Continuous positive airway pressure titration for obstructive sleep apnoea: Automatic versus manual titration

Thorax

Volumn 65, Issue 7, 2010, Pages 606-611

  McArdle, Nigel ^a   Singh, Bhajan ^b   Murphy, Michelle ^b   Gain, Kevin R ^a   Maguire, Christine ^b   Mutch, Sarah ^b   Hillman, David R ^b  

^a UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^b SIR CHARLES GAIRDNER HOSPITAL   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; APNEA HYPOPNEA INDEX; ARTICLE; AUTOMATIC POSITIVE AIRWAY PRESSURE; CLINICAL PROTOCOL; COMPARATIVE STUDY; CONTROLLED STUDY; COST BENEFIT ANALYSIS; DISEASE SEVERITY; EPWORTH SLEEPINESS SCALE; FEMALE; HEALTH CARE COST; HEART RATE; HOME CARE; HUMAN; MAJOR CLINICAL STUDY; MALE; MANUAL LABORATORY CONTINUOUS POSITIVE AIRWAY PRESSURE; OUTCOME ASSESSMENT; PATIENT COMPLIANCE; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; QUALITY OF LIFE; SHORT FORM 36; SLEEP APNEA SYNDROME; STANDARD; TITRIMETRY; TREATMENT DURATION; BLOOD PRESSURE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; ECONOMICS; HOSPITALIZATION; METHODOLOGY; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; POLYSOMNOGRAPHY; RANDOMIZED CONTROLLED TRIAL; STATISTICS; TREATMENT OUTCOME;

ADULT; BLOOD PRESSURE; CONTINUOUS POSITIVE AIRWAY PRESSURE; FEMALE; HEALTH CARE COSTS; HEART RATE; HUMANS; MALE; MIDDLE AGED; PATIENT COMPLIANCE; POLYSOMNOGRAPHY; SEVERITY OF ILLNESS INDEX; SLEEP APNEA, OBSTRUCTIVE; TREATMENT OUTCOME;

EID: 77955283207     PISSN: 00406376     EISSN: 14683296     Source Type: Journal    
DOI: 10.1136/thx.2009.116756     Document Type: Article

References (24)

1. Young T, Palta M, Dempsey J, et al. The occurence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328:1230-5. (Pubitemid 23115702)
2. Ellen RL, Marshall SC, Palayew M, et al. Systematic review of motor vehicle crash risk in persons with sleep apnea. J Clin Sleep Med 2006;2:193-200. (Pubitemid 43893272)
3. Marin JM, Carrizo SJ, Vicente E, et al. Long-term cardiovascular outcomes in men with obstructive sleep apnoea - hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 2005;365:1046-53. (Pubitemid 40386782)
4. Morgenthaler TI, Aurora RN, Brown T, et al. Practice parameters for the use of autotitrating continuous positive airway pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome: an update for 2007. An American Academy of Sleep Medicine report. Sleep 2008;31:141-7.
5. Masa JF, Jimenez A, Duran J, et al. Alternative methods of titrating continuous positive airway pressure: a large multicenter study. Am J Respir Crit Care Med 2004;170:1218-24. (Pubitemid 39577381)
6. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991;14:540-5.
7. 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.
8. Rechtschaffen A, Kales A. A manual of standardized terminology and scoring system for sleep stages of human subjects. Washinton, DC: U.S.government printing office, NIH Publication No.204, 1968.
9. Montserrat JM, Ballester E, Olivi H, et al. Time-course of stepwise CPAP titration. Behavior of respiratory and neurological variables. Am J Respir Crit Care Med 1995;152:1854-9.
10. Condos R, Norman RG, Krishnasamy I, et al. Flow limitation as a noninvasive assessment of residual upper-airway resistance during continuous positive airway pressure therapy of obstructive sleep apnea. Am J Respir Crit Care Med 1994;150:475-80. (Pubitemid 24979676)
11. Jenkinson C, Coulter A, Wright L. Short form 36 (SF 36) health survey questionnaire: normative data for adults of working age. BMJ 1993;306:1437-40. (Pubitemid 23154745)
12. Reitan RM. Validity of the trail making test as an indicator or organic brain damage. Percept Motor Skills 1958;8:271-6.
13. The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med 1997;157:2413-46.
14. Mattu GS, Heran BS, Wright JM. Overall accuracy of the BpTRU - dan automated electronic blood pressure device. Blood Press Monit 2004;9:47-52.
15. Altman DG. Statistics and ethics in medical research: III How large a sample? BMJ 1980;281:1336-8.
16. Massie CA, McArdle N, Hart RW, et al. Comparison between automatic and fixed positive airway pressure therapy in the home. Am J Respir Crit Care Med 2003;167:20-3. (Pubitemid 36015912)
17. Hoy CJ, Vennelle M, Kingshott RN, et al. Can intensive support improve continuous positive airway pressure use in patients with the sleep apnea/hypopnea syndrome? Am J Respir Crit Care Med 1999;159:1096-100.
18. Means MK, Edinger JD, Husain AM. CPAP compliance in sleep apnea patients with and without laboratory CPAP titration. Sleep Breath 2004;8:7-14. (Pubitemid 38489447)
19. Cross MD, Vennelle M, Engleman HM, et al. Comparison of CPAP titration at home or the sleep laboratory in the sleep apnea hypopnea syndrome. Sleep 2006;29:1451-5. (Pubitemid 44764671)
20. Coy TV, Dimsdale JE, Ancoli-Israel S, et al. Sleep apnoea and sympathetic nervous system activity: a review. J Sleep Res 1996;5:42-50.
21. Cook S, Togni M, Schaub MC, et al. High heart rate: a cardiovascular risk factor? Eur Heart J 2006;27:2387-93.
22. Planes C, D'Ortho MP, Foucher A, et al. Efficacy and cost of home-initiated auto-nCPAP versus conventional nCPAP. Sleep 2003;26:156-60.
23. McArdle N, Devereux G, Heidarnejad H, et al. Long-term use of CPAP therapy for sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 1999;159:1108-14.
24. 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.