Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, China.
School of Computing, Chongqing University, Chongqing, 400044, China.
Front Med. 2018 Apr;12(2):189-195. doi: 10.1007/s11684-017-0533-8. Epub 2017 Jun 7.
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.
阻塞性睡眠呼吸暂停综合征（OSAS）增加了手术后并发症的风险。本研究使用柏林问卷（BQ）来识别有发生 OSAS 高风险的中国成年手术患者，并确定 BQ 是否可用于检测麻醉后护理单元（PACU）中潜在的严重呼吸不良事件风险。结果表明，只有 11.4%的患者被认为有发生 OSAS 的高风险。年龄和体重指数是中国 OSAS 患病率风险的关键因素，也是性别特异性的因素。此外，高危 OSAS 患者在 PACU 中发生不良呼吸事件的发生率高于其他患者（6.8%比 0.9%，P < 0.001）。他们在 PACU 中停留的时间也比其他患者长（95 ± 28 分钟比 62 ± 19 分钟，P < 0.001）。年龄、OSAS 高危因素和吸烟是 PACU 发生不良呼吸事件的独立危险因素。BQ 可作为中国麻醉师的一种筛查工具，用于识别发生 OSAS 风险高的患者，并确定 PACU 中发生术后呼吸并发症的潜在风险。
