Intensive care unit and hospital mortality in patients with obstructive sleep apnea.
作者： Enrique Bolona , Peter Y. Hahn , Bekele Afessa
DOI: 10.1016/J.JCRC.2014.10.001
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摘要: Abstract Introduction Obstructive sleep apnea (OSA) is a common disorder affecting between 5% and 24% of men women. The prevalence OSA in the intensive care unit (ICU) population unknown. This study was undertaken to determine patients admitted ICU if an independent predictor mortality. Methods retrospective using Acute Physiology Chronic Health Evaluation III database cross-referenced comprehensive clinical identify with without medical, surgical, mixed ICUs at large academic medical center. Results Between January 2003 December 2005, 15 077 were ICUs; these, 1183 (7.8%) had physician-documented diagnosis OSA. Eight hundred thirty-five (71%) polysomnographic testing our institution documented apnea-hypopnea index more than 5 per hour. Patients younger (59.1 ± 14.0 vs 62.3 18.0), male (58.9% 53.7%), lower scores (45.3 24.1 54.9 27.7). Predicted mortality (10.3% 16.4% vs16.3 21.7), median length stay (1.13 1.50 days), (2.4% 6.2%), hospital (3.9% 11.4%) all reduced OSA, P values Conclusions ICU. associated reduction both
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