Evidence map›Paper›PMID 40493304›Full record

SynthesisSleep & breathing = Schlaf & Atmung2025

Continuous positive airway pressure treatment for sleep apnea in elderly patients systematic review and meta-analysis.

Forogh Soltaninejad, Reyhaneh Golastaneh, Parham Izadi Ghahfarokhi, Mehrzad Salmasi, Babak Amra

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
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

5 authors.

Forogh SoltaninejadBamdad respiratory and Sleep Research Center, Department of Internal Medicine, Pulmonary and Sleep Ward, Isfahan university of Medical Sciences, Isfahan, Iran.ORCID 0000-0002-4409-5836
Reyhaneh GolastanehDepartment of Internal Medicine, Isfahan university of medical sciences, Isfahan, Islamic Republic of Iran.ORCID 0009-0008-5212-4095
Parham Izadi GhahfarokhiDepartment of Electrical and Computer Engineering, Isfahan University of Technology, Isfahan, Iran.ORCID 0009-0004-3173-5912
Mehrzad SalmasiBamdad respiratory and Sleep Research Center, Department of Internal Medicine, Pulmonary and Sleep Ward, Isfahan university of Medical Sciences, Isfahan, Iran. mehrzad_salmasi@yahoo.com.ORCID 0000-0003-2643-7262
Babak AmraBamdad respiratory and Sleep Research Center, Department of Internal Medicine, Pulmonary and Sleep Ward, Isfahan university of Medical Sciences, Isfahan, Iran.ORCID 0000-0001-9606-7434

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to review the literature of the last 10 years (published in 2015-2024), in order to evaluate the effect of continuous positive airway pressure (CPAP) treatment on obstructive sleep apnea (OSA) among the elderly. STUDY DESIGN AND

methodsWe conducted a meta-analysis of studies evaluating CPAP vs. usual care in patients more than 65 years with moderate to severe OSA. Our outcomes were changes in ESS (Epworth Sleepiness Scale), neurocognitive tests, Sleep-related Quality of Life (QSQ), and mortality.

resultsWe identified 229 studies from various databases, including 13 with 14,880 participants in our analysis. CPAP significantly was associated with improvement of sleepiness, anxiety and depression according to the effect size of -2.92, 0.2 and 0.35 respectively (CI: -3.82 to -2.03, 0.02 to 0.38, 0.03 to 0.67). The digit span and digit symbol were improved in the CPAP group by the small effect size of 0.19 and 0.24 respectively. (CI: 0.01 to 0.36, 0.06 to 0.41). Also mortality and diurnal symptoms were reduced with the moderate effect size of 0.64 and 0.61 respectively in the CPAP group. (CI: 0.52 to 0.75, 0.42 to 0.79).

conclusionCPAP significantly impacts daytime sleepiness, sleep-related quality of life, cognitive functions, and mortality in elderly individuals. Benefits are particularly evident in consistent users over four hours, especially regarding daytime sleepiness. Larger, well-structured randomized controlled trials involving compliant patients are crucial to provide robust evidence on CPAP effects in elderly populations, considering age-related comorbidities, cognitive performance, and neuropsychological issues.

Indexed as

Continuous Positive Airway PressureSleep Apnea, ObstructiveAgedAged, 80 and overHumansQuality of LifeAgedContinuous positive airway pressureCPAP ventilationObstructive sleep apnea syndrome

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.