A prediction model for hypoxemia during routine sedation for gastrointestinal endoscopy
AUTOR(ES)
Geng, Wujun, Jia, Danyu, Wang, Yichuan, Jin, Shenhui, Ren, Yelong, Liang, Dongdong, Zheng, Aote, Tang, Hongli, Basharat, Zarrin, Zimmer, Vincent, Stock, Simon, Zippi, Maddalena, Hong, Wandong
FONTE
Clinics
DATA DE PUBLICAÇÃO
14/11/2018
RESUMO
OBJECTIVES: The current study was designed to assess the clinical predictors of hypoxemia and to develop a multivariable, predictive model for hypoxemia during routine gastrointestinal endoscopy. METHODS: In total, 308 patients were enrolled in the analysis. Demographic data, concurrent chronic disease information, anesthetic dose and Modified Observer’s Assessment of Alertness/Sedation (MOAA/S) scores were collected and analyzed statistically. RESULTS: Multivariate logistic regression indicated that age (OR: 1.04; 95%CI 1.01-1.08), body mass index (BMI) (OR: 1.12; 95%CI: 1.02-1.21) and habitual snoring (OR: 3.71; 95%CI: 1.62-8.48) were independently associated with hypoxemia. A logistic regression function (LR model) was developed to predict hypoxemia considering the parameters of -7.73+0.04 age (years), +0.11 BMI, and +1.31 habitual snoring (yes or no). The area under the receiver operating characteristic (ROC) curve for the LR model was 0.76. CONCLUSIONS: The LR model, consisting of age, BMI and habitual snoring, was a useful predictor of hypoxemia during routine sedation for gastrointestinal endoscopy.
