Continuous Positive Airway Pressure Used by Adults With Obstructive Sleep Apneas After Prescription in a Public Referral Hospital in Mexico City

Bouscoulet, Luis Torre; Escárcega, Elodia López; Castorena-Maldonado, Armando; García, Juan Carlos; Vargas, María Sonia Meza; Pérez‐Padilla, Rogelio

doi:10.1016/s1579-2129(07)60015-9

Cited by 14 publications

(32 citation statements)

References 20 publications

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“…Oxygen Desaturation Index, Mean, and Lowest Oxygen Saturation . Five studies included oxygen desaturation index [ 15 , 20 , 48 , 50 , 64 ], four studies evaluated mean oxygen saturation [ 13 , 14 , 34 , 50 ], and four studies evaluated lowest oxygen saturation [ 31 , 34 , 57 , 65 ] as variables in the mathematical equations. The coefficient mean value for ODI was 0.04417 and ranged between 0.01 and 0.133.…”

Section: Resultsmentioning

confidence: 99%

Mathematical Equations to Predict Positive Airway Pressures for Obstructive Sleep Apnea: A Systematic Review

et al. 2015

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Objective. To systematically review the international literature for mathematical equations used to predict effective pressures for positive airway pressure (PAP) devices. Methods. Google Scholar, PubMed, Scopus, Embase, Web of Science, CINAHL, and The Cochrane Library were searched through June 27, 2015. The PRISMA statement was followed. There was no language limitation. Results. 709 articles were screened, fifty were downloaded, and twenty-six studies presented equations that met the inclusion and exclusion criteria. In total, there were 4,436 patients in the development phases and 3,489 patients in the validation phases. Studies performed multiple linear regressions analyses as part of the equation(s) development and included the following variables: physical characteristics, polysomnography data, behavioral characteristics, and miscellaneous characteristics, which were all predictive to a variable extent. Of the published variables, body mass index (BMI) and mean oxygen saturation are the most heavily weighted, while BMI (eighteen studies), apnea-hypopnea index (seventeen studies), and neck circumference (eleven studies) were the variables most frequently used in the mathematical equations. Ten studies were from Asian countries and sixteen were from non-Asian countries. Conclusion. This systematic review identified twenty-six unique studies reporting mathematical equations which are summarized. Overall, BMI and mean oxygen saturation are the most heavily weighted.

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Section: Resultsmentioning

confidence: 99%

Mathematical Equations to Predict Positive Airway Pressures for Obstructive Sleep Apnea: A Systematic Review

et al. 2015

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“…Nonetheless, the effort aimed at improving efficiency in time and cost of diagnosis and treatment for OSA has enabled the development of simplified systems, such as respiratory polygraphy [48]. These systems can be useful considering the economic context of countries like Mexico [49], even if they require further research on its Table 1. Standard diagnostic criteria for obstructive sleep apnea in adults.…”

Section: Diagnostic Criteria For Obstructive Apnea In Adultsmentioning

confidence: 99%

“…The average time for acquisition of their equipment was a month and a half. However, the majority (80%) of patients who acquired their equipment continued using them, even after up to34 months [49].…”

Section: Associated Factors With Cpap Adherencementioning

confidence: 99%

Obstructive Sleep Apnea Syndrome Implications on Health and Adherence to CPAP Treatment

Estrella¹,

Aguilar²,

Ayuso³

et al. 2015

Health

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Respiratory disorders during sleep have as a general characteristic the alteration of the respiratory cycle while sleeping. The most outstanding characteristic of Obstructive Sleep Apnea Syndrome (OSA) is the partial (hypopnea) or total (apnea) obstruction of the upper airway that occurs repeatedly during sleep. The OSA is global public health issue. When it is not treated, OSA represents a cost two or three times higher of the institutional resources for health. Studies conducted in different countries indicate that the prevalence of the OSA goes from 2% to 10% in general population. The OSA is a serious sleep disorder that has negative implications on multiple systems of the organism. It is associated with hypertension, diabetes and the metabolic syndrome. When OSA coexists with a heart disease or ischemic heart disease, it significantly raises the probability of a heart failure. The use of Continuous Positive Airway Pressure (CPAP) is so far the most effective method for OSA treatment. Intervention at different levels (physiological, educational and psychological intervention) appears to be important in adherence to CPAP treatment.

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“…( 22 ) OSAS requires permanent treatment with continuous positive airway pressure, increases the risk of accidents and learning difficulties, reduces quality of life, and leads to metabolic and cardiovascular complications. ( 23 ) Hypoxemia is relevant in cities at moderate or high altitude, which are common in Latin America. In Mexico City (2,240 m above sea level), 6% of individuals aged 40 years or older present with SaO2 ≤ 88% ( 24 ) ; however, less than 8% of these individuals have been prescribed oxygen therapy.…”

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confidence: 99%

“…( 22 ) A SAOS requer tratamento permanente com pressão positiva contínua nas vias aéreas, aumenta o risco de acidentes e de dificuldades de aprendizagem, reduz a qualidade de vida e leva a complicações metabólicas e cardiovasculares. ( 23 ) A hipoxemia é relevante em cidades em altitudes moderadas ou grandes, as quais são comuns na América Latina. Na cidade do México (2.240 m acima do nível do mar), 6% dos indivíduos com idade igual ou superior a 40 anos apresentam SaO 2 ≤ 88%(24); porém, menos de 8% desses indivíduos receberam prescrição de oxigenoterapia.…”

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Fighting respiratory diseases: divided efforts lead to weakness

et al. 2014

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Continuous Positive Airway Pressure Used by Adults With Obstructive Sleep Apneas After Prescription in a Public Referral Hospital in Mexico City

Cited by 14 publications

References 20 publications

Mathematical Equations to Predict Positive Airway Pressures for Obstructive Sleep Apnea: A Systematic Review

Mathematical Equations to Predict Positive Airway Pressures for Obstructive Sleep Apnea: A Systematic Review

Obstructive Sleep Apnea Syndrome Implications on Health and Adherence to CPAP Treatment

Fighting respiratory diseases: divided efforts lead to weakness

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