Evaluation and Management of Obesity Hypoventilation Syndrome An Official American Thoracic Society Clinical Practice Guideline: Executive Summary

Imagem de Miniatura
Arquivos
art_MOKHLESI_Evaluation_and_Management_of_Obesity_Hypoventilation_Syndrome_An_12019.PDF (767.42 KB)
Citações na Scopus
Tipo de produção
article
Data de publicação
2019
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
AMER THORACIC SOC
Autores
MOKHLESI, Babak
MASA, Juan Fernando
BROZEK, Jan L.
GURUBHAGAVATULA, Indira
MURPHY, Patrick B.
PIPER, Amanda J.
TULAIMAT, Aiman
AFSHAR, Majid
BALACHANDRAN, Jay S.
DWEIK, Raed A.
Citação
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, v.200, n.3, p.280-291, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: The purpose of this guideline is to optimize evaluation and management of patients with obesity hypoventilation syndrome (OHS). Methods: A multidisciplinary panel identified and prioritized five clinical questions. The panel performed systematic reviews of available studies (up to July 2018) and followed the Grading of Recommendations, Assessment, Development, and Evaluation evidence-to-decision framework to develop recommendations. All panel members discussed and approved the recommendations. Recommendations: After considering the overall very low quality of the evidence, the panel made five conditional recommendations. We suggest that: 1) clinicians use a serum bicarbonate level <27 mmol/L to exclude the diagnosis of OHS in obese patients with sleep-disordered breathing when suspicion for OHS is not very high (<20%) but to measure arterial blood gases in patients strongly suspected of having OHS, 2) stable ambulatory patients with OHS receive positive airway pressure (PAP), 3) continuous positive airway pressure (CPAP) rather than noninvasive ventilation be offered as the first-line treatment to stable ambulatory patients with OHS and coexistent severe obstructive sleep apnea, 4) patients hospitalized with respiratory failure and suspected of having OHS be discharged with noninvasive ventilation until they undergo outpatient diagnostic procedures and PAP titration in the sleep laboratory (ideally within 2-3 mo), and 5) patients with OHS use weight-loss interventions that produce sustained weight loss of 25% to 30% of body weight to achieve resolution of OHS (which is more likely to be obtained with bariatric surgery). Conclusions: Clinicians may use these recommendations, on the basis of the best available evidence, to guide the management and improve outcomes among patients with OHS.
Palavras-chave
hypercapnia, Pickwickian, sleep-disordered breathing, chronic hypercapnic respiratory failure, bilevel PAP
URI
https://observatorio.fm.usp.br/handle/OPI/33962
Referências
  1. Ayas NT, 2018, ANN AM THORAC SOC, V15, P117, DOI 10.1513/AnnalsATS.201711-888WS
  2. BaHammam AS, 2015, SAUDI MED J, V36, P181, DOI 10.15537/smj.2015.2.9991
  3. Balachandran JS, 2014, SLEEP MED CLIN, V9, P341, DOI 10.1016/j.jsmc.2014.05.007
  4. Basoglu OK, 2014, CLIN RESPIR J, V8, P167, DOI 10.1111/crj.12054
  5. Bingol Z, 2015, RESP CARE, V60, P666, DOI 10.4187/respcare.03733
  6. Blankenburg Thomas, 2017, Open Respir Med J, V11, P31, DOI 10.2174/1874306401711010031
