Improved prediction of CPAP failure using T90, age and gender.
Age
CPAP failure
Obesity
Prediction of failure
Sleep apnea syndrome
Journal
Journal of applied biomedicine
ISSN: 1214-0287
Titre abrégé: J Appl Biomed
Pays: Poland
ID NLM: 101221755
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
06
11
2018
accepted:
20
12
2018
entrez:
15
12
2021
pubmed:
1
3
2019
medline:
1
3
2019
Statut:
ppublish
Résumé
Sleep apnea syndrome is associated with increased risk of cardiovascular disease. In treating older patients, there is a special emphasis put on minimally invasive and conservative procedures and a simple method for predicting the potential for treatment success is essential. Continuous positive airway pressure (CPAP) is the first choice for treatment, however, it is not always successful. In cases where CPAP was unsuccessful, treatment with bilevel positive airway pressure (BiPAP) is the next treatment option. In this study, we examine commonly evaluated respiratory parameters, obesity, and age relative to their ability to predict CPAP failure. We also tried to find differences in the predictive ability of these parameters in older and younger patients. The predictive ability, relative to CPAP failure, was examined for each individual parameter as well as for combinations of parameters. All variables had a statistical association with CPAP failure; failure prediction reliability ranged from poor to moderate. Combining T90, age, and gender can be used to find patients who will benefit from BiPAP as the first choice for treatment. An initial BiPAP indication can produce relevant reductions in treatment cost.
Identifiants
pubmed: 34907750
doi: 10.32725/jab.2018.008
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
81Subventions
Organisme : Ministry of Health of the Czech Republic
ID : 00669806
Pays : Czech Republic
Organisme : National Sustainability Program I (NPU I)
ID : LO1503
Pays : Czech Republic
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in this work.
Références
Agresti A, Coull BA (1998). Approximate is better than "exact" for interval estimation of binomial proportions. Am Statistician 52(2): 119-126. DOI: 10.2307/2685469.
doi: 10.2307/2685469
Barbé F, Durán-Cantolla J, Sánchez-de-la-Torre M, Martínez-Alonso M, Carmona C, Barceló A, et al. (2012). Effect of continuous positive airway pressure on the incidence of hypertension and cardiovascular events in nonsleepy patients with obstructive sleep apnea: a randomized controlled trial. JAMA 307(20): 2161-2168. DOI: 10.1001/jama.2012.4366.
pubmed: 22618923
doi: 10.1001/jama.2012.4366
Browaldh N, Markström A, Friberg D (2009). Elective tracheostomy is an alternative treatment in patients with severe obstructive sleep apnoea syndrome and CPAP failure. Acta Otolaryngol 129(10): 1121-1126. DOI: 10.1080/00016480802572509.
pubmed: 19065292
doi: 10.1080/00016480802572509
Bruin PF, Bagnato M (2010). Cognitive impairment in obstructive sleep apnea syndrome. J Bras Pneumol 36 (Suppl. 2): 32-37. DOI: 10.1590/S1806-37132010001400010.
pubmed: 20944979
doi: 10.1590/S1806-37132010001400010
Butner KL, Hargnes TA, Kaleth AS (2013). Association of obstructive sleep apnea severity with exercise capacity and health-related quality of life. N Am J Med Sci 5(6): 362-366. DOI: 10.4103/1947-2714.114168.
pubmed: 23923110
doi: 10.4103/1947-2714.114168
Chowdhury O, Wedderburn CJ, Duffy D, Greenough A (2012). CPAP review. Eur J Pediatr 171(10): 1441-1448. DOI: 10.1007/s00431-011-1648-6.
pubmed: 22173399
doi: 10.1007/s00431-011-1648-6
Dohi T, Kasai T, Narui K, Ishiwata S, Ohno M, Yamaguchi T, Momomura S (2008). Bi-level positive airway pressure ventilation for treating heart failure with central sleep apnea that is unresponsive to continuous positive airway pressure. Circ J 72(7): 1100-1105. DOI: 10.1253/circj.72.1100.
pubmed: 18577818
doi: 10.1253/circj.72.1100
Dostálová S, Susta M, Vorlová T, Šonka K (2012). Sleepiness in patients with obstructive sleep apnoea - daytime course and impact of nocturnal respiratory events. Neuro Endocrinol Lett 33(7): 684-688.
pubmed: 23391876
Ephros HD, Madani M, Yalamanchili SC (2010). Surgical treatment of snoring & obstructive sleep apnoea. Indian J Med Res 131: 267-276.
Epstein LJ, Kristo D, Strollo PJ Jr, Friedman N, Malhotra A, Patil SP, et al. (2009). Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 5(3): 263-276.
doi: 10.5664/jcsm.27497
Jalbert F, Lacassagne L, Bessard J, Dekeister C, Paoli JR, Tiberge M (2012). Oral appliances or maxillomandibular advancement osteotomy for severe obstructive sleep apnoea in patients refusing CPAP. Rev Stomatol Chir Maxillofac 113(1): 19-26. DOI: 10.1016/j.stomax.2011.11.005.
pubmed: 22244739
doi: 10.1016/j.stomax.2011.11.005
Kasai T (2012). Sleep apnea and heart failure. J Cardiol 60(2): 78-85. DOI: 10.1016/j.jjcc.2012.05.013.
