PT  - JOURNAL ARTICLE
AU  - Akshay Dwarakanath
AU  - Vinod Palissery
AU  - Mark W. Elliott
TI  - Prevalence of and treatment outcomes for patients with obstructive sleep apnoea identified by preoperative screening compared with clinician referrals
AID  - 10.1183/13993003.01503-2015
DP  - 2016 Jul 01
TA  - European Respiratory Journal
PG  - 151--157
VI  - 48
IP  - 1
4099  - http://erj.ersjournals.com/content/48/1/151.short
4100  - http://erj.ersjournals.com/content/48/1/151.full
SO  - Eur Respir J2016 Jul 01; 48
AB  - Obstructive sleep apnoea (OSA) has implications perioperatively. We compared the prevalence of OSA and outcome with continuous positive airway pressure (CPAP) in patients diagnosed through preoperative screening and following referrals from other clinicians.Among 1412 patients (62% males) the prevalence of OSA, Epworth Sleepiness Score (ESS), the number referred for CPAP, and short and longer term use of CPAP were compared between the two groups.The prevalence of OSA was similar (62% versus 58%). There were differences in mean±sd age (61±16 versus 55±13 years; p<0.0001), ESS (11±6 versus 8±5; p<0.0001) and oxygen desaturation index (22±20 versus 19±17; p=0.039). Clinician-referred patients were more likely to be offered CPAP (p<0.0001; OR 2.84). Pre-assessment patients with mild OSA were less likely to continue CPAP long term (p=0.002; OR 6.8). No difference was seen between moderate and severe OSA patients.The prevalence of OSA was similar in both groups but pre-assessment patients were younger and less symptomatic. Preoperative screening of patients is worthwhile, independent of any effect of CPAP upon surgical outcomes; younger and less symptomatic patients are identified earlier. Pre-assessment patients with mild OSA were less likely to use CPAP; this should be considered when offering CPAP to these patients prior to surgery.Opportunistic preoperative screening identifies a high prevalence of OSA and patients are younger with fewer symptoms http://ow.ly/YKUZu