  7. Boone KA, 1996, OBES SURG, V6, P454, DOI 10.1381/096089296765556322
  8. Borel JC, 2013, PLOS ONE, V8, DOI 10.1371/journal.pone.0052006
  9. Borel JC, 2012, RESPIROLOGY, V17, P601, DOI 10.1111/j.1440-1843.2011.02106.x
  10. Borel JC, 2012, CHEST, V141, P692, DOI 10.1378/chest.10-2531
  11. Bouloukaki I, 2018, J CLIN SLEEP MED, V14, P1539, DOI 10.5664/jcsm.7332
  12. Budweiser S, 2007, J INTERN MED, V261, P375, DOI 10.1111/j.1365-2796.2007.01765.x
  13. Carlsson LMS, 2012, NEW ENGL J MED, V367, P695, DOI 10.1056/NEJMoa1112082
  14. Carrillo A, 2012, AM J RESP CRIT CARE, V186, P1279, DOI 10.1164/rccm.201206-1101OC
  15. Castro-Anon O, 2015, PLOS ONE, V10, DOI 10.1371/journal.pone.0117808
  16. Chang SH, 2014, JAMA SURG, V149, P275, DOI 10.1001/jamasurg.2013.3654
  17. Chau EHL, 2013, SLEEP MED CLIN, V8, P135, DOI 10.1016/j.jsmc.2012.11.006
  18. Chau EHL, 2012, ANESTHESIOLOGY, V117, P188, DOI 10.1097/ALN.0b013e31825add60
  19. Chouri-Pontarollo N, 2007, CHEST, V131, P148, DOI 10.1378/chest.06-1159
  20. Chowdhury A, 2017, SLEEP, V40, pA167, DOI 10.1093/sleepj/zsx050.449
  21. Chung Y, 2017, INTERN MED J, V47, P1136, DOI 10.1111/imj.13496
  22. Cooksey J, 2016, CHEST, V149, P11, DOI 10.1016/j.chest.2015.11.001
  23. Damiani MF, 2017, MULTIDISCIP RESP MED, V12, DOI 10.1186/s40248-017-0093-4
  24. De Cesare A, 2014, SURG TODAY, V44, P1424, DOI 10.1007/s00595-014-0856-x
  25. de Llano LAP, 2005, CHEST, V128, P587, DOI 10.1378/chest.128.2.587
  26. de Llano LAP, 2008, RESPIRATION, V75, P34, DOI 10.1159/000105460
  27. DeMaria EJ, 2007, ANN SURG, V246, P578, DOI 10.1097/SLA.0b013e318157206e
  28. Elsayed AY, 2017, EGYPT J CHEST DIS TU, V66, P453, DOI 10.1016/j.ejcdt.2016.12.009
  29. Epstein LJ, 2009, J CLIN SLEEP MED, V5, P263
  30. Feigel-Guiller B, 2015, OBES SURG, V25, P1886, DOI 10.1007/s11695-015-1627-5
  31. Hales CM, 2018, JAMA-J AM MED ASSOC, V319, P2419, DOI 10.1001/jama.2018.7270
  32. Harada Y, 2014, RESPIROLOGY, V19, P1233, DOI 10.1111/resp.12367
  33. Heinemann F, 2007, RESP MED, V101, P1229, DOI 10.1016/j.rmed.2006.10.027
  34. Hida Wataru, 2003, Sleep Breath, V7, P3, DOI 10.1007/s11325-003-0003-1
  35. Howard ME, 2017, THORAX, V72, P437, DOI 10.1136/thoraxjnl-2016-208559
  36. Janssens JP, 2003, CHEST, V123, P67, DOI 10.1378/chest.123.1.67
  37. Jee AS, 2015, SLEEP BIOL RHYTHMS, V13, P83
  38. Jothieswaran A, 2015, THORAX, V70, pA172, DOI 10.1136/thoraxjnl-2015-207770.328
  39. Kapur VK, 2017, J CLIN SLEEP MED, V13, P479, DOI 10.5664/jcsm.6506
  40. Kaw R, 2016, CHEST, V149, P84, DOI 10.1378/chest.14-3216
  41. Kaw R, 2009, CHEST, V136, P787, DOI 10.1378/chest.09-0615
  42. Kawata N, 2007, CHEST, V132, P1832, DOI 10.1378/chest.07-0673
  43. Lee WY, 2008, CRIT CARE CLIN, V24, P533, DOI 10.1016/j.ccc.2008.02.003
  44. Macavei VM, 2013, J CLIN SLEEP MED, V9, P879, DOI 10.5664/jcsm.2986
  45. Mandal S, 2015, BMJ OPEN, V5, DOI 10.1136/bmjopen-2014-007082
  46. Mandal S, 2018, THORAX, V73, P62, DOI 10.1136/thoraxjnl-2016-209826
  47. Marik PE, 2016, OBES SCI PRACT, V2, P40, DOI 10.1002/osp4.27
  48. Masa JF, 2001, CHEST, V119, P1102, DOI 10.1378/chest.119.4.1102
