{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:12:15Z","timestamp":1773285135642,"version":"3.50.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"Supplement_2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,19]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Patients with the medical diagnosis of obstructive sleep apnea (OSA) and those with undiagnosed OSA have greater chances for adverse events during surgical procedures related to their medical condition. Early identification of at-risk OSA patients can help mitigate associated adverse events. The purpose of this project was to implement a preoperative process to provide early identification of at-risk OSA patients in the preadmission unit, at a large military level I trauma center in central Texas. The Population, Intervention, Comparison, Outcome, Time (PICOT) question for this project is: \u201cIn the adult surgical population, how does the routine use of the STOP-Bang Questionnaire compared to non-standardized assessment influence the identification of OSA during the preadmission processing in a military health care treatment facility?\u201d Following the implementation of the standardized use of the STOP-Bang Questionnaire, the identification of early at-risk OSA patients increased from 23% (based on a medical diagnosis of OSA) to 54% with an intermediate and high-risk OSA. Early identification of OSA has an impact on the decisions made to augment and enhance the patient-specific tailored care for each at-risk OSA surgical patient. Potential adverse events may be diminished or eliminated with the early identification of OSA patients. Preoperative policies that support the utilization of preoperative screening for OSA will improve the overall quality and safety of care provided to surgical patients.<\/jats:p>","DOI":"10.1093\/milmed\/usz187","type":"journal-article","created":{"date-parts":[[2020,6,20]],"date-time":"2020-06-20T05:24:08Z","timestamp":1592630648000},"page":"21-27","source":"Crossref","is-referenced-by-count":4,"title":["Obstructive Sleep Apnea Screening in Preoperative Patients"],"prefix":"10.1093","volume":"185","author":[{"given":"Steven S","family":"Kertes","sequence":"first","affiliation":[{"name":"U.S. Army Nurse Corps, JBSA-Fort Sam Houston, TX 78234 Prior Presentation: None"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,6,19]]},"reference":[{"issue":"4","key":"2020062700035175700_ref1","first-page":"414","article-title":"Automated notification of suspected obstructive sleep apnea patients to the perioperative respiratory therapist: a pilot study","volume":"55","author":"Ramachandran","year":"2010","journal-title":"Respir Care"},{"issue":"5","key":"2020062700035175700_ref2","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1213\/ANE.0b013e318269cfd7","article-title":"Society for Ambulatory Anesthesia consensus statement on preoperative selection of adult patients with obstructive sleep apnea scheduled for ambulatory surgery","volume":"115","author":"Joshi","year":"2012","journal-title":"Anesth Analg"},{"issue":"4","key":"2020062700035175700_ref3","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1177\/1479972312458680","article-title":"The use of practice guidelines by the American Society of Anesthesiologists for the identification of surgical patients at high risk of sleep apnea","volume":"9","author":"Munish","year":"2012","journal-title":"Chron Respir Dis"},{"issue":"13","key":"2020062700035175700_ref4","first-page":"1869","article-title":"Does the STOP-Bang, an obstructive sleep apnea screening tool, predict difficult intubation?","volume":"18","author":"Acar","year":"2014","journal-title":"Eur Rev Med Pharmacol Sci"},{"issue":"1","key":"2020062700035175700_ref5","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.wjorl.2015.08.001","article-title":"Clinical consequences and economic costs of untreated obstructive sleep apnea syndrome","volume":"08","author":"Knauert","year":"2015","journal-title":"World J Otorhinolaryngol Head Neck Surg"},{"key":"2020062700035175700_ref6","author":"Harvard Medical School"},{"issue":"5","key":"2020062700035175700_ref7","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1007\/s12630-010-9280-x","article-title":"A systematic review of screening questionnaires for obstructive sleep apnea","volume":"57","author":"Abrishami","year":"2010","journal-title":"Can J Anaesth"},{"issue":"12","key":"2020062700035175700_ref8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0143697","article-title":"Validation of the STOP-Bang questionnaire as a screening tool for obstructive sleep apnea among different populations: a systematic review and meta-analysis","volume":"10","author":"Nagappa","year":"2015","journal-title":"PLoS One"},{"issue":"4","key":"2020062700035175700_ref9","doi-asserted-by":"crossref","first-page":"212","DOI":"10.11622\/smedj.2015034","article-title":"High STOP-BANG questionnaire scores predict intraoperative and early postoperative adverse events","volume":"56","author":"Seet","year":"2015","journal-title":"Singap Med J"},{"issue":"10","key":"2020062700035175700_ref10","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1001\/archoto.2010.1020","article-title":"Obstructive sleep apnea syndrome and postoperative complications: clinical use of the STOP-BANG questionnaire","volume":"136","author":"Vasu","year":"2010","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"9","key":"2020062700035175700_ref11","doi-asserted-by":"crossref","first-page":"915","DOI":"10.5664\/jcsm.4022","article-title":"Alternative scoring models of STOP-Bang questionnaire improve specificity to detect undiagnosed obstructive sleep apnea","volume":"10","author":"Chung","year":"2014","journal-title":"J Clin Sleep Med"},{"issue":"1","key":"2020062700035175700_ref12","first-page":"23","article-title":"A retrospective analysis of airway management in patients with obstructive sleep apnea and its effects on postanesthesia care unit length of stay","volume":"50","author":"Brousseau","year":"2014","journal-title":"Can J Respir Ther"},{"key":"2020062700035175700_ref13","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/00000542-200507000-00009","article-title":"Management of the difficult airway. 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