CPAP treatment of a population-based sample—what are the benefits and the treatment compliance?

Lindberg, Eva; Berne, Christian; Elmasry, Ahmed; Hedner, Jan; Janson, Christer

doi:10.1016/j.sleep.2005.12.010

Cited by 132 publications

(86 citation statements)

References 34 publications

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“…Compliance with CPAP has been reported to be poor, ranging from 50 to 80 % [222]. However, patients prescribed CPAP habitually should continue their treatment in the postoperative period since it decreases complication rates [223].…”

Section: B) Obese Patients With Osamentioning

confidence: 99%

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

et al. 2016

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Background During the last two decades, an increasing number of bariatric surgical procedures have been performed worldwide. There is no consensus regarding optimal perioperative care in bariatric surgery. This review aims to present such a consensus and to provide graded recommendations for elements in an evidence-based ''enhanced'' perioperative protocol. Methods The English-language literature between January 1966 and January 2015 was searched, with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohort studies. Selected studies were examined, reviewed and graded. After critical appraisal of these studies, the group of authors reached a consensus recommendation. Results Although for some elements, recommendations are extrapolated from non-bariatric settings (mainly colorectal), most recommendations are based on good-quality trials or meta-analyses of good-quality trials. Conclusions A comprehensive evidence-based consensus was reached and is presented in this review by the enhanced recovery after surgery (ERAS) Society. The guidelines were endorsed by the International Association for Surgical Metabolism and Nutrition (IASMEN) and based on the evidence available in the literature for each of the elements of the multimodal perioperative care pathway for patients undergoing bariatric surgery.

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Section: B) Obese Patients With Osamentioning

confidence: 99%

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

et al. 2016

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“…Our study is aimed at developing a screening tool for OSA syndrome, in order to discriminate OSA Positive patients, who will benefit from respiratory therapies like continuous positive airway pressure (CPAP). CPAP is currently the most widely used treatment for severe OSA (Lindberg et al 2006, Marshall et al 2006. Nevertheless, whether CPAP reduces sleepiness in subjects with mild to moderate OSA syndrome (AHI between 5 and 30 e/h) is not proven (Marshall et al 2006, Gay et al 2006.…”

Section: Discussionmentioning

confidence: 99%

Nonlinear measure of synchrony between blood oxygen saturation and heart rate from nocturnal pulse oximetry in obstructive sleep apnoea syndrome

Álvarez¹,

Hornero²,

Abásolo³

et al. 2009

Physiol. Meas.

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This study focuses on the analysis of the relationship between changes in blood oxygen saturation (SaO 2 ) and heart rate (HR) recordings from nocturnal pulse oximetry (NPO) in patients suspected of suffering from obstructive sleep apnoea (OSA) syndrome. Two different analyses were developed: a classical frequency analysis based on the magnitude squared coherence (MSC) and a nonlinear analysis by means of a recently developed measure of synchrony, the cross approximate entropy (cross-ApEn). A data set of 187 subjects was studied. We found significantly higher correlation and synchrony between oximetry signals from OSA Positive patients compared with OSA Negative subjects. We assessed the diagnostic ability to detect OSA syndrome of both the classical and nonlinear approaches by means of receiver operating characteristic (ROC) analyses with ten-fold cross-validation. The nonlinear measure of synchrony significantly improved the results obtained with classical MSC: 69.2% sensitivity, 90.9% specificity and 78.1% accuracy were reached with MSC, whereas 83.7% sensitivity, 84.3% specificity and 84.0% accuracy were obtained with cross-ApEn. Our results suggest that the use of nonlinear measures of synchrony could provide essential information from oximetry signals, which cannot be obtained with classical spectral analysis.

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“…3 mo Decrease in HBA1c was seen with CPAP therapy + Lindberg et al [44] OSA patients 28 Matched control without OSA HOMA and fasting insulin 6 mo Decrease in insulin resistance and fasting insulin + West et al [45] Type 2 diabetes and OSA [48] Type 2 diabetes and OSA 30 None HOMA 7 d Improve ISI + effects on adipocytes, including inflammatory activation, transcription of genes regulated by the hypoxia inducible factor-1 and endoplasmic reticulum stress [19,20] . Adiponectin is an important adipokine with protective effects against insulin resistance.…”

Section: Observationmentioning

confidence: 99%

Effect of continuous positive airway pressure therapy on glucose control

Surani¹

2012

WJD

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Obstructive sleep apnea (OSA) and diabetes mellitus are both highly prevalent disorders. There has been a recent recognition of an association between insulin resistance and sleep apnea. Continuous positive airway pressure (CPAP) has emerged as an effective therapy for treatment of OSA and has been shown to positively influence numerous pathophysiological factors that contribute to cardiovascular risk. There is emerging data that explores the influence of CPAP therapy, insulin sensitivity and glycemic control. In the current review, we examine this literature critically and formulate a synopsis that summarizes the current knowledge in this field.

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CPAP treatment of a population-based sample—what are the benefits and the treatment compliance?

Cited by 132 publications

References 34 publications

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

Nonlinear measure of synchrony between blood oxygen saturation and heart rate from nocturnal pulse oximetry in obstructive sleep apnoea syndrome

Effect of continuous positive airway pressure therapy on glucose control

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