一项前瞻性观察研究：STOP-BANG和Berlin问卷预测全麻诱导过程中超重和肥胖患者发生去饱和的比较

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Annals of African Medicine Pub Date : 2025-04-25 DOI:10.4103/aam.aam_240_24

Srinivas Hebbal Thammaiah, Akshitha Jayakumar, Rashmi Hosahalli Sreenath, K N Archana, Vyshnavi Sriram

{"title":"一项前瞻性观察研究：STOP-BANG和Berlin问卷预测全麻诱导过程中超重和肥胖患者发生去饱和的比较","authors":"Srinivas Hebbal Thammaiah, Akshitha Jayakumar, Rashmi Hosahalli Sreenath, K N Archana, Vyshnavi Sriram","doi":"10.4103/aam.aam_240_24","DOIUrl":null,"url":null,"abstract":"Introduction: Obstructive sleep apnea increases perioperative risk due to compromised airway patency. This study compared the predictive capabilities of the STOP-BANG and Berlin Questionnaires for intraoperative desaturation among overweight and obese patients undergoing general endotracheal anesthesia.Aims: The study primarily aimed to compare desaturation onset time and time to reach 93% oxygen saturation on room air during induction of general anesthesia. Secondary objectives included assessing associated airway complications.Settings and design: A prospective observational study was conducted at a tertiary hospital with overweight and obese patients undergoing elective surgeries under general endotracheal anesthesia.Subjects and methods: Hundred patients aged 18-60 years, body mass index ≥ 25 belonging to the American Society of Anesthesiologists Physical Status Class I-II, divided based on assessment by STOP-BANG (Group S) and Berlin (Group B) Questionnaire participated in the study. Standard anesthesia protocols were followed. SpO2, heart rate, and blood pressure were monitored. Desaturation onset, duration, and airway complications were recorded.Statistical analysis used: Comparisons were made using t-tests and Chi-square tests, with significance set at P < 0.05.Results: Group S had significantly lower SpO2 during induction (P = 0.001) and intubation (P = 0.007), shorter desaturation onset (1.12 vs. 1.55 min, P = 0.00089), and shorter desaturation duration (1.56 vs. 2.21 min, P = 0.013). More patients in Group S required advanced airway equipment (6 vs. 4), and 18% had postoperative desaturation versus none in Group B (P = 0.002). Higher STOP-BANG scores showed stronger correlations with lower SpO2, earlier desaturation onset, longer desaturation periods, and increased airway complications. Conclusions: The STOP-BANG questionnaire is a superior tool for predicting desaturation among overweight and obese patients during induction of general endotracheal anesthesia.","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of STOP-BANG and Berlin Questionnaire in the Prediction of Overweight and Obese Patients Developing Desaturation during Induction of General Anesthesia: A Prospective Observational Study.\",\"authors\":\"Srinivas Hebbal Thammaiah, Akshitha Jayakumar, Rashmi Hosahalli Sreenath, K N Archana, Vyshnavi Sriram\",\"doi\":\"10.4103/aam.aam_240_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Obstructive sleep apnea increases perioperative risk due to compromised airway patency. This study compared the predictive capabilities of the STOP-BANG and Berlin Questionnaires for intraoperative desaturation among overweight and obese patients undergoing general endotracheal anesthesia.Aims: The study primarily aimed to compare desaturation onset time and time to reach 93% oxygen saturation on room air during induction of general anesthesia. Secondary objectives included assessing associated airway complications.Settings and design: A prospective observational study was conducted at a tertiary hospital with overweight and obese patients undergoing elective surgeries under general endotracheal anesthesia.Subjects and methods: Hundred patients aged 18-60 years, body mass index ≥ 25 belonging to the American Society of Anesthesiologists Physical Status Class I-II, divided based on assessment by STOP-BANG (Group S) and Berlin (Group B) Questionnaire participated in the study. Standard anesthesia protocols were followed. SpO2, heart rate, and blood pressure were monitored. Desaturation onset, duration, and airway complications were recorded.Statistical analysis used: Comparisons were made using t-tests and Chi-square tests, with significance set at P < 0.05.Results: Group S had significantly lower SpO2 during induction (P = 0.001) and intubation (P = 0.007), shorter desaturation onset (1.12 vs. 1.55 min, P = 0.00089), and shorter desaturation duration (1.56 vs. 2.21 min, P = 0.013). More patients in Group S required advanced airway equipment (6 vs. 4), and 18% had postoperative desaturation versus none in Group B (P = 0.002). Higher STOP-BANG scores showed stronger correlations with lower SpO2, earlier desaturation onset, longer desaturation periods, and increased airway complications. Conclusions: The STOP-BANG questionnaire is a superior tool for predicting desaturation among overweight and obese patients during induction of general endotracheal anesthesia.\",\"PeriodicalId\":7938,\"journal\":{\"name\":\"Annals of African Medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-04-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of African Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/aam.aam_240_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of African Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/aam.aam_240_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

