title: The association of pre-operative STOP-BANG scores with postoperative critical care admission.
abstract: The STOP-BANG questionnaire screens for obstructive sleep apnoea. We retrospectively analysed the independent association of pre-operative variables with postoperative critical care admission using multivariable logistic regression for patients undergoing elective surgery from January to December 2011. Of 5432 patients, 338 (6.2%) were admitted postoperatively to the critical care unit. In multivariate analysis, the odds ratios (95% CI) for critical care admission were: 2.2 (1.1-4.6), p = 0.037; 3.2 (1.2-8.1), p = 0.017; and 5.1 (1.8-14.9), p = 0.002, for STOP-BANG scores of 4, 5 and ≥ 6, respectively. The odds ratio was also independently increased for: each year of age, 1.015 (1.004-1.026), p = 0.019; asthma, 1.6 (1.1-2.4), p = 0.016; obstructive sleep apnoea, 3.2 (1.9-5.6), p < 0.001; and for ASA physical status 2, 3 and ≥ 4, 2.1 (1.4-3.3), 6.5 (3.9-11.0), 6.3 (2.9-13.8), respectively, p < 0.001 for all.
authors.affiliation: Department of Anaesthesia, Khoo Teck Puat Hospital, Alexandra Health System, Singapore.
authors.forename: P
authors.initials: P
authors.lastname: Chia
authors.forename: E
authors.initials: E
authors.lastname: Seet
authors.forename: J D
authors.initials: JD
authors.lastname: Macachor
authors.forename: U S
authors.initials: US
authors.lastname: Iyer
authors.forename: D
authors.initials: D
authors.lastname: Wu
mesh_terms: D000328:Adult; D003422:Critical Care / Q000706:statistics & numerical data*; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011182:Postoperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology*; D057234:Preoperative Period; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000453:epidemiology; D011795:Surveys and Questionnaires / Q000592:standards*