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Journals / Journal of Neurological Sciences (Turkish) / 2012 / Cilt: 29 - Sayı: 1

Prediction of Effective CPAP Level in Obstructive Sleep Apnea Syndrome

Obstruktif Uyku Apne Sendromlu Hastalarda Etkili CPAP Seviyesinin Önceden Belirlenmesi

Selda KORKMAZ
Ayşe DUMAN
Sevda İSMAİLOĞULLARI
Murat AKSU
Pages
11–17
Publication Date
2022-10-19
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Then, we have evaluated the relationshipbetween optimum CPAP level and those parameters.Results: We found a significant correlation between CPAP level and BMI (p

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Prediction of effective CPAP level to treat obstructive sleep apnea syndrome(OSAS) before CPAP titration helps the effectiveness of titration.
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Key Findings & Data:Second, toobtain a formulation of predicting the lowest effective pressure from some anthropometricand polysomnographic variables for Turkish patients with OSAS.Methods: We retrospectively have evaluated 127 patients with mild-severe obstructive sleepapnea who were applied CPAP titration.
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Conclusion & Impact:Then, we have evaluated the relationshipbetween optimum CPAP level and those parameters.Results: We found a significant correlation between CPAP level and BMI (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background: Prediction of effective CPAP level to treat obstructive sleep apnea syndrome(OSAS) before CPAP titration helps the effectiveness of titration. Several algorithms thatpredict the optimal continuous positive airways pressure (CPAP) level have been developed.However, a standard algorithm has not been composed.There are two aims of this study. First, to examine the factors that account for the variabilityin CPAP levels required to abolish apnea and hypopnea in patients with OSAS. Second, toobtain a formulation of predicting the lowest effective pressure from some anthropometricand polysomnographic variables for Turkish patients with OSAS.Methods: We retrospectively have evaluated 127 patients with mild-severe obstructive sleepapnea who were applied CPAP titration. Anthropometric (body mass index(BMI), age,gender) and polysomnographic (sleep efficacy, epworth sleepiness scale (ESS) score, multiplesleep latency test (MSLT) mean sleep latency, apnea hypopnea index, minimum O2saturation) parameters in patients are determined. Then, we have evaluated the relationshipbetween optimum CPAP level and those parameters.Results: We found a significant correlation between CPAP level and BMI (p

Özet

Giriş: Obstruktif uyku apne sendromlu (OUAS) hastalarda uygun CPAP seviyesini titrasyonöncesinde öngermek, titrasyon işlemini kolaylaştırmak ve etkinliğini arttırmak açısındanönemlidir.Bu çalışmanın iki amacı bulunmaktadır. Birincisi, OUAS'li hastalarda apne ve hipopneleriortadan kaldırmak için gereken CPAP seviyesindeki değişiklikleri etkileyen faktörleribelirlemek. İkincisi ise, OUAS'li Türk hastalar için, antropometrik ve polisomnografikdeğişkenleri kullanarak en uygun CPAP seviyesini öngören bir formülasyon elde etmek.Metod: CPAP titrasyonu uygulanan orta-ağır şiddette OUAS'li 127 hasta retrospektif olarakdeğerlendirildi. Hastalarda, antropometrik (vücut kitle indeksi (VKI), yaş, cinsiyet) vepolisomnografik (uyku etkinliği, epworth uykululuk skalası (ESS) skoru, çoklu uyku latanstesti (MSLT) ortalama uyku latansı, apne hipopne indeksi (AHI), min O2 saturasyonu)değerleri belirlendi.Sonuçlar: CPAP basıncı ile AHI (p

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Cite This Article

KORKMAZ, S., DUMAN, A., İSMAİLOĞULLARI, S., AKSU, M. (2022). Prediction of Effective CPAP Level in Obstructive Sleep Apnea Syndrome. Journal of Neurological Sciences (Turkish), Cilt: 29 - Sayı: 1, 11–17. https://ajindex.com/articles/565250

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References (12)

  1. Akahoshi T, Akashiba T, Kawahara S, Uematsu A, Nagaoka K, Kiyof uj i K, Okamoto N, Hattori T, Takahashi N, Hashimoto S. Predicting op timal continuous p ositive airway p ressure in Jap anese p atients with obstructive sleep ap noea syndrome. Resp irology 2009;14(2):245-50. Ep ub 2008 Dec 11
  2. Akashiba T, Kosaka N, Yamamoto H, Ito D, Saito O, Horie T. Op timal continuous p ositive airway p ressure in p atients with obstructive sleep ap noea: role of craniof acial structure. Resp ir Med 2001;95(5):393-397
  3. Ballester E, Badia JR, Hernández L, Carrasco E, de Pablo J, Fornas C, Rodriguez-Roisin R, Montserrat JM. Evidence of the eff ectiveness of continuous p ositive airway p ressure in the treatment of sleep ap nea/hyp op nea syndrome. Am J Resp ir Crit Care Med. 1999;159(2):495-501
  4. Chervin RD, Aldrich MS. The Ep worth Sleep iness Scale may not ref lect obj ective measures of sleep iness or sleep ap nea. Neurology 1999;52(1):125-31
  5. Davies RJ, Ali NJ, Stradling JR. Neck circumf erence and other clinical f eatures in the diagnosis of the obstructive sleep ap noea syndrome, Thorax 1992;47 (2):101-5
  6. Hardinge FM, Pitson DJ, Stradling JR. Use of the Ep worth Sleep iness Scale to demonstrate resp onse to treatment with nasal continuous p ositive airways p ressure in p atients with obstructive sleep ap noea. Resp ir Med 1995;89(9):617-20
  7. Hoheisel GB, Teschler H. Clinical p arameters f or the p rescrip tion of minimal eff ective CPAP f or the treatment of obstructive sleep apnea [abstract]. Am J Resp ir Crit Care Med 1994;149:A496
  8. Indications and standards f or use of nasal continuous p ositive airway p ressure (CPAP) in sleep ap nea syndromes. American Thoracic Society. Off icial statement adop ted March 1944. Am J Resp ir Crit Care Med 1994;150(6 Pt 1):1738-45
  9. Jenkinson C, Davies RJ, Mullins R, Stradling JR. Comp arison of therap eutic and subtherap eutic nasal continuous p ositive airway p ressure f or obstructive sleep ap noea: a randomised p rosp ective p arallel trial. Lancet 1999;353(9170):2100-5
  10. Johns M W. A new method f or measuring daytime sleep iness: the Ep worth sleep iness scale. Sleep 1991; 14(6):540-5
  11. Johns M W. Sensitivity and sp ecif icity of the multip le sleep latency test (MSLT), the maintenance of wakef ulness test and the ep worth sleep iness scale: f ailure of the MSLT as a gold standard. J Sleep Res 2000;9(1):5-11
  12. Lavie P, Herer P, Peled R, Yoff e N, Zomer J, Rubin AH. Mortality in sleep