Evidence map›Paper›PMID 40080185›Full record

Observational studyArchives of orthopaedic and trauma surgery2025

Obstructive sleep Apnoea in patients with knee osteoarthritis before total knee arthroplasty and its impact on post-operative recovery of blood oxygen concentrations.

Taihei Miura, Yasuo Kunugiza, Shuhei Ogawa, Takahito Nakamura, Noboru Hosono, Seiji Okada

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Taihei MiuraDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasuo KunugizaDepartment of Orthopaedic Surgery, Japan Community Health Care Organization (JCHO) Hoshigaoka Medical Center, Osaka, Japan. kunugiza-yasuo@hoshigaoka.jcho.go.jp.
Shuhei OgawaOgawa Clinic, Osaka, Japan.
Takahito NakamuraDepartment of General Internal Medicine, Infectious Diseases, Oncology, and Respiratory Medicine, Nara Prefecture Seiwa Medical Center, Nara, Japan.
Noboru HosonoDepartment of Orthopaedic Surgery, Japan Community Health Care Organization (JCHO) Hoshigaoka Medical Center, Osaka, Japan.
Seiji OkadaDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPost-operative delays in blood oxygen recovery are sometimes observed after total knee arthroplasty (TKA), with obstructive sleep apnoea (OSA) being a contributing factor. This study aimed to examine the prevalence of OSA and its correlation with post-operative oxygen saturation (SpO2) recovery in patients undergoing TKA for knee osteoarthritis (OA). MATERIALS AND

methodsThis was an observational case-control study including patients with knee OA who underwent TKA between January 2018 and October 2021. Pre-operative symptoms of OSA were assessed, and the apnoea-hypopnoea index, 3% oxygen desaturation index (ODI), average SpO2 and sleep body positions were measured using sleep testing devices. Knee function was evaluated using the 2011 Knee Society Score and range of motion (ROM).

resultsA total of 240 patients (41 males and 199 females) with a mean age of 74 years (range 51-93 years) were included in this study. Of the 240 patients, 49 (20.4%) had no OSA, 104 (43.3%) had mild OSA and 87 (36.3%) had moderate to severe OSA. OSA severity increased with a higher body mass index. Diabetes prevalence increased as the severity of OSA increased. OSA severity did not affect pre-operative knee function scores or ROM. However, higher ODI and lower pre-operative SpO2 were associated with increased OSA severity. Additionally, patients with severe OSA exhibited a greater proportion of supine sleep time and delayed post-operative oxygen discontinuation.

conclusionsPatients with knee OA scheduled for TKA have a high prevalence of OSA. Increased OSA severity delay oxygen discontinuation after TKA.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeOxygenOxygen SaturationSleep Apnea, ObstructiveAgedAged, 80 and overCase-Control StudiesFemaleHumansMaleMiddle AgedPostoperative PeriodPrevalenceOxygenApnoea-hypopnoea indexBlood oxygen concentrationsKnee osteoarthritisKnee society scoreObstructive sleep apnoeaTotal knee arthroplasty

Identifiers

PMID40080185

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.