Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea

Objective: To assess the relationship between perioperative complications and upper airway surgery for obstructive sleep apnea (OSA). Methods: The records of 128 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, Jamalludin, Ab Rahman, Leman, Wan Ishlah
Format:	Conference or Workshop Item
Language:	English English
Published:	2016
Subjects:	RF Otorhinolaryngology
Online Access:	http://irep.iium.edu.my/51727/ http://irep.iium.edu.my/51727/ http://irep.iium.edu.my/51727/1/51727_abstract.pdf http://irep.iium.edu.my/51727/2/51727_presentation.pdf

id	iium-51727
recordtype	eprints
spelling	iium-517272018-05-24T01:45:54Z http://irep.iium.edu.my/51727/ Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea Asha'ari, Zamzil Amin Jamalludin, Ab Rahman Leman, Wan Ishlah RF Otorhinolaryngology Objective: To assess the relationship between perioperative complications and upper airway surgery for obstructive sleep apnea (OSA). 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. 2016 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/51727/1/51727_abstract.pdf application/pdf en http://irep.iium.edu.my/51727/2/51727_presentation.pdf Asha'ari, Zamzil Amin and Jamalludin, Ab Rahman and Leman, Wan Ishlah (2016) Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea. In: Medical Research Symposium & Pacific Partnership in conjunction with Kuantan Research Day 2016, 3rd-5th August 2016, Kuantan, Pahang. (Unpublished) http://iiumedic.net/web/events/mrs2016/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RF Otorhinolaryngology
spellingShingle	RF Otorhinolaryngology Asha'ari, Zamzil Amin Jamalludin, Ab Rahman Leman, Wan Ishlah Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea
description	Objective: To assess the relationship between perioperative complications and upper airway surgery for obstructive sleep apnea (OSA). 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 Jamalludin, Ab Rahman Leman, Wan Ishlah
author_facet	Asha'ari, Zamzil Amin Jamalludin, Ab Rahman Leman, Wan Ishlah
author_sort	Asha'ari, Zamzil Amin
title	Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea
title_short	Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea
title_full	Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea
title_fullStr	Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea
title_full_unstemmed	Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea
title_sort	predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea
publishDate	2016
url	http://irep.iium.edu.my/51727/ http://irep.iium.edu.my/51727/ http://irep.iium.edu.my/51727/1/51727_abstract.pdf http://irep.iium.edu.my/51727/2/51727_presentation.pdf
first_indexed	2023-09-18T21:13:18Z
last_indexed	2023-09-18T21:13:18Z
_version_	1777411396067131392

Predictors of perioperative complications following single or combination nasal palatopharyngeal surgery for severe obstructive apnea

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