  49. Masa JF, 2019, LANCET, V393, P1721, DOI 10.1016/S0140-6736(18)32978-7
  50. Masa JF, 2016, THORAX, V71, P899, DOI 10.1136/thoraxjnl-2016-208501
  51. Masa JF, 2016, CHEST, V150, P68, DOI 10.1016/j.chest.2016.02.647
  52. Masa JF, 2015, AM J RESP CRIT CARE, V192, P86, DOI 10.1164/rccm.201410-1900OC
  53. Mokhlesi Babak, 2008, Proc Am Thorac Soc, V5, P218, DOI 10.1513/pats.200708-122MG
  54. Mokhlesi B, 2006, J CLIN SLEEP MED, V2, P57
  55. Mokhlesi B, 2007, SLEEP BREATH, V11, P117, DOI 10.1007/s11325-006-0092-8
  56. Mokhlesi B, 2010, RESP CARE, V55, P1347
  57. Murphy PB, 2012, THORAX, V67, P727, DOI 10.1136/thoraxjnl-2011-201081
  58. Ng M, 2014, LANCET, V384, P766, DOI 10.1016/S0140-6736(14)60460-8
  59. Nowbar S, 2004, AM J MED, V116, P1, DOI 10.1016/j.amjmed.2003.08.022
  60. Castillejo EO, 2015, ARCH BRONCONEUMOL, V51, P61, DOI 10.1016/j.arbres.2014.02.015
  61. Orchard TJ, 2013, DIABETIC MED, V30, P46, DOI 10.1111/j.1464-5491.2012.03750.x
  62. Palm A, 2016, RESP MED, V110, P73, DOI 10.1016/j.rmed.2015.11.010
  63. Piesiak P, 2013, ADV EXP MED BIOL, V788, P167, DOI 10.1007/978-94-007-6627-3_25
  64. Pihtili A, 2017, BALK MED J, V34, P41, DOI 10.4274/balkanmedj.2015.1797
  65. Piper AJ, 2008, THORAX, V63, P395, DOI 10.1136/thx.2007.081315
  66. Priou P, 2010, CHEST, V138, P84, DOI 10.1378/chest.09-2472
  67. Probert GM, 2015, THORAX, V70, pA19, DOI 10.1136/thoraxjnl-2015-207770.32
  68. Randerath W, 2017, EUR RESPIR J, V49, DOI 10.1183/13993003.00959-2016
  69. Ricketts C, 2014, EUR RESPIR J, V44
  70. Romero C, 2014, CHEST, V145, DOI 10.1378/chest.1784265
  71. Russo V, 2016, J CARDIOVASC ELECTR, V27, P327, DOI 10.1111/jce.12879
  72. Salord N, 2013, RESPIROLOGY, V18, P1135, DOI 10.1111/resp.12131
  73. Salturk C, 2015, INT J CHRONIC OBSTR, V10, P2559, DOI 10.2147/COPD.S91950
  74. Sanchez Gomez JF, 2012, EUR RESPIR J, V40, P2042
  75. Schauer PR, 2017, NEW ENGL J MED, V376, P641, DOI 10.1056/NEJMoa1600869
  76. Sjostrom L, 2004, NEW ENGL J MED, V351, P2683, DOI 10.1056/NEJMoa035622
  77. Sjostrom L, 2007, NEW ENGL J MED, V357, P741, DOI 10.1056/NEJMoa066254
  78. Sjostrom L, 2014, JAMA-J AM MED ASSOC, V311, P2297, DOI 10.1001/jama.2014.5988
  79. Sjostrom L, 2012, JAMA-J AM MED ASSOC, V307, P56, DOI 10.1001/jama.2011.1914
  80. SUGERMAN HJ, 1992, AM J CLIN NUTR, V55, P597
  81. SUGERMAN HJ, 1988, ANN SURG, V207, P604, DOI 10.1097/00000658-198805000-00015
  82. SUGERMAN HJ, 1986, CHEST, V90, P81, DOI 10.1378/chest.90.1.81
  83. Sugerman HJ, 2001, ANN SURG, V234, P41, DOI 10.1097/00000658-200107000-00007
  84. SULLIVAN CE, 1983, AM REV RESPIR DIS, V128, P177, DOI 10.1164/arrd.1983.128.1.177
  85. Tabernero Huguet Eva, 2016, Rev Esp Geriatr Gerontol, V51, P221, DOI 10.1016/j.regg.2015.11.002
  86. Tsolaki V, 2011, RESPIRATION, V81, P402, DOI 10.1159/000317138
  87. Wing R, 2013, NEW ENGL J MED, V369, P145, DOI 10.1056/NEJMoa1212914
  88. Wong D, 2013, SLEEP BIOL RHYTHMS, V11, P2059
  89. Zhang Y, 2018, J CLIN EPIDEMIOL, DOI [10.1016/j.jclinepi.2018.05.01, DOI 10.1016/J.JCLINEPI.2018.05.01]
  90. Zhang Y, 2019, J CLIN EPIDEMIOL, V111, P94, DOI 10.1016/j.jclinepi.2018.01.013

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/63