Utility of the Berlin Questionnaire to Screen for Obstructive Sleep Apnea Among Patients Receiving Intravenous Sedation for Colonoscopy.
Obstructive sleep apnea (OSA) affects approximately 20% of Americans. Patients with undiagnosed OSA may experience obstructive episodes during conscious sedation for colonoscopy. The purpose of this investigation was to describe the risk of undiagnosed OSA using the Berlin Questionnaire and to ident...
| Publicado en: | AANA Journal Vol. 82; no. 1; pp. 38 - 46 |
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| Autores principales: | , , , , |
| Formato: | pictorial questionnaire/scale research tables/charts Journal Article |
| Publicado: |
American Association of Nurse Anesthetists
Feb2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=94324501&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 94324501 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00946354 GLR jtl: AANA Journal issn: 00946354 maglogo: N pubinfo: dt: Feb2014 vid: 82 iid: 1 pid: 11824 pub: American Association of Nurse Anesthetists place: Park Ridge, Illinois artinfo: ui: 94324501 94324501 104019806 94324501 ppf: 38 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Utility of the Berlin Questionnaire to Screen for Obstructive Sleep Apnea Among Patients Receiving Intravenous Sedation for Colonoscopy. aug: au: Boese, Martin L. Ransom, Ryan K. Roadfuss, Robert J. Todd, L. Alan McGuire, Jason M. affil: Staff nurse anesthetist, Walter Reed National Military Medical Center, Bethesda, Maryland sug: subj: Conscious Sedation Colonoscopy Questionnaires Risk Assessment Sleep Apnea, Obstructive Prevention and Control Sleep Apnea, Obstructive Risk Factors Perioperative Care Human Funding Source GI Laboratories Hospitals, Military Chi Square Test P-Value Descriptive Research Prospective Studies Maryland Power Analysis Convenience Sample Clinical Assessment Tools Summated Rating Scaling Scales Airway Management Oxygen Saturation Sensitivity and Specificity Polysomnography Equipment and Supplies Descriptive Statistics Inferential Statistics Data Analysis Software Male Female Body Mass Index Ethnic Groups Hypertension Adult Middle Age Aged Aged, 80 and Over Outpatients Sleep Apnea, Obstructive Symptoms Sleep Apnea, Obstructive Epidemiology Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Obstructive sleep apnea (OSA) affects approximately 20% of Americans. Patients with undiagnosed OSA may experience obstructive episodes during conscious sedation for colonoscopy. The purpose of this investigation was to describe the risk of undiagnosed OSA using the Berlin Questionnaire and to identify the relationship between OSA risk and the number of provider interventions performed to relieve obstructive symptoms during sedation for colonoscopy. Methods: Adult patients were enrolled from the gastroenterology clinic at the National Military Medical Center (N=99). The Berlin Questionnaire was delivered and a brief health history obtained. Patients were observed for obstructive symptoms during sedation. Provider interventions were counted. 18 patients were monitored during their first night of sleep using a portable sleep monitor. Data were analyzed using the independent samples t-test, Chi-square, and Chi-square test for trend. Results: The incidence of undiagnosed OSA was 40.4%. Patients with hypertension had a higher rate of a positive screen for OSA (70%) than those without hypertension (20.3%), χ² (1)=3.87, P<.05. There was no statistical difference in the number of provider interventions between the 2 groups. Risk of undiagnosed OSA in this sample is large but it does not appear to be associated with episodes of obstructive symptoms requiring provider intervention. pubtype: Academic Journal doctype: pictorial questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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