Journal article
STBUR: Sleep trouble breathing and unrefreshed questionnaire: Evaluation of screening tool for postanesthesia care and disposition
Pediatric anesthesia, v 29(8), pp 821-828
Aug 2019
PMID: 31124263
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
The Snoring, Trouble Breathing, and Un‐Refreshed (STBUR) questionnaire is a five‐question screening tool for pediatric sleep‐disordered breathing and risk for perioperative respiratory adverse events in children. The utility of this questionnaire as a preoperative risk‐stratification tool has not been investigated. In view of limited availability of screening tools for preoperative pediatric sleep‐disordered breathing, we evaluated the questionnaire's performance for postanesthesia adverse events that can impact postanesthesia care and disposition.
Methods
The retrospective study protocol was approved by the institutional research board. The data were analyzed using two different definitions for a positive screening based on a five‐point scale: low threshold (scores 1 to 5) and high threshold (score of 5). The primary outcome was based on the following criteria: (a) supplemental oxygen therapy following postanesthesia care unit (PACU) stay until hospital discharge, (b) greater than two hours during phase 1 recovery, (c) anesthesia emergency activation in the PACU, and (d) unplanned hospital admission.
Results
About 6025 patients completed the questionnaire during the preoperative evaluation. And 1522 patients had a low threshold score and 270 had a high‐threshold score. We found statistically significant associations in three outcomes based on the low threshold score: supplemental oxygen therapy (negative‐predictive value [NPV] 0.97, 95% CI 0.97‐98), PACU recovery time (NPV 0.99, 95% CI 0.99‐0.99) and escalation of care (NPV 0.98, 95% CI 0.97‐0.98). Positive‐predictive values were statistically significant for all outcomes except anesthesia emergency in the PACU.
Conclusion
The Snoring, Trouble Breathing, and Un‐Refreshed questionnaire identified patients at higher risk for prolonged phase 1 recovery, oxygen therapy requirement, and escalation of care. The questionnaire's high‐negative predictive value and specificity may make it useful as a screening tool to identify patients at low risk for prolonged stay in PACU.
Metrics
Details
- Title
- STBUR: Sleep trouble breathing and unrefreshed questionnaire: Evaluation of screening tool for postanesthesia care and disposition
- Creators
- Jorge A. Galvez - Children's Hospital of PhiladelphiaMiguel Yaport - University of PennsylvaniaSusan Maeder‐Chieffo - Children's Hospital of PhiladelphiaAllan F. Simpao - Children's Hospital of PhiladelphiaJonathan M. Tan - Children's Hospital of PhiladelphiaJack O. Wasey - Children's Hospital of PhiladelphiaArul M. Lingappan - Children's Hospital of PhiladelphiaDenis H. Jablonka - Children's Hospital of PhiladelphiaRajeev Subramanyam - Children's Hospital of PhiladelphiaLuis M. Ahumada - Children's Hospital of PhiladelphiaBo Song - Drexel UniversityLezhou Wu - Children's Hospital of PhiladelphiaScott Dubow - Children's Hospital of PhiladelphiaMohamed A. Rehman - Children's Hospital of PhiladelphiaBritta Ungern‐Sternberg
- Publication Details
- Pediatric anesthesia, v 29(8), pp 821-828
- Publisher
- Wiley
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science
- Web of Science ID
- WOS:000477319700001
- Scopus ID
- 2-s2.0-85068774553
- Other Identifier
- 991019168143904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Anesthesiology
- Pediatrics