Comparison of Auto- and Fixed-Continuous Positive Airway Pressure on Air Leak in Patients with Obstructive Sleep Apnea: Data from a Randomized Controlled Trial.
Journal
Canadian respiratory journal
ISSN: 1916-7245
Titre abrégé: Can Respir J
Pays: Egypt
ID NLM: 9433332
Informations de publication
Date de publication:
2019
2019
Historique:
received:
13
04
2019
revised:
23
06
2019
accepted:
10
07
2019
entrez:
6
9
2019
pubmed:
6
9
2019
medline:
13
5
2020
Statut:
epublish
Résumé
Auto-CPAP may cause sleep fragmentation due to variations in pressure and unintentional leaks. The aim of this study was to compare air leak between fixed-CPAP and auto-CPAP after 4 months of CPAP treatment. This study is an ancillary analysis of a randomized, double-blind, parallel, controlled trial over 4 months, comparing fixed- and auto-CPAP in newly diagnosed patients with OSA. The following data were extracted from the CPAP devices: mean and 90th percentile pressure, residual apnea-hypopnea index, mean CPAP use, and amount of leak. Within each arm, patients were also randomly allocated to use of one of the three different brands of devices. Since the leak was reported differently for each device, median leak value was determined for each brand and leaks were classified as "above the median" or "below the median". Data from 269 patients were analyzed. The univariate analysis showed that tobacco consumption, CPAP level, and oronasal masks were associated with leaks above the median value but not the type of CPAP. The multivariate analysis showed that only CPAP level and oronasal masks were associated with leaks below the median. There were no differences in the types of mask used between fixed- and auto-CPAP. There was no impact of the type of CPAP on leaks or the type of interface used. We used a method based on the median leak value to standardize comparisons across devices which report leaks with different definitions.
Identifiants
pubmed: 31485282
doi: 10.1155/2019/6310956
pmc: PMC6702837
doi:
Types de publication
Comparative Study
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
6310956Déclaration de conflit d'intérêts
M Lebret and J-C Borel are employees of AGIR à dom, a nonprofit home care provider. J-C Borel has received grants, personal fees, and nonfinancial support from Philips Healthcare and ResMed unrelated to the submitted work. M Lebret has received personal fees and nonfinancial support from Air liquid Medical System and Sefam unrelated to the submitted work. The other authors declared no conflicts of interest.
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