Safety of outpatient non-upper airway surgery for patients with obstructive sleep apnea in ambulatory surgical centers: A systematic review
Muaaz Asghar, Kenny Pang, Mauz Asghar, Brian Rotenberg
TL;DR
This review finds that patients with obstructive sleep apnea can safely have non-upper airway surgery in outpatient centers if properly managed.
Contribution
The study provides evidence that OSA patients can safely undergo outpatient non-upper airway surgery in ASCs with proper selection and interventions.
Findings
Severe complications were rare and mostly occurred within the first 4 hours post-surgery.
Large-scale studies show OSA is a risk factor for unplanned admissions and 30-day complications.
Proper selection and perioperative care allow OSA patients to safely undergo outpatient surgery.
Abstract
The systematic review aims to determine the safety of conducting non-upper airway surgery in an ambulatory surgery center (ASC) for OSA patients. A comprehensive search was conducted from MEDLINE, Embase, CENTRAL, and Scopus from inception through February 2023. Studies including non-upper airway surgery done in ASC settings were identified. Risk of bias was assessed using the Murad Tool and Newcastle-Ottawa scale. Primary outcomes were 24 hour complications and unplanned admission rates. From 9313 studies, 13 non-OSA studies with 31,200 OSA participants and 318,709 non-OSA participants were identified. Severe complications were rare and tended to occur within the first 4 hours of the postoperative period. While a majority of smaller scale studies found no significant difference in unplanned admissions, large scale studies with multivariate analysis find OSA to be an independent risk…
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Taxonomy
TopicsObstructive Sleep Apnea Research · Tracheal and airway disorders · Dysphagia Assessment and Management