
Otolaryngology, Journal Year: 2024, Volume and Issue: unknown
Published: Dec. 12, 2024
Abstract Objective Surgical treatment of non‐obstructive sleep apnea (OSA) pathology poses the risk inappropriate surgical indications. Herein, we sought to determine prevalence non‐OSA respiratory disorders, specifically central (CSA), in new referrals a Sleep Surgery Clinic. Study Design Prospective observational review. Setting Tertiary care academic medical center. Methods In surgery clinic cohort, presence clinically significant CSA was defined as having >25% total apnea‐hypopnea index (AHI) being and/or mixed events. Demographics, comorbid patient‐reported outcome measurements, and study results were compared among patients using linear or logistic regression analysis, unadjusted adjusted for age, sex, body mass (BMI). Results On average, cohort (n = 295) male (74%), middle‐aged (mean [±SD] 54.2 ± 13.9 years), overweight (BMI 30.3 5.4), with severe (AHI 30.6 22.6 events/h). Twenty‐nine (9.8%) found have yet only 10% these cases carried diagnosis upon presentation. The remainder identified by reviewing pre‐visit tables (35%), raw data (17%), repeat post‐visit (38%). Patients older had evidence more cardiac comorbidities. Conclusion Clinic nearly 1 10 despite 1% (3 known surgeons must remain vigilant occult CSA, especially history cardiovascular disease.
Language: Английский