title: Role of preoperative screening for adult patients for obstructive sleep apnea.
abstract: Obstructive sleep apnea (OSA) is a chronic disease with increasing prevalence. Underdiagnosed in the surgical population, OSA can reach a prevalence of up to 70% in bariatric surgery, and be associated with difficult airways and postoperative cardiopulmonary adverse events. Despite its association with escalation of care, increased health care resource utilization, and length of hospital stay, < 25% of health care institutions in the United States have OSA perioperative protocols to improve patient safety. This is explained in part by a lack of studies that support a widely accepted systematic approach to preoperative screening and risk stratification. This review evaluates the role of preoperative screening tools for adult patients with suspected OSA.
authors.affiliation: Assistant Professor in Medicine, Mayo Clinic Center for Sleep Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, MN.
authors.forename: Bernardo J
authors.initials: BJ
authors.lastname: Selim
authors.forename: Salim R
authors.initials: SR
authors.lastname: Surani
authors.forename: Kannan
authors.initials: K
authors.lastname: Ramar
mesh_terms: D000367:Age Factors; D001837:Body Weights and Measures; D057189:Checklist; D006801:Humans; D057234:Preoperative Period; D044469:Racial Groups; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity; D012737:Sex Factors; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis*; D012895:Sleep, REM; D011795:Surveys and Questionnaires; D014481:United States