A Quality Improvement Project: Using the STOP-BANG Tool in a Military Population to Improve Equity in Preoperative Screening

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• 作者：Samuel E. Dixon ; DNP ; CRNA ; ^{dixervins@gmail.com" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Shelia A. Haas ; PhD ; RN ; FAANAuthor Vitae ; Audrey Klopp ; PhD ; RN ; NHAAuthor Vitae ; Judy Carlson ; EdD ; APRN ; FNP ; BCIAAuthor Vitae
• 关键词：obstructive sleep apnea ; STOP-BANG questionnaire ; sleep apnea ; sleep disordered breathing
• 刊名：Journal of PeriAnesthesia Nursing
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：31
• 期：5
• 页码：371-380
• 全文大小：726 K

文摘

The lack of a preoperative screening tool to detect obstructive sleep apnea (OSA) may lead to an increase in postoperative complications.

Aim

ra0015">The aim of the study was to implement a prescreening tool to identify diagnosed or undiagnosed OSA before a surgical procedure.

Setting

ra0020">The study was conducted in the surgical admission center and postanesthesia care unit at a military treatment facility in Hawaii.

Participants

ra0025">Participants of the study included military personnel, military family members, veterans, and veteran beneficiaries.

Methods

ra0030">The STOP-BANG (snore/tired/obstruction/pressure-body mass index/age/neck/gender) tool was used between April and June 2013 to identify and stratify 1,625 patients into low-risk, intermediate-risk, high-risk, and known OSA categories.

Results

ra0035">The STOP-BANG tool confirmed the diagnosed OSA rate to be 13.48%, and increased at-risk OSA detection by 24.69%. Hawaiians/Pacific Islanders were more frequently found to be at risk with known OSA, likely to have complications, and be transferred to PACU 23-hour extended stay compared to other races and intermediate-risk and high-risk categories.

Conclusion

ra0040">The STOP-BANG tool identified and stratified surgical patients at risk for OSA and standardized OSA assessments.