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Risk Factors for Predicting Hypoxia in Adult Patients Undergoing Bronchoscopy under Sedation

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dc.contributor.authorChoi, Ji Soo-
dc.contributor.authorLee, Eun Hye-
dc.contributor.authorLee, Sang Hoon-
dc.contributor.authorLeem, Ah Young-
dc.contributor.authorChung, Kyung Soo-
dc.contributor.authorKim, Song Yee-
dc.contributor.authorJung, Ji Ye-
dc.contributor.authorKang, Young Ae-
dc.contributor.authorPark, Moo Suk-
dc.contributor.authorChang, Joon-
dc.contributor.authorKim, Young Sam-
dc.date.accessioned2021-03-17T09:23:16Z-
dc.date.available2021-03-17T09:23:16Z-
dc.date.created2021-03-15-
dc.date.issued2020-10-
dc.identifier.issn1738-3536-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/181806-
dc.description.abstractBackground: Flexible bronchoscopy is one of the essential procedures for the diagnosis and treatment of pulmonary diseases. The purpose of this study was to identify the risk factors associated with the occurrence of hypoxia in adults undergoing flexible bronchoscopy under sedation. Methods: We retrospectively analyzed 2,520 patients who underwent flexible bronchoscopy under sedation at our tertiary care university hospital in South Korea January 1, 2013-December 31, 2014. Hypoxia was defined as more than 5%-point reduction in the baseline percutaneous oxygen saturation (SpO(2)) or SpO(2) <90% for >1 minute during the procedure. Results: The mean age was 64.7 +/- 13.5, and 565 patients developed hypoxia during the procedure. The mean sedation duration and midazolam dose for sedation were 31.1 minutes and 3.9 mg, respectively. The bivariate analysis showed that older age, a low forced expiratory volume in one second (FEV1), use of endobronchial ultrasound, the duration of sedation, and the midazolam dose were associated with the occurrence of hypoxia during the procedure, while the multivariate analysis found that age >60 (odds ratio [OR], 1.32), a low FEV1 (OR, 0.99), and a longer duration of sedation (>40 minutes; OR, 1.33) were significant risk factors. Conclusion: The findings suggest that patients older than age 60 and those with a low FEV1 tend to develop hypoxia during the bronchoscopy under sedation. Also, longer duration of sedation (>40 minutes) was a significant risk factor for hypoxia.-
dc.formatapplication/pdf-
dc.language영어-
dc.publisherTAEHAN KYORHAEK HYOPHOE-KOREAN ACAD TUBERCULOSIS & RESPIRATORY DISEASES-
dc.relation.isPartOfTUBERCULOSIS AND RESPIRATORY DISEASES-
dc.titleRisk Factors for Predicting Hypoxia in Adult Patients Undergoing Bronchoscopy under Sedation-
dc.typeArticle-
dc.contributor.googleauthorChoi, Ji Soo-
dc.contributor.googleauthorLee, Eun Hye-
dc.contributor.googleauthorLee, Sang Hoon-
dc.contributor.googleauthorLeem, Ah Young-
dc.contributor.googleauthorChung, Kyung Soo-
dc.contributor.googleauthorKim, Song Yee-
dc.contributor.googleauthorJung, Ji Ye-
dc.contributor.googleauthorKang, Young Ae-
dc.contributor.googleauthorPark, Moo Suk-
dc.contributor.googleauthorChang, Joon-
dc.contributor.googleauthorKim, Young Sam-
dc.identifier.doi10.4046/trd.2020.0002-
dc.relation.journalcodeJ02761-
dc.identifier.eissn2005-6184-
dc.subject.keywordBronchoscopy-
dc.subject.keywordHypoxia-
dc.subject.keywordRisk Factors-
dc.contributor.affiliatedAuthorChoi, Ji Soo-
dc.contributor.affiliatedAuthorLee, Eun Hye-
dc.contributor.affiliatedAuthorLee, Sang Hoon-
dc.contributor.affiliatedAuthorLeem, Ah Young-
dc.contributor.affiliatedAuthorChung, Kyung Soo-
dc.contributor.affiliatedAuthorKim, Song Yee-
dc.contributor.affiliatedAuthorJung, Ji Ye-
dc.contributor.affiliatedAuthorKang, Young Ae-
dc.contributor.affiliatedAuthorPark, Moo Suk-
dc.contributor.affiliatedAuthorChang, Joon-
dc.contributor.affiliatedAuthorKim, Young Sam-
dc.identifier.scopusid2-s2.0-85092796652-
dc.identifier.wosid000576700200003-
dc.citation.titleTUBERCULOSIS AND RESPIRATORY DISEASES-
dc.citation.titleTUBERCULOSIS AND RESPIRATORY DISEASES-
dc.citation.volume83-
dc.citation.number4-
dc.citation.startPage276-
dc.citation.endPage282-
dc.identifier.bibliographicCitationTUBERCULOSIS AND RESPIRATORY DISEASES, Vol.83(4) : 276-282, 2020-10-
dc.identifier.rimsid67798-
dc.type.rimsART-
dc.description.journalClass1-
dc.description.journalClass1-
dc.subject.keywordAuthorBronchoscopy-
dc.subject.keywordAuthorHypoxia-
dc.subject.keywordAuthorRisk Factors-
dc.subject.keywordPlusTRANSBRONCHIAL NEEDLE ASPIRATION-
dc.subject.keywordPlusFLEXIBLE BRONCHOSCOPY-
dc.subject.keywordPlusFIBEROPTIC BRONCHOSCOPY-
dc.subject.keywordPlusLUNG-CANCER-
dc.subject.keywordPlusENDOBRONCHIAL ULTRASOUND-
dc.subject.keywordPlusCONSCIOUS SEDATION-
dc.subject.keywordPlusHYPOXEMIA-
dc.subject.keywordPlusPROPOFOL-
dc.subject.keywordPlusCOMPLICATIONS-
dc.subject.keywordPlusSATISFACTION-
dc.type.docTypeArticle-
dc.description.isOpenAccessN-
dc.description.journalRegisteredClassscopus-
dc.description.journalRegisteredClasskci-
dc.relation.journalWebOfScienceCategoryRespiratory System-
dc.relation.journalResearchAreaRespiratory System-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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