STOP-Bang Screening for Obstructive Sleep Apnea in Preoperative Patients: A Quality Improvement Project |
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| Institution: | 1. Bedford Ambulatory Surgical Center, Bedford, NH;2. Catholic Medical Center, Manchester, NH;3. Solomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA;1. Complexo Hospitalario Universitario de A Coruña. A Coruña, Spain;2. Department of Anesthesiology, Perioperative Care and Pain Medicine. Complexo Hospitalario Universitario de A Coruña. A Coruña, Spain;1. Ataturk Sanatorium Training and Research Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey;2. Public Health Specialist, Ankara, Turkey;3. Ataturk Sanatorium Training and Research Hospital, Department of General Surgery, Ankara, Turkey;4. Koru Hospital, Department of General Surgery, Ankara, Turkey;1. Surgical and Perianesthesia Nurse, Complexo Hospitalario Universitario de A Coruña, As Xubias, 84, 15006, A Coruña, Spain;2. Anesthesiology Consultant, Department of Anesthesiology, Perioperative Care and Pain Medicine, Complexo Hospitalario Universitario de A Coruña, As Xubias, 84, 15006, A Coruña, Spain;1. Clinic of Anesthesiology and Reanimation, Pendik District Hospital, Dogu Mah., Nevbahar Sok., No:1, Pendik, 34890, Istanbul, Turkey. This clinical study was conducted where the author formerly worked at Clinic of Anesthesiology and Reanimation, Kartal Ko?uyolu Research and Training Hospital, Denizer Cad., No:2, Cevizli, Kartal, 34865, Istanbul, Turkey;2. Department of Anesthesiology and Reanimation, Faculty of Medicine, Trakya University, Edirne, Turkey;3. Department of Anesthesiology and Reanimation, Ad?yaman University Training and Research Hospital, Ad?yaman, Turkey;4. Department of Anesthesiology and Reanimation, Surreyyapasa Pulmonary Diseases and Thoracic Surgery Research and Training Hospital, Istanbul, Turkey;1. Department of Anaesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey;2. Department of General Surgery, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey |
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| Abstract: | PurposeUndiagnosed obstructive sleep apnea (OSA) results in increased morbidity and mortality. It is important to screen preoperative patients for OSA risks in order to plan for adverse events during operations. This project implemented OSA screening and education with preoperative patients and referred them for further evaluation and diagnosis.DesignQuality improvement project.MethodsSTOP-Bang was implemented with 32 preoperative patients at an ambulatory surgery center to screen and educate patients about OSA risks and refer them for further evaluation.FindingsAt follow-up, 46.9% out of the 32 patients reported further consultation with their primary care providers, among whom, 60% further consulted a sleep medicine practitioner and completed a sleep study. Screening and education, support from significant others, and collaboration between healthcare professionals are facilitators to seeking OSA evaluation.ConclusionsImplementing OSA screening and education for preoperative patients is beneficial for further evaluation and diagnosis. |
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