Evaluation of autoCPAP devices in home treatment of sleep apnea/hypopnea syndrome

Meurice, J.-C.; Cornette, A.; Philip-Joët, F.; Pépin, Jean; Escourrou, P.; Ingrand, Pierre; Veale, D

doi:10.1016/j.sleep.2007.03.019

Cited by 42 publications

(24 citation statements)

References 23 publications

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“…Some of these systems can also provide information about the residual apneas or hypopneas while patients are on CPAP (i.e., automated CPAP) ( Figure 1B) [36,37] . Although treatment with automated CPAP improves patient satisfaction and compliance in a subset of patients with obstructive sleep apnea (OSA), the routine use of automated CPAP for OSA treatment provides limited benefit [38][39][40] . Furthermore, although Figure 1 Effects of positive airway pressure on hemodynamics.…”

Section: Cpapmentioning

confidence: 99%

Positive airway pressure therapy for heart failure

Kato

Suda

Kasai

2014

WJC

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Section: Cpapmentioning

confidence: 99%

Positive airway pressure therapy for heart failure

Kato

Suda

Kasai

2014

WJC

View full text Add to dashboard Cite

“…Meurice et al ont montré que ces deux modes de ventilation étaient équiva-lents en matière d'acceptance à long terme du traitement à domicile du SAHOS sévère [22].…”

Section: Odds Ratio Punclassified

Évaluation de l’observance et de l’acceptation du traitement du syndrome d’apnées obstructives du sommeil par pression positive continue. Étude prospective de 72 patients appareillés entre 2004 et 2007

Ahmed

Slama

Hayouni

et al. 2009

Revue de Pneumologie Clinique

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“…Despite differences in the mean CPAP, pressure delivered by the different devices, there clinically no significant differences over the 6-month treatment period. This study, however, was not adequately powered to prove equivalence but raises interesting questions concerning the clinical significance of small differences in therapeutic pressure administered (37). …”

Section: Scientific Evidencementioning

confidence: 99%

“…A study (total n=83) comparing PSG-derived CPAP and four different APAP devices administered to patients with severe OSA over a 6-month time period revealed no differences in adherence, clinical symptoms, or HR-QOL (37). Despite differences in the mean CPAP, pressure delivered by the different devices, there clinically no significant differences over the 6-month treatment period.…”

Section: Scientific Evidencementioning

confidence: 99%

APAP and Alternative Titration Methods

Ahmed

Parthasarathy

2010

Sleep Medicine Clinics

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Purpose of review-Positive airway pressure therapy (PAP) is commonly prescribed treatment for obstructive sleep apnea (OSA). Traditionally, the determination of the optimal pressure for treatment of sleep-disordered breathing was made by manual titration of the device by a sleep technician in attendance during polysomnography. However, the advent of alternative methods for determination of optimal PAP -such as auto-titrating PAP (APAP) -has seen tremendous growth over the past decade. The purpose of this review is to improve our understanding of the currently available alternative methods for titration of PAP in patients with sleep-disordered breathing (SDB) with special emphasis on obstructive sleep apnea.Recent Findings-Recent prospective-randomized studies of alternative methods of titration suggest that pressure determinations made by such devices are comparable to traditional manual titrations made in the sleep laboratory. Obstacles to the adoption of such alternative modes of titration into day-to-day practice may be attributable to issues surrounding appropriate patient selection, differences between devices, re-imbursement policies of third party payors, consensus amongst sleep experts, and individual physicians' practice patterns and volumes. While newer generations and types of auto-titrating PAP devices are entering the sleep field constantly, providers' knowledge and time availability remain limiting factors.Summary-There is tremendous growth in the technology and scientific evidence in support of alternative modes of PAP titration for sleep-disordered breathing, but barriers to implementation remain.

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Evaluation of autoCPAP devices in home treatment of sleep apnea/hypopnea syndrome

Cited by 42 publications

References 23 publications

Positive airway pressure therapy for heart failure

Positive airway pressure therapy for heart failure

Évaluation de l’observance et de l’acceptation du traitement du syndrome d’apnées obstructives du sommeil par pression positive continue. Étude prospective de 72 patients appareillés entre 2004 et 2007

APAP and Alternative Titration Methods

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