to occur exclusively in severe sleep *** frequent occurrence of arrhythmias in prominent oxygen desaturation supports the correlation between *** therapy resulted in significant decrease in the average number of episodes of heart block,from 148.58 ±379.44 to 16.07 ±

关键词： Obstructive sleep apnoea heart block berlin questionnaire continuous positive airway pressure

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：