Long-term Efficacy of Fixed CPAP Recommended by Autoset® for OSAS
| Autor: | Bernard Fleury, Frédéric Gagnadoux, Dominique Rakotonanahary, MT Martins de Araujo, S Barros-Vieira |
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| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_treatment Positive pressure Context (language use) Polysomnography Positive-Pressure Respiration Physiology (medical) medicine Humans Mechanical ventilation Sleep Apnea Obstructive Oxygen desaturation medicine.diagnostic_test business.industry Epworth Sleepiness Scale Titrimetry Middle Aged Home Care Services Long-Term Care nervous system diseases respiratory tract diseases Treatment Outcome Anesthesia Patient Compliance Female Neurology (clinical) business Follow-Up Studies |
| Zdroj: | Sleep. 22:1095-1099 |
| ISSN: | 1550-9109 0161-8105 |
| DOI: | 10.1093/sleep/22.8.1095 |
| Popis: | The Autoset autotitration system (Resmed, Australia) was designed as an aid for determination of the effective level of CPAP. Two studies have shown that the 95% pressure centile during a night with Autoset, after excluding any periods with severe leak (P95), was well correlated with the pressure determined manually according to the reference method. However, the suitability of P95 under Autoset for treatment with conventional CPAP needed to be evaluated outside of the context of titration. The objective of this study was to measure the compliance and efficacy of CPAP at P95 determined by Autoset, after 3 months. Twenty-four patients who had undergone routine autotitration by Autoset under polysomnographic control in the laboratory for previously untreated OSAS were evaluated after 3 months of treatment with CPAP at P95. This evaluation was based on compliance, daily usage, determined by reading the hourly counter, Epworth sleepiness score and home respiratory recording under CPAP. Polysomnography under Autoset showed a significant reduction of abnormal respiratory events (apnea-hypopnea index (AHI): 5.7 (+/-4.6) vs 69.6 (+/-29.8) n/h; p |
| Databáze: | OpenAIRE |
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