Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning

Sleep

Volumn 30, Issue 6, 2007, Pages 711-719

  Weaver, Terri E ^a,g   Maislin, Greg ^a   Dinges, David F ^a   Bloxham, Thomas ^b   George, Charles F P ^c   Greenberg, Harly ^d   Kader, Gihan ^b   Mahowald, Mark ^e   Younger, Joel ^f   Pack, Allan I ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b Sleep Medicine Center of Kansas   (United States)

^c UNIVERSITY OF WESTERN ONTARIO   (Canada)

^d North Shore/Long Island Jewish Health System ^*  (United States)

^e HENNEPIN COUNTY MEDICAL CENTER   (United States)

^f Bon Secours Holy Family Regional Health System   (United States)

^g UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING   (United States)

Author keywords

Adherence; Alertness; CPAP; Daily functioning; Daytime sleepiness; Dose response; Nightly duration; Obstructive sleep apnea; Quality of life

Indexed keywords

ADULT; ALERTNESS; ARTICLE; CANADA; CLINICAL TRIAL; EPWORTH SLEEPINESS SCALE; FEMALE; FUNCTIONAL ASSESSMENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; NIGHT SLEEP; PATIENT COMPLIANCE; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; QUALITY OF LIFE; QUESTIONNAIRE; SLEEP APNEA SYNDROME; UNITED STATES;

EID: 34249814318     PISSN: 01618105     EISSN: None     Source Type: Journal    
DOI: 10.1093/sleep/30.6.711     Document Type: Article

References (39)

