Efficacy of Auto-PAP Titration in Obstructive Sleep Apnea: Single-center Experience

Unnithan, Amrutha S; Krishna, Gokul; Lakshmanan, Purushothaman

doi:10.4103/ijrc.ijrc_35_19

Cited by 2 publications

(4 citation statements)

References 13 publications

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“…Recently, several studies, especially after the COVID-19 pandemic, assessed the efficacy of alternative titration modalities by comparing the standard method with the same alternative methods used in our study and reported near-similar results or compared it with other methods. 18,[21][22][23][24] Demographic and resource features of our region make it very difficult to use self-adjusting home therapeutic strategies as a calibration or therapeutic option.…”

Section: Discussionmentioning

confidence: 99%

Different Continuous Positive Airway Pressure Titration Modalities in Obstructive Sleep Apnea Syndrome Patients

Elshahaat¹,

Mahfouz²,

Elshora³

et al. 2021

IJGM

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Background: Patients with obstructive sleep apnea syndrome are mainly treated with continuous positive airway pressure. Polysomnography-guided full-night manual titration is the gold standard for continuous positive airway pressure titration, but it is cost-, time-, and effort-consuming. Alternative ways of titration are easier with less cost, time, and effort. In the era of the COVID-19 pandemic, the need to establish more safe strategies is increased. Aim: To choose a rapid, efficient, simple, and safe method with less effort and cost in the measurement of a suitable level of positive airway pressure in the management of obstructive sleep apnea syndrome. Methods: This study enrolled 48 adult patients who had been diagnosed with obstructive sleep apnea syndrome at our sleep unit and were candidates for treatment with continuous positive airway pressure according to AASM 2008 after exclusion of other sleep-related breathing disorders. All patients underwent both laboratory full-night manual titration and auto-titration (by Prisma20A of WEINMANN medical technology, Germany). Manual titration pressure and P95 of auto-titration were obtained and compared with calculated pressures by five predictive formulas (Miljeteig and Hoffstein, Sériès, Stradling, Loredo, and Lee). Results: Patients included in the study were 25 females (52.1%) and 23 males (47.9%) with a mean±SD of age of 49.98±10.36 years. Mean±SD of manual pressure was 10.44±2.49 cmH 2 O, P95 was 10.16±2.64 cmH 2 O, and calculated pressures by different equations were:

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Section: Discussionmentioning

confidence: 99%

Different Continuous Positive Airway Pressure Titration Modalities in Obstructive Sleep Apnea Syndrome Patients

Elshahaat¹,

Mahfouz²,

Elshora³

et al. 2021

IJGM

View full text Add to dashboard Cite

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“…In a secondary study, we looked at the relationships between the titration efficacy groups, age distribution, neck circumference, and body mass index (BMI). [ 1 ]…”

Section: Aterial and M Ethodsmentioning

confidence: 99%

“…It is a common disease that causes fragmentation of sleep and daytime weariness and drowsiness. [ 1 2 ] OSA lowers life’s quality, impairs function, and increases road traffic accident risk. Medically, OSA’s association with medical comorbidity, particularly cardiovascular comorbidity, is most intriguing.…”

Section: Introductionmentioning

confidence: 99%

“…This treatment works as a pneumatic support in the airway and retains it open. [ 1 ] Manual CPAP titration or auto-titration can both be used to determine the appropriate CPAP level for an individual. During the manual titration process, an attending clinician watches the patient’s sleep pattern and adjusts the CPAP level on a patient-by-patient basis.…”

Section: Introductionmentioning

confidence: 99%

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Auto-PAP Titration Efficacy in Obstructive Sleep Apnea: A Single-Center Experience

Gabhale,

Gupta,

Bagrecha

et al. 2024

Journal of Pharmacy and Bioallied Sciences

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Introduction: Obstructive sleep apnea, often known as OSA, is a sleep-related breathing disease that, if not treated, can lead to serious disabilities or even death. Continuous positive airway pressure (CPAP) is the therapy technique that is suggested for treating severe and moderate OSA. An auto/manual CPAP titration study can be used to determine the appropriate pressure that must be maintained to treat this condition. The motive of this research is to appraise the effectiveness among OSA patients for the auto-PAP titrations. Methodology: A cross-sectional clinical prospective study was conducted at the tertiary care center. Subjects who underwent auto-PAP titration and had a diagnosis of moderate and sever OSA were included. They were evaluated for the efficacy of auto-PAP titration and other demographic features and their association with the titration efficacy. The values were compared for statistical significance. Results: The findings of the study showed that fifty percent of the cohort showed optimal titration, forty percent showed good titration, ten percent showed suitable titration, and none fell into the unacceptable group. Conclusion: According to the findings, using auto-PAP was associated with positive results in those with moderate and severe OSA. There is evidence to suggest that unattended auto-PAP titration is a very successful technique that might be regarded as a substitute for attended CPAP titrations. This would result in a reduction in the amount of labor required and the price.

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Efficacy of Auto-PAP Titration in Obstructive Sleep Apnea: Single-center Experience

Cited by 2 publications

References 13 publications

Different Continuous Positive Airway Pressure Titration Modalities in Obstructive Sleep Apnea Syndrome Patients

Different Continuous Positive Airway Pressure Titration Modalities in Obstructive Sleep Apnea Syndrome Patients

Auto-PAP Titration Efficacy in Obstructive Sleep Apnea: A Single-Center Experience

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