Factors determining the therapeutic level of positive airway pressure in patients with obstructive sleep apnea syndrome

Autor: Aysel Sunnetcioglu, Buket Mermit Cilingir, Hulya Gunbatar, Hanifi Yıldız, Hediye Ulker Dogan
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Lung India, Vol 40, Iss 2, Pp 112-116 (2023)
Druh dokumentu: article
ISSN: 0970-2113
0974-598X
DOI: 10.4103/lungindia.lungindia_417_22
Popis: Objectives: In daily practice, we encounter with obstructive sleep apnoea syndrome (OSAS) patients who require different levels of positive airway pressure (PAP) despite having a similar apnoea-hypopnea index (AHI). We aimed to determine the parameters contributing to the determination of the therapeutic level of PAP. Methods: Data on 548 patients who underwent polysomnography and PAP titration were analysed retrospectively. Patients were divided into groups according to OSAS severity (mild, moderate, and severe) and the mean pressure in each group was determined, after which patients were further divided into those who required a PAP below the mean and those who required a PAP above the mean. Results: The mean optimal PAP level in the mild, moderate, and severe OSAS groups was 7.4 ± 2.3, 8.6 ± 2.4, and 9.8 ± 2.9 cm H2O, respectively. In the moderate and severe OSAS group, the subgroup that needed high pressure had a higher supine AHI, a longer apnoea time, and a longer SaO2
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