| Nonattended home automated continuous positive airway pressure titration: comparison with polysomnography. | |
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MedLine Citation:
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PMID: 12646837 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Automatic adjusting nasal continuous positive airway pressure titration (APAP) has been introduced as an alternative method of establishing pressures for patients with sleep apnea. The performance and accuracy of APAP in nonattended home environment are controversial. This study assessed APAP polysomnographic outcomes and accuracy in a nonattended home environment. STUDY DESIGN AND SETTING: We conducted a retrospective consecutive case series of 24 consecutive patients who had nonattended APAP and simultaneous full polysomnography (PSG). RESULTS: APAP was tolerated and reduced obstructive Apnea-Hypopnea Index (AHI) to <10 events/h in all patients. Mean AHI decreased from 38.4 (21.2) to 5.9 (6.6) events/h. Central apneas worsened in one patient. A therapeutic pressure was determined in 91% of patients. Autoset accurately measured residual AHI compared with PSG (R = 0.77, P < 0.001). APAP overestimated the AHI by 1.4 events/h. CONCLUSIONS: Nonattended APAP is successful in many patients in determining a therapeutic positive pressure setting. Reported AHI via Autoset is similar to that of PSG. SIGNIFICANCE: APAP reduces AHI and is tolerated in a nonattended environment. |
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Authors:
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B Tucker Woodson; Adrian Saurejan; Laura T Brusky; Joseph K Han |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 128 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2003 Mar |
Date Detail:
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Created Date: 2003-03-20 Completed Date: 2003-04-10 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 353-7 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milkaukee 53226, USA. bwoodson@mcw.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Automation Female Humans Male Middle Aged Polysomnography Positive-Pressure Respiration / methods* Retrospective Studies Sleep Apnea, Obstructive / therapy* |
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