KHẢO SÁT NGUY CƠ OSA Ở NGƯỜI BỆNH MỔ CHƯƠNG TRÌNH TẠI BỆNH VIỆN NHÂN DÂN 115

Abstract

Background: Obstructive Sleep Apnea (OSA) is a sleep-breathing disorder that affects 9 – 25% of the general adult population. In anesthesia and surgery, undiagnosed OSA may be associated with an increased risk of intra- and postoperative complications, increased costs of ICU care, and prolonged hospital stays. Obstructives: to survey the risk of OSA in patients undergoing elective surgery at People’s Hospital 115. Methods: A cross-sectional study on 89 patients undergoing elective surgery at People’s Hospital 115 from April/2023 to June/2023. Results: 31,5% of elective surgery patients were at risk of OSA. The average age was 63,5 ± 13. The majority of patients were male (75%). Hypertension (78,6%) and diabetes mellitus (42,9%) are two common diseases. Frequent clinical symptoms are snoring (96,4%). Besides that, patients who are at risk have difficult intubation (25%). The prevalence of postoperative respiratory and cardiovascular complications and delirium increased in this group, reaching statistical significance (p < 0,05). Among them, decreased oxygen saturation is the most common complication. Conclusion: Patients who are at risk of OSA tend to have an increased rate of postoperative complications. Therefore, it’s necessary to use the STOP-BANG questionnaire to assess the risk of OSA during preoperative anesthesia assessment, especially in patients who are male, overweight and obese, old age, hypertension and diabetes.