Randomised controlled trial of polysomnographic titration of noninvasive ventilation.

Aged Female Humans Male Middle Aged Muscle Weakness / complications Neuromuscular Diseases / complications Noninvasive Ventilation / methods Polysomnography Quality of Life Respiratory Insufficiency / physiopathology Sleep

Journal

The European respiratory journal
ISSN: 1399-3003
Titre abrégé: Eur Respir J
Pays: England
ID NLM: 8803460

Informations de publication

Date de publication:
05 2019
Historique:
received: 06 11 2018
accepted: 03 03 2019
pubmed: 19 3 2019
medline: 29 10 2020
entrez: 19 3 2019
Statut: epublish

Résumé

Noninvasive ventilation (NIV) settings determined during wakefulness may produce patient-ventilator asynchrony (PVA) during sleep, causing sleep disruption and limiting tolerance. This study investigated whether NIV titrated with polysomnography (PSG) is associated with less PVA and sleep disruption than therapy titrated during daytime alone.Treatment-naive individuals referred for NIV were randomised to control (daytime titration followed by sham polysomnographic titration) or PSG (daytime titration followed by polysomnographic titration) groups. Primary outcomes were PVA and arousal indices on PSG at 10 weeks. Secondary outcomes included adherence, gas exchange, symptoms and health-related quality of life (HRQoL).In total, 60 participants were randomised. Most (88.3%) had a neuromuscular disorder and respiratory muscle weakness but minor derangements in daytime arterial blood gases. PVA events were less frequent in those undergoing polysomnographic titration (median (interquartile range (IQR)): PSG 25.7 (12-68) events·h

Identifiants

DOI: 10.1183/13993003.02118-2018 PMID: 30880286
pubmed: 30880286
pii: 13993003.02118-2018
doi: 10.1183/13993003.02118-2018
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright ©ERS 2019.

Déclaration de conflit d'intérêts

Conflict of interest: L.M. Hannan received a postgraduate scholarship grant from the National Health and Medical Research Council (Australia), during the conduct of the study. Conflict of interest: L. Rautela has nothing to disclose. Conflict of interest: D.J. Berlowitz has nothing to disclose. Conflict of interest: C.F. McDonald has nothing to disclose. Conflict of interest: J.M. Cori has nothing to disclose. Conflict of interest: N. Sheers has nothing to disclose. Conflict of interest: C. Chao has nothing to disclose. Conflict of interest: F.J. O'Donoghue has nothing to disclose. Conflict of interest: M.E. Howard has nothing to disclose.

Auteurs

Liam M Hannan (LM)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.
Dept of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Dept of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.

Linda Rautela (L)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.
Dept of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Dept of Physiotherapy, University of Melbourne, Melbourne, Australia.

David J Berlowitz (DJ)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.
Dept of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Dept of Physiotherapy, University of Melbourne, Melbourne, Australia.

Christine F McDonald (CF)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.
Dept of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Dept of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.

Jennifer M Cori (JM)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.

Nicole Sheers (N)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.
Dept of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Dept of Physiotherapy, University of Melbourne, Melbourne, Australia.
ORCID: 0000-0003-1847-4266

Caroline Chao (C)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.
Dept of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Dept of Physiotherapy, University of Melbourne, Melbourne, Australia.

Fergal J O'Donoghue (FJ)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.
Dept of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Dept of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.

Mark E Howard (ME)

Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.
Dept of Respiratory and Sleep Medicine, Austin Health, Melbourne, Australia.
Dept of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.
ORCID: 0000-0001-7772-1496

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Randomised controlled trial of...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Randomised controlled trial of...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Randomised controlled trial of...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Manifestations neuromusculaires › Faiblesse musculaire › Randomised controlled trial of...
questionsmedicales.fr › Maladies du système nerveux › Maladies neuromusculaires › Randomised controlled trial of...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation non effractive › Randomised controlled trial of...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Monitorage physiologique › Polysomnographie › Randomised controlled trial of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Randomised controlled trial of...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Troubles respiratoires › Insuffisance respiratoire › Randomised controlled trial of...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sommeil › Randomised controlled trial of...