pubmed: 22824295
doi: 10.1016/j.jjcc.2012.05.013
La Piana GE, Scartabellati A, Chiesa L, Ronchi L, Raimondi P, Carro M, et al. (2011). Long-term adherence to CPAP treatment in patients with obstructive sleep apnea: importance of educational program. Patient Prefer Adherence 5: 555-562. DOI: 10.2147/PPA.S24018.
pubmed: 22114470
doi: 10.2147/PPA.S24018
Leidag M, Hader C, Keller T, Meyer Y, Rasche K (2008). Mask leakage in continuous positive airway pressure and C-Flex. J Physiol Pharmacol 59 (Suppl. 6): 401-406.
pubmed: 19218664
Mannarino MR, Di Filippo F, Pirro M (2012). Obstructive sleep apnea syndrome. Eur J Intern Med 23(7): 586-593. DOI: 10.1016/j.ejim.2012.05.013.
pubmed: 22939801
doi: 10.1016/j.ejim.2012.05.013
Maurer JT (2010). Surgical treatment of obstructive sleep apnea: standard and emerging techniques. Curr Opin Pulm Med 16(6): 552-558. DOI: 10.1097/MCP.0b013e32833ef7ea.
pubmed: 20842037
doi: 10.1097/MCP.0b013e32833ef7ea
Monahan K, Redline S (2011). Role of obstructive sleep apnea in cardiovascular disease. Curr Opin Cardiol 26(6): 541-547. DOI: 10.1097/HCO.0b013e32834b806a.
pubmed: 21993356
doi: 10.1097/HCO.0b013e32834b806a
Morales CR, Hurley S, Wick LC, Staley B, Pack FM, Gooneratne NS (2012). In-home, self-assembled sleep studies are useful in diagnosing sleep apnea in the elderly. Sleep 35(11): 1491-1501. DOI: 10.5665/sleep.2196.
pubmed: 23115398
doi: 10.5665/sleep.2196
Mulgrew AT, Lawati NA, Ayas NT, Fox N, Hamilton P, Cortes L, Ryan CF (2010). Residual sleep apnea on polysomnography after 3 months of CPAP therapy: clinical implications, predictors and patterns. Sleep Med 11(2): 119-125. DOI: 10.1016/j.sleep.2009.05.017.
pubmed: 20083429
doi: 10.1016/j.sleep.2009.05.017
Onen F, Onen H (2010). Obstructive sleep apnea and cognitive impairment in the elderly. Psychol Neuropsychiatr Vieil 8(3): 163-169. DOI: 10.1684/pnv.2010.0219.
pubmed: 20739254
doi: 10.1684/pnv.2010.0219
Piper AJ, Wang D, Yee BJ, Barnes DJ, Grunstein RR (2008). Randomised trial of CPAP vs bilevel support in the treatment of obesity hypoventilation syndrome without severe nocturnal desaturation. Thorax 63(5): 395-401. DOI: 10.1136/thx.2007.081315.
pubmed: 18203817
doi: 10.1136/thx.2007.081315
Schäfer H, Ewig S, Hasper E, Lüderitz B (1998). Failure of CPAP therapy in obstructive sleep apnoea syndrome: predictive factors and treatment with bilevel-positive airway pressure. Respir Med 92(2): 208-215. DOI: 10.1016/S0954-6111(98)90097-X.
pubmed: 9616514
doi: 10.1016/S0954-6111(98)90097-X
Šedová L, Doskočil O, Brabcová I, Hajduchová H, Bártlová S (2016). Selected aspects of health literacy among seniors. Neuro Endocrinol Lett 37(Suppl. 2): 11-17.
pubmed: 28233960
Sopkova Z, Dorkova Z, Tkacova R (2009). Predictors of compliance with continuous positive airway pressure treatment in patients with obstructive sleep apnea and metabolic syndrome. Wien Klin Wochenschr 121(11-12): 398-404. DOI: 10.1007/s00508-009-1181-z.
pubmed: 19626298
doi: 10.1007/s00508-009-1181-z
Tóthová V, Bártlová S, Šedová L, Olišarová V, Prokešová R, Adámkova V, et al. (2015). The importance of self-management in the prevention and treatment of excessive weight and obesity. Neuro Endocrinol Lett 36 (Suppl. 2): 5-10.
Tureto-Borges F, Jenner B, Costa-Hong V, Lopes HF, Teixeira SH, Marum E, et al. (2018). Does obstructive sleep apnea influence blood pressure and arterial stiffness in response to antihypertensive treatment? Hypertension 120(4): 615-627. DOI: 10.1161/HYPERTENSIONAHA.118.10825.
pubmed: 29941513
doi: 10.1161/HYPERTENSIONAHA.118.10825
Vozoris NT (2012). Sleep apnea-plus: prevalence, risk factors, and association with cardiovascular diseases using United States population-level data. Sleep Med 13(6): 637-644. DOI: 10.1016/j.sleep.2012.01.004.
pubmed: 22475994
doi: 10.1016/j.sleep.2012.01.004
Williams B, Boyle M, Robertson N, Giddings C (2013). When pressure is positive: a literature review of the prehospital use of continuous positive airway pressure. Prehosp Disaster Med 28(1): 52-60. DOI: 10.1017/S1049023X12001562.
pubmed: 23140660
doi: 10.1017/S1049023X12001562