Evidence map›Paper›PMID 42499320›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

Comparisons of Continuous Positive Airway Pressures Determined by Conventional Manual Titration in a Sleep Center, During Sleep Endoscopy, and Auto-Titration at Home.

Yi-Chih Huang, Chou-Chin Lan, Wen-Lin Su, Ian-Jiun Kuo, I-Shiang Tzeng, Mei-Chen Yang

Abstract readComparative Study
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yi-Chih HuangDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan.
Chou-Chin LanDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan.
Wen-Lin SuDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan.ORCID 0000-0002-9065-2058
Ian-Jiun KuoSchool of Medicine, Tzu Chi University, Hualien, Taiwan.
I-Shiang TzengDepartment of Research, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan.
Mei-Chen YangDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan.ORCID 0000-0002-6503-5189

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceDrug-induced sleep endoscopy (DISE) could be valuable to determine an appropriate therapeutic pressure for obstructive sleep apnea (OSA).

objectiveThe continuous positive airway pressure (CPAP) determined by DISE was regarded as equal to the conventional titrating pressure. There is no study comparing the DISE-titrating pressure and the home-based automatic CPAP (APAP) titrating pressure. This study compared the DISE-titrating pressure, conventional titrating pressure, and home-based APAP titrating pressure.

designRetrospective comparative cohort study.

settingThis study was conducted in a single medical center in Taiwan.

participantsA total of 59 participants with OSA who had 3 titrating pressures determined by DISE, conventional titration and home-based APAP titration were analyzed.Interventions or Exposures:Therapeutic CPAP pressure was determined by 3 methods: DISE, conventional titration, and home-based APAP titration.

main outcome measuresHome-based APAP titrating pressure was determined as 90% to 95% of APAP used at home for 2 weeks. The DISE-titrating pressure was determined manually based on direct visualization of upper airway patency during DISE examination. The conventional titrating pressure was determined manually under polysomnography (PSG) guidance in a sleep center. The correlation and difference between these 3 pressures were analyzed.

resultsThe home-based APAP titrating pressure, conventional titrating pressure, and DISE-titrating pressure were 8.8, 8.1, and 8.2 cmH

conclusionsDISE could help provide a therapeutic CPAP pressure similar to the conventional titrating pressure in sleep center and APAP titrating pressure at home. RELEVANCE: DISE could be a valuable alternative titrating method, especially in countries where PSG is expensive, time-consuming and difficult to access, and could facilitate earlier and more effective management of patients with OSA.

Indexed as

Continuous Positive Airway PressureEndoscopySleep Apnea, ObstructiveAdultFemaleHome Care ServicesHumansMaleMiddle AgedPolysomnographyRetrospective StudiesTaiwanauto-titration pressurecontinuous positive airway pressuredrug-induced sleep endoscopyobstructive sleep apnea

Identifiers

PMID42499320
PMCPMC13401639

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