Evidence map›Paper›PMID 32974833›Full record

ArticleSleep & breathing = Schlaf & Atmung2021

A CPAP data-based algorithm for automatic early prediction of therapy adherence.

AbdelKebir Sabil, Marc Le Vaillant, Christy Stitt, François Goupil, Thierry Pigeanne, Laurene Leclair-Visonneau, Philippe Masson, Acya Bizieux-Thaminy, Marie-Pierre Humeau, Nicole Meslier and 1 more

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Article in Sleep & breathing = Schlaf & Atmung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

AbdelKebir SabilClinical Research, Philips Respironics, Paris, France. kebir.sabil@cloudsleeplab.com.ORCID http://orcid.org/0000-0002-8966-5441
Marc Le VaillantPays de le Loire Respiratory Health Research Institute (IRSR-PL), Angers, France.
Christy StittPhilips Respironics, Murrysville, PA, USA.
François GoupilDepartment of Respiratory Diseases, Le Mans General Hospital, Le Mans, France.
Thierry PigeanneRespiratory Unit, Pôle santé des Olonnes, Olonne-sur-Mer, France.
Laurene Leclair-VisonneauDepartment of Physiology and Sleep Medicine, Nantes University Hospital, Nantes, France.
Philippe MassonDepartment of Respiratory Diseases, Cholet General Hospital, Cholet, France.
Acya Bizieux-ThaminyDepartment of Respiratory Diseases, La Roche sur Yon General Hospital, La Roche-sur-Yon, France.
Marie-Pierre HumeauRespiratory Unit, Nouvelles Cliniques Nantaises, Nantes, France.
Nicole MeslierDepartment of Respiratory and Sleep Medicine, University Hospital of Angers, INSERM Unit 1063, University of Angers, Angers, France.
Frédéric GagnadouxDepartment of Respiratory and Sleep Medicine, University Hospital of Angers, INSERM Unit 1063, University of Angers, Angers, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAdherence is a critical issue in the treatment of obstructive sleep apnea with continuous positive airway pressure (CPAP). Approximately 40% of patients treated with CPAP are at risk of discontinuation or insufficient use (< 4 h/night). Assuming that the first few days on CPAP are critical for continued treatment, we tested the predictive value at day 14 (D14) of the Philips Adherence Profiler™ (AP) algorithm for adherence at 3 months (D90).

methodThe AP™ algorithm uses CPAP machine data hosted in the database of EncoreAnywhere™. This retrospective study involved 457 patients (66% men, 60.0 ± 11.9 years; BMI = 31.2 ± 5.9 kg/m

resultsIn a univariate analysis, the factors significantly associated with CPAP adherence at D90 were older age, lower BMI, CPAP adherence (≥ 4 h/night) at D14, and AP™ prediction at D14. In a multivariate analysis, only older age (OR 2.10 [1.29-3.41], p = 0.003) and the AP™ prediction at D14 (OR 16.99 [7.26-39.75], p < 0.0001) were significant predictors. CPAP adherence at D90 was not associated with device-derived residual events, nor with the levels of pressure or leakage except in the case of very significant leakage when it persisted for 90 days.

conclusionAutomatic telemonitoring algorithms are relevant tools for early prediction of CPAP therapy adherence and may make it possible to focus therapeutic follow-up efforts on patients who are at risk of non-adherence.

Indexed as

AlgorithmsContinuous Positive Airway PressureAgedFemaleHumansMaleMiddle AgedPatient ComplianceRetrospective StudiesSleep Apnea, ObstructiveAdherence prediction algorithmCPAP machine data analysisObstructive sleep apneaRetrospective study

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.