摘要

梗阻性睡眠呼吸暂停增加围手术期风险，因为气道通畅受损。本研究比较了STOP-BANG和Berlin问卷对接受全身气管麻醉的超重和肥胖患者术中去饱和血的预测能力。目的：本研究的主要目的是比较全麻诱导时室内空气氧饱和度达到93%的起始时间和去饱和时间。次要目的包括评估相关的气道并发症。背景和设计：在一家三级医院进行了一项前瞻性观察研究，研究对象是在气管内全身麻醉下接受择期手术的超重和肥胖患者。对象和方法：100例年龄18-60岁，体重指数≥25，属于美国麻醉师学会身体状况I-II级的患者，根据STOP-BANG （S组）和Berlin （B组）问卷的评估进行分组。遵循标准麻醉方案。监测血氧饱和度、心率和血压。记录去饱和的发生、持续时间和气道并发症。采用统计学分析：采用t检验和卡方检验进行比较，P < 0.05为显著性。结果：S组诱导（P = 0.001）和插管时SpO2明显降低（P = 0.007），去饱和起始时间较短（1.12 vs. 1.55 min, P = 0.00089），去饱和持续时间较短（1.56 vs. 2.21 min, P = 0.013）。S组更多的患者需要先进的气道设备（6比4），18%的患者术后发生了去饱和，而B组没有（P = 0.002）。较高的STOP-BANG评分与较低的SpO2、较早的去饱和发作、较长的去饱和时间和气道并发症增加有较强的相关性。结论：STOP-BANG问卷是预测超重和肥胖患者在气管内麻醉诱导过程中去饱和的较好工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Comparison of STOP-BANG and Berlin Questionnaire in the Prediction of Overweight and Obese Patients Developing Desaturation during Induction of General Anesthesia: A Prospective Observational Study.

Introduction: Obstructive sleep apnea increases perioperative risk due to compromised airway patency. This study compared the predictive capabilities of the STOP-BANG and Berlin Questionnaires for intraoperative desaturation among overweight and obese patients undergoing general endotracheal anesthesia.

Aims: The study primarily aimed to compare desaturation onset time and time to reach 93% oxygen saturation on room air during induction of general anesthesia. Secondary objectives included assessing associated airway complications.

Settings and design: A prospective observational study was conducted at a tertiary hospital with overweight and obese patients undergoing elective surgeries under general endotracheal anesthesia.

Subjects and methods: Hundred patients aged 18-60 years, body mass index ≥ 25 belonging to the American Society of Anesthesiologists Physical Status Class I-II, divided based on assessment by STOP-BANG (Group S) and Berlin (Group B) Questionnaire participated in the study. Standard anesthesia protocols were followed. SpO2, heart rate, and blood pressure were monitored. Desaturation onset, duration, and airway complications were recorded.

Statistical analysis used: Comparisons were made using t-tests and Chi-square tests, with significance set at P < 0.05.

Results: Group S had significantly lower SpO2 during induction (P = 0.001) and intubation (P = 0.007), shorter desaturation onset (1.12 vs. 1.55 min, P = 0.00089), and shorter desaturation duration (1.56 vs. 2.21 min, P = 0.013). More patients in Group S required advanced airway equipment (6 vs. 4), and 18% had postoperative desaturation versus none in Group B (P = 0.002). Higher STOP-BANG scores showed stronger correlations with lower SpO2, earlier desaturation onset, longer desaturation periods, and increased airway complications. Conclusions: The STOP-BANG questionnaire is a superior tool for predicting desaturation among overweight and obese patients during induction of general endotracheal anesthesia.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Annals of African Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.