{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:35:37Z","timestamp":1761006937827,"version":"build-2065373602"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T00:00:00Z","timestamp":1591056000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012553","name":"chang gung memorial hospital","doi-asserted-by":"publisher","award":["(CMRPG8F0431 and CMRPG8J0051)"],"award-info":[{"award-number":["(CMRPG8F0431 and CMRPG8J0051)"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"ministry of science and technology, taiwan","doi-asserted-by":"publisher","award":["(MOST 107-2314-B-182A-086-)"],"award-info":[{"award-number":["(MOST 107-2314-B-182A-086-)"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002836","name":"chang gung university","doi-asserted-by":"publisher","award":["CIRPD1D0031"],"award-info":[{"award-number":["CIRPD1D0031"]}],"id":[{"id":"10.13039\/501100002836","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the changes of blood pressure (BP) on patients with obstructive sleep apnea\/hypopnea syndrome (OSA) before and after upper airway surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary academic medical center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Patients with OSA who underwent upper airway surgery were enrolled. We retrospectively investigated the nighttime and daytime BP before and at least 3\u00a0months after OSA surgery. Paired <jats:italic>t<\/jats:italic> test was used to compare the changes of BP before and after surgery. Generalized estimating equation was used to examine the prognostic significance of the variables in predicting the changes of postoperative BP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 176 patients with OSA (149\u00a0men, 27 women; mean age, 42.9 years; mean apnea\/hypopnea index, 43.1\/h) were enrolled in this study. The overall nighttime and daytime BP decreased significantly before and after OSA surgery (daytime systolic BP was reduced from 137.3 \u00b1 14.0\u00a0mm Hg to 132.7 \u00b1 17.0\u00a0mm Hg, <jats:italic>P<\/jats:italic> &lt;. 01; nighttime systolic BP was reduced from 138.7 \u00b1 16.0\u00a0mm Hg to 133.7 \u00b1 15.3\u00a0mm Hg, <jats:italic>P<\/jats:italic> &lt;. 01; daytime diastolic BP was reduced from 87.7 \u00b1 14.7\u00a0mm Hg to 84.9 \u00b1 10.6\u00a0mm Hg, <jats:italic>P<\/jats:italic> =. 01; nighttime diastolic BP was reduced from 85.4 \u00b1 12.9\u00a0mm Hg to 83.1 \u00b1 11.1\u00a0mm Hg, <jats:italic>P<\/jats:italic> =. 02). The changes of nighttime systolic and diastolic BP were significantly associated with the improvement of percentage of O<jats:sub>2<\/jats:sub> saturation &lt;90% during polysomnography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Surgical modifications of the upper airways for patients with OSA could benefit blood pressure.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820926137","type":"journal-article","created":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T12:02:50Z","timestamp":1591099370000},"page":"843-848","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Alternations of Blood Pressure Before and After OSA Surgery"],"prefix":"10.1002","volume":"163","author":[{"given":"Ming\u2010Hsien","family":"Tsai","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei\u2010Wen","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Division of Glaucoma Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"},{"name":"Sleep Center Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsin\u2010Ching","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"},{"name":"Sleep Center Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"},{"name":"Robotic Surgery Center Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Division of Sleep Surgery Rush University Medical Center Chicago Illinois USA"},{"name":"Department of Otolaryngology Advanced Center for Specialty Care Advocate Illinois Masonic Medical Center Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna M.","family":"Salapatas","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Advanced Center for Specialty Care Advocate Illinois Masonic Medical Center Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010Hao","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mao\u2010Chang","family":"Su","sequence":"additional","affiliation":[{"name":"Sleep Center Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"},{"name":"Department of Internal Medicine Division of Pulmonary and Critical Care Medicine Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng\u2010Chih","family":"Lin","sequence":"additional","affiliation":[{"name":"Sleep Center Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"},{"name":"Department of Internal Medicine Division of Pulmonary and Critical Care Medicine Kaohsiung Chang Gung Memorial Hospital Chang Gung University College of Medicine Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200005113421901"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.14.1829"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/hr.2009.56"},{"key":"e_1_2_8_5_1","first-page":"2220","volume-title":"Zhonghua Yi Xue Za Zhi","author":"Zhu YQ","year":"2016"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31816422ea"},{"key":"e_1_2_8_7_1","first-page":"109","article-title":"Multilevel obstructive sleep apnea surgery","volume":"80","author":"Lin HC","year":"2017","journal-title":"Adv 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