Predictive models of objective oropharyngeal OSA surgery outcomes: Success rate and AHI reduction ratio
DC Field | Value | Language |
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dc.contributor.author | Chol, Ji Ho | - |
dc.contributor.author | Lee, Jae Yong | - |
dc.contributor.author | Cha, Jaehyung | - |
dc.contributor.author | Kim, Kangwoo | - |
dc.contributor.author | Hong, Seung-No | - |
dc.contributor.author | Lee, Seung Hoon | - |
dc.date.accessioned | 2021-09-03T01:07:55Z | - |
dc.date.available | 2021-09-03T01:07:55Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2017-09-22 | - |
dc.identifier.issn | 1932-6203 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/82197 | - |
dc.description.abstract | Objective The aim of this study was to develop a predictive model of objective oropharyngeal obstructive sleep apnea (OSA) surgery outcomes including success rate and apnea-hypopnea index (AHI) reduction ratio in adult OSA patients. Study design Retrospective outcome research. Methods All subjects with OSA who underwent oropharyngeal and/or nasal surgery and were followed for at least 3 months were enrolled in this study. Demographic, anatomical [tonsil size (TS) and palate-tongue position (PTP) grade (Gr)], and polysomnographic parameters were analyzed. The AHI reduction ratio (%) was defined as [(postoperative AHI D preoperative AHI) x 100 /postoperative AHI], and surgical success was defined as a >= 50% reduction in preoperative AHI with a postoperative AHI < 20. Results A total of 156 consecutive OSAS adult patients (mean age +/- SD = 38.9 +/- 9.6, M/F = 149 / 7) were included in this study. The best predictive equation by Forward Selection likelihood ratio (LR) logistic regression analysis was: ln(P-x/1 - P-x) = 1.518 x Age + 1.392 x TSGr - 0.803 x PTPGr The best predictive equation according to stepwise multiple linear regression analysis AHIreductionratio = -39.464 + (32.752 x TSGr) + (2.623 x AHI) + (2.542 x Arousalindex) + [1.245] Minimum SaO(2)(%)] - [0.599 x Snoring (%)] (TS/PTP Gr = 1 if TS/PTP Gr 3 or 4, TS/PTP Gr = 0 if TS/PTP Gr 1 or 2) Conclusion The predictive models for oropharyngeal surgery described in this study may be useful for planning surgical treatments and improving objective outcomes in adult OSA patients. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | PUBLIC LIBRARY SCIENCE | - |
dc.subject | OBSTRUCTIVE SLEEP-APNEA | - |
dc.subject | SURGICAL MODIFICATIONS | - |
dc.subject | UPPER AIRWAY | - |
dc.subject | UVULOPALATOPHARYNGOPLASTY | - |
dc.subject | ADULTS | - |
dc.title | Predictive models of objective oropharyngeal OSA surgery outcomes: Success rate and AHI reduction ratio | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Seung Hoon | - |
dc.identifier.doi | 10.1371/journal.pone.0185201 | - |
dc.identifier.scopusid | 2-s2.0-85029801029 | - |
dc.identifier.wosid | 000411524700023 | - |
dc.identifier.bibliographicCitation | PLOS ONE, v.12, no.9 | - |
dc.relation.isPartOf | PLOS ONE | - |
dc.citation.title | PLOS ONE | - |
dc.citation.volume | 12 | - |
dc.citation.number | 9 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Science & Technology - Other Topics | - |
dc.relation.journalWebOfScienceCategory | Multidisciplinary Sciences | - |
dc.subject.keywordPlus | OBSTRUCTIVE SLEEP-APNEA | - |
dc.subject.keywordPlus | SURGICAL MODIFICATIONS | - |
dc.subject.keywordPlus | UPPER AIRWAY | - |
dc.subject.keywordPlus | UVULOPALATOPHARYNGOPLASTY | - |
dc.subject.keywordPlus | ADULTS | - |
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