Obstructive Sleep Apnea and Bronchoscopy

Study Overview
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Brief Summary
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The prevalence of sleep-disordered breathing in Republic of Korea is 27% and 16% in men and women aged 40-69 years. Up to 93% of women and 82% of men with obstructive sleep apnea (OSA) remain undiagnosed. Polysomnography, the gold standard, is time consuming and costly. Patients with undiagnosed OSA may experience obstructive episodes during procedures with conscious sedation. STOP-Bang questionnaire is the validated questionnaire to screen patients for undiagnosed OSA in the preoperative setting. It has high sensitivity (92.9%) for predicting patients with moderate to severe OSA. Previous studies reported that STOP-Bang questionnaire predicted cardiopulmonary events during advanced endoscopic procedures such as endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound. However, there have been no studies regarding the risk for sedation-related cardiopulmonary events in patients with undiagnosed OSA undergoing bronchoscopy. Thus, we aimed to evaluate the prevalence of high-risk patients for OSA by a screening questionnaire, and to determine whether the questionnaire could predict patients who are at risk for cardiopulmonary events during bronchoscopy with conscious sedation.

Official Title
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Screening for Obstructive Sleep Apnea Predicts Cardiopulmonary Events in Patients Undergoing Bronchoscopy

Conditions
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Obstructive Sleep Apnea of Adult

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who are18 years or order undergoing bronchoscopy with conscious sedation in the bronchoscopy center Exclusion Criteria: Previous diagnosis of OSA American Society of Anesthesiologists Physical Status Classification System score > 3 Baseline SpO2 < 90% or need for supplemental oxygen before the procedure Tracheostomy tubes An inability to provide informed consent Undergoing the procedure based on an outpatient clinic Undergoing BAL, EBUS-TBNA, and interventional bronchoscopy Allergies or sensitivities to sedative medications Pregnant

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cardiopulmonary events | Hypoxemia (SpO2 < 90%) or Hypotension (SBP < 90 mm Hg or a decrease of more than 25% from the baseline) | Any time during bronchoscopy under conscious sedation (procedure) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Airway maneuvers | Chin lift or Bag-mask ventilation or Unplanned endotracheal intubation | Any time during bronchoscopy under conscious sedation (procedure) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Obstructive Sleep Apnea, Bronchoscopy, STOP-Bang questionnaire, Cardiopulmonary events