Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea

Objective: To determine factors that affect the incidence of perioperative complications in adult patients undergoing upper airway surgery for obstructive sleep apnea (OSA). Materials & Methods: The records of 128 adult patients, diagnosed with obstructive sleep apnea (apnea-hypopnea index (AH...

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Main Authors: Asha'ari, Zamzil Amin, K.S, Sathananthar
Format: Conference or Workshop Item
Language:English
Published: 2015
Subjects:
Online Access:http://irep.iium.edu.my/45801/
http://irep.iium.edu.my/45801/
http://irep.iium.edu.my/45801/1/45801.pdf
id iium-45801
recordtype eprints
spelling iium-458012016-05-23T00:29:58Z http://irep.iium.edu.my/45801/ Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea Asha'ari, Zamzil Amin K.S, Sathananthar R Medicine (General) RF Otorhinolaryngology Objective: To determine factors that affect the incidence of perioperative complications in adult patients undergoing upper airway surgery for obstructive sleep apnea (OSA). Materials & Methods: The records of 128 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 surgery 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 the age, obesity, smoking and underlying comorbid medical problems. Complication rates were not associated with OSA 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 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/45801/1/45801.pdf Asha'ari, Zamzil Amin and K.S, Sathananthar (2015) Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea. In: 16th Asean ORL-HNS Congress, 11th-13th Nov. 2015, The EMPRESS Convention Center, Chiengmai, Thailand. http://www.aseanorl2015.org/
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
RF Otorhinolaryngology
spellingShingle R Medicine (General)
RF Otorhinolaryngology
Asha'ari, Zamzil Amin
K.S, Sathananthar
Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea
description Objective: To determine factors that affect the incidence of perioperative complications in adult patients undergoing upper airway surgery for obstructive sleep apnea (OSA). Materials & Methods: The records of 128 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 surgery 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 the age, obesity, smoking and underlying comorbid medical problems. Complication rates were not associated with OSA 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.
format Conference or Workshop Item
author Asha'ari, Zamzil Amin
K.S, Sathananthar
author_facet Asha'ari, Zamzil Amin
K.S, Sathananthar
author_sort Asha'ari, Zamzil Amin
title Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea
title_short Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea
title_full Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea
title_fullStr Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea
title_full_unstemmed Factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea
title_sort factors affecting perioperative complications in upper airway surgery for obstructive sleep apnea
publishDate 2015
url http://irep.iium.edu.my/45801/
http://irep.iium.edu.my/45801/
http://irep.iium.edu.my/45801/1/45801.pdf
first_indexed 2023-09-18T21:05:12Z
last_indexed 2023-09-18T21:05:12Z
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