Complications associated with surgical treatment of sleep-disordered breathing among hospitalized U.S. adults

Hind A. Beydoun, May A. Beydoun, Hong Cheng, Anjum Khan, Shaker M Eid, Carolina Alvarez-Garriga, Colin Anderson-Smits, Alan B. Zonderman, Danica Marinac-Dabic

Research output: Contribution to journalArticle

Abstract

The purpose of this cross-sectional study is to examine the relationship between surgical treatments for sleep-disordered breathing (SDB) and composite measure of surgical complications in a nationally representative sample of hospital discharges among U.S. adults. We performed secondary analyses of 33,679 hospital discharges from the 2002–2012 Nationwide Inpatient Sample that corresponded to U.S. adults (≥18 years) who were free of head-and-neck neoplasms, were diagnosed with SDB and had undergone at least one of seven procedures. Multivariate logistic regression models were constructed to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI), controlling for age, sex, race/ethnicity, obstructive sleep apnea (OSA) and obesity diagnoses. Positive associations were found between composite measure of surgical complications and specific procedures: palatal procedure (aOR = 12.69, 95% CI: 11.91,13.53), nasal surgery (aOR = 6.47, 95% CI: 5.99,6.99), transoral robotic assist (aOR = 5.06, 95% CI: 4.34–5.88), tongue base/hypopharynx (aOR = 4.24, 95% CI: 3.88,4.62), maxillomandibular advancement (MMA) (aOR = 3.24, 95% CI: 2.74,3.84), supraglottoplasty (aOR = 2.75, 95% CI: 1.81,4.19). By contrast, a negative association was found between composite measures of surgical complications and tracheostomy (aOR = 0.033, 95% CI: 0.031,0.035). In conclusion, most procedures for SDB, except tracheostomy, were positively associated with complications, whereby palatal procedures exhibited the strongest and supraglottoplasty exhibited the weakest association.

Original languageEnglish (US)
JournalJournal of Cranio-Maxillofacial Surgery
DOIs
StateAccepted/In press - Jan 1 2018
Externally publishedYes

Fingerprint

Sleep Apnea Syndromes
Odds Ratio
Confidence Intervals
Tracheostomy
Therapeutics
Logistic Models
Nasal Surgical Procedures
Hypopharynx
Robotics
Obstructive Sleep Apnea
Head and Neck Neoplasms
Tongue
Inpatients
Obesity
Cross-Sectional Studies

Keywords

  • Complication
  • Morbidity
  • Obstructive sleep apnea
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

Complications associated with surgical treatment of sleep-disordered breathing among hospitalized U.S. adults. / Beydoun, Hind A.; Beydoun, May A.; Cheng, Hong; Khan, Anjum; Eid, Shaker M; Alvarez-Garriga, Carolina; Anderson-Smits, Colin; Zonderman, Alan B.; Marinac-Dabic, Danica.

In: Journal of Cranio-Maxillofacial Surgery, 01.01.2018.

Research output: Contribution to journalArticle

Beydoun, Hind A. ; Beydoun, May A. ; Cheng, Hong ; Khan, Anjum ; Eid, Shaker M ; Alvarez-Garriga, Carolina ; Anderson-Smits, Colin ; Zonderman, Alan B. ; Marinac-Dabic, Danica. / Complications associated with surgical treatment of sleep-disordered breathing among hospitalized U.S. adults. In: Journal of Cranio-Maxillofacial Surgery. 2018.
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abstract = "The purpose of this cross-sectional study is to examine the relationship between surgical treatments for sleep-disordered breathing (SDB) and composite measure of surgical complications in a nationally representative sample of hospital discharges among U.S. adults. We performed secondary analyses of 33,679 hospital discharges from the 2002–2012 Nationwide Inpatient Sample that corresponded to U.S. adults (≥18 years) who were free of head-and-neck neoplasms, were diagnosed with SDB and had undergone at least one of seven procedures. Multivariate logistic regression models were constructed to estimate adjusted odds ratios (aOR) and 95{\%} confidence intervals (CI), controlling for age, sex, race/ethnicity, obstructive sleep apnea (OSA) and obesity diagnoses. Positive associations were found between composite measure of surgical complications and specific procedures: palatal procedure (aOR = 12.69, 95{\%} CI: 11.91,13.53), nasal surgery (aOR = 6.47, 95{\%} CI: 5.99,6.99), transoral robotic assist (aOR = 5.06, 95{\%} CI: 4.34–5.88), tongue base/hypopharynx (aOR = 4.24, 95{\%} CI: 3.88,4.62), maxillomandibular advancement (MMA) (aOR = 3.24, 95{\%} CI: 2.74,3.84), supraglottoplasty (aOR = 2.75, 95{\%} CI: 1.81,4.19). By contrast, a negative association was found between composite measures of surgical complications and tracheostomy (aOR = 0.033, 95{\%} CI: 0.031,0.035). In conclusion, most procedures for SDB, except tracheostomy, were positively associated with complications, whereby palatal procedures exhibited the strongest and supraglottoplasty exhibited the weakest association.",
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