PMID: 15250227Jul 15, 2004Paper

Comparison of conventional nighttime with automatic or manual daytime CPAP titration in unselected sleep apnea patients: study of the usefulness of daytime titration studies

Respiratory Medicine
P LloberesGabriel Sampol

Abstract

Daytime CPAP titration studies with full polysomnography have been successfully performed in patients with severe sleep apnea-hypopnea syndrome (SAHS). The implementation of daytime studies in unselected SAHS patients could help to reduce the waiting lists for CPAP titrations. The main purpose of this study was to compare the effectiveness of conventional versus manual or automatic daytime CPAP titration in unselected patients with SAHS. Ninety-three consecutive patients with SAHS in whom CPAP was indicated were assigned to conventional titration or to manual or automatic (AutoSet) daytime CPAP titration, after sleep deprivation. The number of valid studies, sleep architecture, final pressure selected and mean pressure in the different sleep stages were compared. Changes in sleepiness (Epworth sleepiness score) and hours of CPAP use were assessed after 3 months of treatment. Four patients did not sleep (3 AutoSet, 1 conventional daytime groups). Sleep latency was shorter during automatic daytime titration whereas REM latency was shorter in daytime studies; the percentage of sleep stages was similar during all types of titration. CPAP requirements were significantly higher during REM sleep in conventional and manual daytime titr...Continue Reading

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Citations

Jun 4, 2013·Sleep Medicine Reviews·Megan R CrawfordRon R Grunstein
Mar 5, 2009·Sleep & Breathing = Schlaf & Atmung·Ali El SolhRachel TenBrock
Feb 25, 2011·Sleep & Breathing = Schlaf & Atmung·Weijie GaoYuan Deng
Sep 2, 2010·Sleep Medicine Clinics·Omer Ahmed, Sairam Parthasarathy
May 5, 2007·Sleep Medicine·Katsuhisa Banno, Meir H Kryger
Sep 6, 2005·Respiratory Medicine·Katsuhisa BannoMeir H Kryger
Dec 7, 2010·Revue des maladies respiratoires·F PortierJ-C Meurice
Oct 13, 2009·The Cochrane Database of Systematic Reviews·Ian Smith, Toby J Lasserson
Jul 29, 2021·Sleep & Breathing = Schlaf & Atmung·Pien F N BosschieterMadeline J L Ravesloot

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