Evidence map›Paper›PMID 36753005›Full record

Observational studySleep & breathing = Schlaf & Atmung2023

Drug-induced sleep endoscopy-continuous positive airway pressure (DISE-CPAP), a newer modality to choose the right candidates for CPAP.

Arun Raj, Sandeep Bansal, Sahajal Dhooria, Divya Jain, Ramandeep S Virk, Naresh Kumar Panda

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. DISE with CPAP: a useful procedure to evaluate upper airway collapsibility.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Observational
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

6 authors at 1 institution in 1 country.

Arun RajDepartment of Otolaryngology, Head and Neck Surgery, Postgraduate Institute of Medical Education & Research (PGIMER), Sector 12, Chandigarh, India.ORCID 0000-0002-2500-4345
Sandeep BansalDepartment of Otolaryngology, Head and Neck Surgery, Postgraduate Institute of Medical Education & Research (PGIMER), Sector 12, Chandigarh, India. drsandeepb@rediffmail.com.ORCID 0000-0001-5840-0507
Sahajal DhooriaDepartment of Pulmonology, PGIMER, Chandigarh, India.
Divya JainDepartment of Anesthesia and Critical Care, PGIMER, Chandigarh, India.
Ramandeep S VirkDepartment of Otolaryngology, Head and Neck Surgery, Postgraduate Institute of Medical Education & Research (PGIMER), Sector 12, Chandigarh, India.
Naresh Kumar PandaDepartment of Otolaryngology, Head and Neck Surgery, Postgraduate Institute of Medical Education & Research (PGIMER), Sector 12, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuous positive airway pressure (CPAP) therapy is recommended for moderate-to-severe obstructive sleep apnea (OSA). We aimed to investigate whether or not combining drug-induced sleep endoscopy (DISE) with CPAP titration may inform more appropriate pressure settings. MATERIALS AND

methodsA sleep CPAP titration study and DISE-CPAP treatment were performed on consecutive subjects with moderate-to-severe OSA under controlled sedation using bispectral monitoring. Video recordings of dynamic changes in UA with CPAP pressure ranges of 5 to 25 cm were assessed in accordance with the VOTE classification. The 95th percentile (95th PC) pressure of the CPAP titration trial was compared to optimal pressure for alleviating UA blockage.

resultsWe included 30 subjects (mean age 37.5, 17% women). All showed UA collapse at more than one level, with more than 80% of them collapsing completely at the levels of the velum and oropharynx. At the velum, 90% of subjects experienced improvement with CPAP. At the oropharynx, 75% of subjects experienced improvement with CPAP. The mean pressure and standard deviation (SD) of the 95th PC of the CPAP titration was 14.3 (3.5) cmH

conclusionsThe palate and lateral pharynx were more affected by CPAP than the hypopharynx. Most of the time, the mean 95th PC CPAP titration pressure was lower than the mean optimal pressure needed to alleviate the collapse.

Indexed as

Continuous Positive Airway PressureSleep Apnea, ObstructiveAdultEndoscopyFemaleHumansMalePolysomnographyProspective StudiesSleepApneaCPAPDISEObstructiveTitration

Identifiers

PMID36753005
OpenAlexW4319458555

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.