1. Gay P, Weaver T, Loube D, Iber C. Evaluation of positive airway pressure treatment for sleep-related breathing disorders in adults. Sleep 2006;29:381-401.
2. Kribbs NB, Pack AI, Kline LR, et al. Effects of one night without nasal CPAP treatment on sleep and sleepiness in patients with obstructive sleep apnea. Am Rev Respir Dis 1993;147:1162-8.
3. Grunstein RR, Stewart DA, Lloyd H, Akinci M, Cheng N, Sullivan CE. Acute withdrawal of nasal CPAP in obstructive sleep apnea does not cause a rise in stress hormones. Sleep 1996;19:774-82.
4. Fiz JA, Abad J, Ruiz J, Riera M, Izquierdo J, Morera J. nCPAP treatment interruption in OSA patients. Respir Med 1998;92:28-31.
5. Weaver TE, Kribbs NB, Pack AI, et al. Night-to-night variability in CPAP use over the first three months of treatment. Sleep 1997;20:278-83.
6. Kribbs NB, Pack AI, Kline LR, et al. Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis 1993;147:887-95.
7. Sin DD, Mayers I, Man GC, Ghahary A, Pawluk L. Can continuous positive airway pressure therapy improve the general health status of patients with obstructive sleep apnea?: a clinical effectiveness study. Chest 2002;122:1679-85.
8. Rosenthal L, Gerhardstein R, Lumley A, et al. CPAP therapy in patients with mild OSA: implementation and treatment outcome. Sleep Med 2000;1:215-20.
9. Van Dongen HP, Maislin G, Dinges DF. Dealing with inter-individual differences in the temporal dynamics of fatigue and performance: importance and techniques. Aviat Space Environ Med 2004;75(3 Suppl):A147-54.
10. Johns MW. Sensitivity and specificity of the multiple sleep latency test (MSLT), the maintenance of wakefulness test and the Epworth sleepiness scale: failure of the MSLT as a gold standard. J Sleep Res 2000;9:5-11.
11. Carskadon MA, Dement WC, Mitler MM, Roth T, Westbrook PR, Keenan S. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep 1986;9:519-24.
12. Weaver TE, Laizner AM, Evans LK, et al. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep 1997;20:835-43.
13. Practice parameters for the indications for polysomnography and related procedures. Polysomnography Task Force, American Sleep Disorders Association Standards of Practice Committee. Sleep 1997;20:406-22.
14. Rechtschaffen A, Kales A. A Manuel of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects UCLA, Los Angeles: Brain Information Service/Brain Research Institute; 1968.
15. Ayappa I, Norman RG, Krieger AC, Rosen A, O'Malley R L, Rapoport DM. Non-invasive detection of respiratory effort-related arousals (Reras) by a nasal cannula/pressure transducer system. Sleep 2000;23:763-71.
16. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22:667-89.
17. Carskadon MA, Dement WC. The multiple sleep latency test: what does it measure? Sleep 1982;5(Suppl 2):S67-72.
18. Vieth E. Fitting piecewise linear regression functions to biologicial responses. J. Appl. Physiol 1989;67:390-6.
19. Finney M. Probit analysis: A statistical treatment of the sigmoid response curve Cambridge: University Press; 1947.
20. Engleman HM, Martin SE, Deary IJ, Douglas NJ. Effect of CPAP therapy on daytime function in patients with mild sleep apnoea/hypopnoea syndrome. Thorax 1997;52:114-9.
21. Stradling JR, Davies RJ. Is more NCPAP better? Sleep 2000;23 Suppl 4:S150-3.
22. Campos-Rodriguez F, Pena-Grinan N, Reyes-Nunez N, et al. Mortality in obstructive sleep apnea-hypopnea patients treated with positive airway pressure. Chest 2005;128:624-33.
23. Zimmerman ME, Arnedt JT, Stanchina M, Millman RP, Aloia MS. Normalization of memory performance and positive airway pressure adherence in memory-impaired patients with obstructive sleep apnea. Chest 2006;130:1772-8.
24. Van Dongen HP, Maislin G, Mullington JM, Dinges DF. The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep 2003;26:117-26.
25. Belenky G, Wesensten NJ, Thome DR, et al. Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: a sleep dose-response study. J Sleep Res 2003;12:1-12.
26. Engleman HM, Wild MR. Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SAHS). Sleep Med Rev 2003;7:81-99.
27. Pack AI, Black JE, Schwartz JR, Matheson JK. Modafinil as adjunct therapy for daytime sleepiness in obstructive sleep apnea. Am J Respir Crit Care Med 2001;164:1675-81.
28. Bedard MA, Montplaisir J, Malo J, Richer F, Rouleau I. Persistent neuropsychological deficits and vigilance impairment in sleep apnea syndrome after treatment with continuous positive airways pressure (CPAP). J Clin Exp Neuropsychol 1993;15:330-41.
29. Sforza E, Krieger J. Daytime sleepiness after long-term continuous positive airway pressure (CPAP) treatment in obstructive sleep apnea syndrome. J Neurol Sci 1992;110:21-6.
30. Lamphere J, Roehrs T, Wittig R, Zorick F, Conway WA, Roth T. Recovery of alertness after CPAP in apnea. Chest 1989;96:1364-7.
31. Dinges DF, Weaver TE. Effects of modafinil on sustained attention performance and quality of life in OSA patients with residual sleepiness while being treated with nCPAP. Sleep Med 2003;4:393-402.
32. Chugh DK, Weaver TE, Dinges DF. Neurobehavioral consequences of arousals. Sleep 1996;19(10 Suppl):S198-201.
33. Vgontzas AN, Bixler EO, Tan TL, Kantner D, Martin LF, Kales A. Obesity without sleep apnea is associated with daytime sleepiness. Arch Intern Med 1998;158:1333-7.
34. Vgontzas AN, Papanicolaou DA, Bixler EO, et al. Sleep apnea and daytime sleepiness and fatigue: relation to visceral obesity, insulin resistance, and hypercytokinemia. J Clin Endocrinol Metab 2000;85:1151-8.
35. Vgontzas AN, Papanicolaou DA, Bixler EO, Kales A, Tyson K, Chrousos GP. Elevation of plasma cytokines in disorders of excessive daytime sleepiness: role of sleep disturbance and obesity. J Clin Endocrinol Metab 1997;82:1313-6.
36. Veasey SC, Davis CW, Fenik P, et al. Long-term intermittent hypoxia in mice: protracted hypersomnolence with oxidative injury to sleep-wake brain regions. Sleep 2004;27:194-201.
37. Macey PM, Henderson LA, Macey KE, et al. Brain morphology associated with obstructive sleep apnea. Am J Respir Crit Care Med 2002;166:1382-7.
38. Macey PM, Macey KE, Henderson LA, et al. Functional magnetic resonance imaging responses to expiratory loading in obstructive sleep apnea. Respir Physiol Neurobiol 2003;138:275-90.
39. Patel SR, White DP, Malhotra A, Stanchina ML, Ayas NT. Continuous positive airway pressure therapy for treating sleepiness in a diverse population with obstructive sleep apnea: results of a meta-analysis. Arch Intern Med 2003;163:565-71.