Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea

Objective: To assess the relationship between perioperative complications and upper airway surgeries for obstructive sleep apnea (OSA). Methods: The records of 118 adult patients, diagnosed with obstructive sleep apnea (apnea-hypopnea index (AHI) >5), who underwent upper airway surgery at a singl...

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Main Authors: Asha'ari, Zamzil Amin, Ab Rahman, Jamalludin, Leman, Wan Ishlah, Mohamed, Rozilah @ Abdul Hadi, Raja Lope Ahmad, Raja Ahmad Al'konee
Format: Monograph
Language:English
Published: 2015
Subjects:
Online Access:http://irep.iium.edu.my/45820/
http://irep.iium.edu.my/45820/2/FULL_MANUSCRIPT_for_IREP.pdf
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author Asha'ari, Zamzil Amin
Ab Rahman, Jamalludin
Leman, Wan Ishlah
Mohamed, Rozilah @ Abdul Hadi
Raja Lope Ahmad, Raja Ahmad Al'konee
author_facet Asha'ari, Zamzil Amin
Ab Rahman, Jamalludin
Leman, Wan Ishlah
Mohamed, Rozilah @ Abdul Hadi
Raja Lope Ahmad, Raja Ahmad Al'konee
author_sort Asha'ari, Zamzil Amin
building IIUM Repository
collection Online Access
description Objective: To assess the relationship between perioperative complications and upper airway surgeries for obstructive sleep apnea (OSA). Methods: The records of 118 adult patients, diagnosed with obstructive sleep apnea (apnea-hypopnea index (AHI) >5), who underwent upper airway surgery at a single tertiary referral hospital from 2007 to 2014 were reviewed. Pulmonary, surgical, and cardiovascular complications within the first 30 postoperative days were analysed according to types of upper airway surgery. Upper airway surgery types were single surgery or combinations of surgeries to the tonsils, pharyngeal adenoids, soft palate, tongue base and nose. Logistic regression was used to assess the multivariable association of age, sex, BMI, OSA severity, medical comorbidity, and types of upper airway surgery with postoperative complications. Results: At least one perioperative complications occurred in 48 of 128 patients (37.5%). In a multivariable model, the overall complication rate was increased with age, obesity, smoking and underlying comorbid medical problems. Complication rates were not associated with AHI severity, types of procedures performed and whether the surgery was a single or combination surgery. Conclusion: In OSA patients undergoing upper airway surgery, the severity of OSA as assessed by the AHI, and the sites and numbers of concurrent surgery performed were not associated with the rate of perioperative complications.
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spelling iium-458202020-05-18T04:23:30Z http://irep.iium.edu.my/45820/ Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea Asha'ari, Zamzil Amin Ab Rahman, Jamalludin Leman, Wan Ishlah Mohamed, Rozilah @ Abdul Hadi Raja Lope Ahmad, Raja Ahmad Al'konee RF Otorhinolaryngology Objective: To assess the relationship between perioperative complications and upper airway surgeries for obstructive sleep apnea (OSA). Methods: The records of 118 adult patients, diagnosed with obstructive sleep apnea (apnea-hypopnea index (AHI) >5), who underwent upper airway surgery at a single tertiary referral hospital from 2007 to 2014 were reviewed. Pulmonary, surgical, and cardiovascular complications within the first 30 postoperative days were analysed according to types of upper airway surgery. Upper airway surgery types were single surgery or combinations of surgeries to the tonsils, pharyngeal adenoids, soft palate, tongue base and nose. Logistic regression was used to assess the multivariable association of age, sex, BMI, OSA severity, medical comorbidity, and types of upper airway surgery with postoperative complications. Results: At least one perioperative complications occurred in 48 of 128 patients (37.5%). In a multivariable model, the overall complication rate was increased with age, obesity, smoking and underlying comorbid medical problems. Complication rates were not associated with AHI severity, types of procedures performed and whether the surgery was a single or combination surgery. Conclusion: In OSA patients undergoing upper airway surgery, the severity of OSA as assessed by the AHI, and the sites and numbers of concurrent surgery performed were not associated with the rate of perioperative complications. 2015-11 Monograph NonPeerReviewed application/pdf en http://irep.iium.edu.my/45820/2/FULL_MANUSCRIPT_for_IREP.pdf Asha'ari, Zamzil Amin and Ab Rahman, Jamalludin and Leman, Wan Ishlah and Mohamed, Rozilah @ Abdul Hadi and Raja Lope Ahmad, Raja Ahmad Al'konee (2015) Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea. Research Report. UNSPECIFIED. (Unpublished) -
spellingShingle RF Otorhinolaryngology
Asha'ari, Zamzil Amin
Ab Rahman, Jamalludin
Leman, Wan Ishlah
Mohamed, Rozilah @ Abdul Hadi
Raja Lope Ahmad, Raja Ahmad Al'konee
Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea
title Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea
title_full Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea
title_fullStr Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea
title_full_unstemmed Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea
title_short Predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea
title_sort predictors of peri-operative complications following single or combination nasalpalatopharyngeal surgery for severe obstructive sleep apnea
topic RF Otorhinolaryngology
url http://irep.iium.edu.my/45820/
http://irep.iium.edu.my/45820/
http://irep.iium.edu.my/45820/2/FULL_MANUSCRIPT_for_IREP.pdf