Complications associated with surgical treatment of sleep-disordered breathing among hospitalized U.S. adults.
J Craniomaxillofac Surg
; 46(8): 1303-1312, 2018 Aug.
Article
em En
| MEDLINE
| ID: mdl-29803366
ABSTRACT
The purpose of this cross-sectional study is to examine the relationship between surgical treatments for sleep-disordered breathing (SDB) and composite measure of surgical complications in a nationally representative sample of hospital discharges among U.S. adults. We performed secondary analyses of 33,679 hospital discharges from the 2002-2012 Nationwide Inpatient Sample that corresponded to U.S. adults (≥18 years) who were free of head-and-neck neoplasms, were diagnosed with SDB and had undergone at least one of seven procedures. Multivariate logistic regression models were constructed to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI), controlling for age, sex, race/ethnicity, obstructive sleep apnea (OSA) and obesity diagnoses. Positive associations were found between composite measure of surgical complications and specific procedures palatal procedure (aOR = 12.69, 95% CI 11.91,13.53), nasal surgery (aOR = 6.47, 95% CI 5.99,6.99), transoral robotic assist (aOR = 5.06, 95% CI 4.34-5.88), tongue base/hypopharynx (aOR = 4.24, 95% CI 3.88,4.62), maxillomandibular advancement (MMA) (aOR = 3.24, 95% CI 2.74,3.84), supraglottoplasty (aOR = 2.75, 95% CI 1.81,4.19). By contrast, a negative association was found between composite measures of surgical complications and tracheostomy (aOR = 0.033, 95% CI 0.031,0.035). In conclusion, most procedures for SDB, except tracheostomy, were positively associated with complications, whereby palatal procedures exhibited the strongest and supraglottoplasty exhibited the weakest association.
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Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Síndromes da Apneia do Sono
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
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Aged
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Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Craniomaxillofac Surg
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2018
Tipo de documento:
Article