Continuous positive airway pressure treatment with nasal pillows in obstructive sleep apnea: long-term effectiveness and adherence

Lanza, Andrea; Mariani, Sara; Sommariva, Maurizio; Campana, Chiara; Rubino, Annalisa; Nichelatti, Michele; Proserpio, Paola; Nobili, Lino

doi:10.1016/j.sleep.2017.08.024

Cited by 22 publications

(16 citation statements)

References 18 publications

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“…A recent study with a similar design with nasal pillows and found no short/long-term differences 23 . After 7 days, we observed greater usage time with the DW mask (1 hour more on average).…”

Section: Discussionmentioning

confidence: 94%

Patients' preferences and the efficacy of a hybrid model of a minimal contact nasal mask in patients with sleep apnea treated with CPAP

Blanco¹,

Jaritos²,

Ernst³

et al. 2018

Sleep Sci

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ObjectivesTo evaluate patient's satisfaction, efficacy and adherence to CPAP with a hybrid nasal mask (DW) we tested patients with OSA in unattended setting under real-life conditions.Material and MethodsProspective, comparative study using DW mask 7 days against habitual mask in patients adapted to CPAP therapy.ResultsWe analyzed 52 patients: 35 men (67%) with IAH mean; 24.3±12.3 events/hour. At baseline mean compliance of 5.42±1.83 hours/night. After using DW mask, patients reported fewer marks, more comfort, greater partners acceptance, easier to use and was ranked higher to preventing leaks; p<0.05, and adherence (1 more hour per night, p>0.0042).Differences were not found in pressure 90th-95th percentile (9.6±9.2 cm of H2O, p<0.5), leaks (19.8±17 liters/min. p<0.37) or residual AHI (3.38±3.05 events/hour. p<0.93).ConclusionIn an uncontrolled non-randomized study, patients can use DW mask with similar leak level and better adherence as compared to conventional masks.

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Section: Discussionmentioning

confidence: 94%

Patients' preferences and the efficacy of a hybrid model of a minimal contact nasal mask in patients with sleep apnea treated with CPAP

Blanco¹,

Jaritos²,

Ernst³

et al. 2018

Sleep Sci

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“…All the literature published by September 2019 has been searched. A total of 460 pieces of writing were retrieved, 28 of which needed to be read, and 16 of which were finally included in the analysis (Figure 1) [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. Among the final covered works of literature, 8 were published before and after 2010, with the latest one published in 2019.…”

Section: Search Results and Features Of The Researches Includedmentioning

confidence: 99%

Osahs Patients With CPAP Complained of Multiple Side Effects: A Meta-analysis of Randomized Trials

Zhu¹,

Liu²,

Lu³

et al. 2021

Preprint

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PURPOSE:CPAP (Continuous Positive Airway Pressure) is the "gold standard" treatment for OSAHS (Obstructive Sleep Apnea Hypopnea Syndrome). However, its compliance is only 30% to 70%. Much of the compliance reduction depends on its side effects. This study aimed to perform a meta-analysis of all randomized trials that statistically analyzed the side effects of CPAP.METHODS:The Cochrane, Embase, and Pubmed were searched for relevant studies from inception until September 2019 with the following terms: "OSAHS" and "CPAP" and "side effects". Two reviewers independently extracted data. Meta-analyses on adverse outcomes were calculated with a frequentist approach. Summary sensitivity analysis, risk of bias, and 95%CIs were also obtained. All statistical analyses were performed with R package metaRESULTS:All side effects investigated can be broadly classified into four categories including respiratory tract discomfort, discomfort of the mask, psychological pressure and specific gastrointestinal symptoms. Overall, the random effects meta-analysis revealed that dry symptoms (0.23;95% CI, 0.16-0.32), gas leakage (0.17;95% CI, 0.10-0.27) and sleep disorders (0.14;95% CI, 0.11-0.18) were associated with a higher incidence. Another intergroup analysis showed statistically significant differences in the incidence of dryness and sleep disturbance (0.23;95% CI, 0.16-0.32 vs. 0.14;95% CI, 0.11-0.18, respectively; P =.04)CONCLUSION:Side effects of CPAP are multifaceted and occur in combination with high probability. The impact of specific side effects on compliance needs to be further investigated in clinical data. Meanwhile, medical workers need to consider further the impact of side effects and timely adjust relevant treatment plans or nursing service in the clinic.

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“…During the last years, some studies have shown that the performance of nasal pillows is similar to that of nasal masks. Therefore, nasal pillows could become first-line choice for CPAP therapy [8, 13, 15]. In 2011, Ryan et al [15] reported that 62% of patients preferred nasal pillows over nasal masks.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, nasal pillows could become first-line choice for CPAP therapy [8, 13, 15]. In 2011, Ryan et al [15] reported that 62% of patients preferred nasal pillows over nasal masks. In our sample, nasal pillows and nasal masks showed equally lower leak rates, confirming prior observations.…”

Section: Discussionmentioning

confidence: 99%

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Impact of Mask Type on the Effectiveness of and Adherence to Unattended Home-Based CPAP Titration

et al. 2019

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Objectives. To compare interfaces performance during home-based automatic titration (APAP). Methods. Retrospective study based on APAP titration from Obstructive Sleep Apnea Syndrome (OSA) patients. Results. 707 patients, 513 men (70.6%), were titrated. Masks were 104 pillows (14.7%), group I (GI); 532 nasal (75.2%), group II (GII); and 71 oronasal masks (10%), group III (GIII). We found differences in effective pressure to the device (P90/P95) (GI: 7.13±1.9 vs. GII: 8.3±2.1 vs. GIII: 9.3±2.6 cmH2O, p <0.001) but not in final pressure titrated manually (GI: 7.9±1.4 vs. GII: 8.6±1.6 vs. GIII: 9.2±1.9 cm of H2O, p >0.5), where lower residual AHI for pillows was p <0.001 and leaks for nasal were p <0.001. No differences were found in compliance (hours) (GI: 6.3±1.2 vs. GII: 6.2±1.1 vs. GIII: 6.1±1.0, p <0.4). Conclusion. During auto-adjusting titration by CPAP-naïve patients, nasal masks had lower leak rates and nasal pillows presented a similar performance.

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Continuous positive airway pressure treatment with nasal pillows in obstructive sleep apnea: long-term effectiveness and adherence

Cited by 22 publications

References 18 publications

Patients' preferences and the efficacy of a hybrid model of a minimal contact nasal mask in patients with sleep apnea treated with CPAP

Patients' preferences and the efficacy of a hybrid model of a minimal contact nasal mask in patients with sleep apnea treated with CPAP

Osahs Patients With CPAP Complained of Multiple Side Effects: A Meta-analysis of Randomized Trials

Impact of Mask Type on the Effectiveness of and Adherence to Unattended Home-Based CPAP Titration

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