减肥患者阻塞性睡眠呼吸暂停治疗的预测因素

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2025-05-01 DOI:10.1016/j.ciresp.2024.12.010

Sergio Navarro-Martínez , Jose Ángel Diez-Ares , Marina Carrasco-Llatas , Núria Peris-Tomás , Silvia Matarredona-Quiles , Ramón Trullenque-Juan , Carlos Domingo-del-Pozo

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引用次数: 0

摘要

梗阻性睡眠呼吸暂停（OSA）在减肥手术的候选者中很常见，但经常被误诊。鉴于肥胖和OSA有共同的合并症并相互加强，确定预测减肥手术后OSA缓解的因素是很重要的。然而，关于这一主题的研究是有限的，并且提供了相互矛盾的结果。该研究的目的是确定减肥手术后一年OSA缓解的预测因素。方法对18 ~ 65岁的减肥手术候选者进行前瞻性研究。患者术前行心肺测谎（PR）和耳鼻喉检查。术后1年随访PR。进行了多变量分析，检查人体测量学、代谢和上呼吸道解剖学变量，以确定分辨率的预测因子。结果OSA患病率为75%。预测指标包括术前体重指数（BMI）、颈围和年龄。BMI每增加kg/m2，解决的可能性降低14% (OR = 0.86；P= 0.037)，颈围每增加1厘米，概率降低16% (OR = 0.84；P= 0.018)，每增加一岁，患病几率降低11% (OR = 0.89；P = .009)。结论肥胖患者的OSA患病率较高，BMI、颈围、年龄是减肥手术后OSA缓解的预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Factores predictores de curación de la apnea obstructiva del sueño en pacientes bariátricos

查看原文本刊更多论文

Factores predictores de curación de la apnea obstructiva del sueño en pacientes bariátricos

Introduction

Obstructive sleep apnea (OSA) is common among candidates for bariatric surgery and is often underdiagnosed. Given that obesity and OSA share comorbidities and mutually reinforce each other, it is important to identify factors that predict OSA resolution after bariatric surgery. However, studies on this topic are limited and offer contradictory results. The objective of the study was to identify predictors of OSA resolution one year after bariatric surgery.

Methods

A prospective study was conducted with bariatric surgery candidates aged 18 to 65. Patients underwent preoperative cardiorespiratory polygraphy (PR) and an otorhinolaryngological examination. A follow-up PR was performed one year after surgery. A multivariate analysis was conducted, examining anthropometric, metabolic, and upper airway anatomical variables to determine predictors of resolution.

Results

The prevalence of OSA was 75%. Predictors of resolution included preoperative body mass index (BMI), neck circumference and age. Each additional kg/m² in BMI reduced the probability of resolution by 14% (OR = 0.86; P=.037), each additional centimeter of neck circumference reduced the probability by 16% (OR = 0.84; P=.018), and each year of age reduced the probability by 11% (OR = 0.89; P=.009).

Conclusions

The prevalence of OSA in bariatric patients is high, and BMI, neck circumference, and age are predictive factors of OSA resolution after bariatric surgery.

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.