Clinical trial NCT06430957: OSA Risk Level in Dental Patients and Correlation With Complications After General Anesthesia
Official title: Evaluation of OSA Risk Levels in the Preoperative Period of Adult Patients With Planned Dental Procedures Under Anesthesia and Correlation With Postoperative Complications; A Multicenter Study
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Obstructive Sleep Apnea Risk Management
Postoperative Complications
Dental Caries Under General Anesthesia
Obstructive Sleep Apnea of Adult
Lead sponsor: Kırıkkale University
Sponsor class: OTHER
Collaborators: name: TC Erciyes University
First posted: 2024-05-28
Enrollment: 240
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients between the ages of 18-80 years who applied to the anesthesia clinic for dental procedures planned to be performed under general anesthesia and who had no previous diagnosis of OSA.

Brief summary: Obstructive sleep apnea (OSA) is a sleep-related respiratory dysfunction. The prevalence of OSA is increasing with the increasing rates of obesity and elderly population worldwide. Perioperative anesthesia management should be adjusted to improve patient safety in patients with OSA. In OSA patients, positive pressure ventilation support may be required in the preoperative period, various ventilation strategies may be required in the intraoperative period, different pharmacologic agents may need to be avoided, and intensive care unit follow-up or noninvasive ventilation support may be required in the postoperative period. However, it is reported that a significant percentage of OSA patients remain undiagnosed. ASA (American Society of Anesthesiologists) has reported the criteria that should be questioned in order to determine the risk of patients in terms of OSA and to initiate the diagnostic process in risky patients and to make appropriate anesthesiologic arrangements in the perioperative period. In addition, the STOP-BANG assessment scale, which is widely used all over the world in OSA risk assessment, is also used in OSA risk assessment. It is thought that dental caries and extraction needs may be higher in OSA patients, especially since open-mouth sleeping accompanies the situation. In this respect, it is also important for patients to be diagnosed with OSA as it may prevent dental damage due to open-mouth sleeping in the future. Identifying patients at risk for OSA and directing them to the diagnostic process is very important for patient safety. Within the scope of the study, the criteria recommended by ASA and STOP-BANG score will be evaluated and recorded. Risk stratification in terms of STOP-BANG questionnaire and ASA criteria will be done separately for each patient and for each classification method. Patients at high risk will be consulted to the relevant medical department in the preoperative period for further investigation and treatment. In addition, it is aimed to correlate the risk levels determined in the study with postoperative respiratory complications and recovery time.


Eligibility criteria: Inclusion Criteria:

* Patients between 18-80 years of age who apply to the anesthesia clinic for dental procedures planned to be performed under general anesthesia
* Patients without a previous diagnosis of OSA

Exclusion Criteria:

* Individuals who do not want to participate in the study
* Patients previously diagnosed with OSA
* Necessity of emergency surgery

Primary outcomes:
measure: Determination of OSA risk levels of patients
timeFrame: Preoperative period
measure: Postoperative respiratory complications
timeFrame: For 4 hours after the end of surgery
measure: Follow-up of indicators of airway obstruction
timeFrame: For 4 hours after the end of surgery
measure: Duration of recovery
timeFrame: For 30 minutes after the end of surgery
Secondary outcomes:
measure: Comparison of the effectiveness of STOP-BANG questionnaire and ASA criteria in determining OSA risk level
timeFrame: Perioperative period
Other outcomes:
Locations:
city: Kayseri
country: Turkey
facility: Erciyes University Faculty of Dentistry
city: Kırıkkale
country: Turkey
facility: Kırıkkale University Faculty of Dentistry
Study officials:
References: