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Detection of postoperative sleep-disordered breathing using a portable monitoring device

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Abstract

Purpose

Adverse surgical outcomes may occur more frequently in patients with sleep-disordered breathing (SDB). Despite this concern, there have been no prospective studies using objective measures of postoperative SDB to determine the scope of the problem. We designed a prospective study to determine the feasibility of identifying SDB in elective postoperative patients by the use of a type IV portable monitor (PM).

Methods

Patients >18 years old who presented for elective surgery with at least one postoperative hospital night on a non-monitored unit were enrolled and wore a type IV device that measured nasal flow, heart rate, and oxygen saturation on their first postoperative night. Respiratory disturbance index (RDI) and oxygen desaturation index (ODI) were generated for each patient.

Results

Data sufficient for interpretation were collected on 100/116 patients enrolled. SDB (RDI ≥5) was observed in 51% of the study group, and 17% had a RDI >15. An elevated ODI ≥5 was seen in 42%, while 17% had an ODI ≥15. Device malfunction occurred in 16% of the study participants.

Conclusion

A type IV PM can be employed in the postoperative setting to detect and gauge the severity of SDB.

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Abbreviations

OSA:

Obstructive sleep apnea

SDB:

Sleep-disordered breathing

RDI:

Respiratory disturbance index

AHI:

Apnea hypopnea index

ODI:

Oxygen desaturation index

CPAP:

Continuous positive airway pressure

BMI:

Body mass index

MEND:

Morphine equivalent narcotic dose

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Disclosure

There is no financial support, conflict of interest, and off-label or investigational use to disclose.

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Authors and Affiliations

  1. Section of Pulmonary and Critical Care Medicine, Internal Medicine, Norwalk Hospital, Norwalk, CT, USA

    Ian D. Weir, Khaleel Mohammed Ahmed, Christopher Manfredi, Jonathan M. Fine & Stephen M. Winter

  2. Sleep Section, Internal Medicine, Norwalk Hospital, Norwalk, CT, USA

    Ian D. Weir, Anil Achaen, Mary O’Malley & Christopher Manfredi

  3. Internal Medicine, Norwalk Hospital, Norwalk, CT, USA

    Steve Korbuly

  4. Optimal Sleep, Easton, CT, USA

    Ed O’Malley

  5. University of Connecticut Health Center, Farmington, CT, USA

    Dorothy B. Wakefield

  6. Norwalk Hospital Sleep Disorders Center, 24 Stevens Street, Norwalk, CT, 06854, USA

    Ian D. Weir

Authors
  1. Ian D. Weir
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  2. Khaleel Mohammed Ahmed
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  3. Steve Korbuly
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  4. Anil Achaen
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  5. Mary O’Malley
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  6. Ed O’Malley
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  7. Christopher Manfredi
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  8. Dorothy B. Wakefield
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  9. Jonathan M. Fine
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  10. Stephen M. Winter
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Corresponding author

Correspondence to Ian D. Weir.

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Weir, I.D., Ahmed, K.M., Korbuly, S. et al. Detection of postoperative sleep-disordered breathing using a portable monitoring device. Sleep Breath 16, 881–886 (2012). https://doi.org/10.1007/s11325-011-0590-1

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  • DOI: https://doi.org/10.1007/s11325-011-0590-1

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