Moderate obstructive sleep apnea and cardiovascular outcomes in older adults: a propensity score–matched multicenter study (CPAGE-MODE study)

López-Padilla, Daniel; Teran-Tinedo, Jose Rafael; Cerezo-Lajas, Alicia; García, Luis Ruiz; Ojeda-Castillejo, Elena; López-Martín, Soledad; Díaz-Cambriles, Trinidad; Virseda, Sonia González; Melgar, Begoña Arias; Pizarro, Ana Candel; Alcocer, Héctor Lozano; Troncoso-Acevedo, María Fernanda; García, Teresa Gómez; Yeste, Pablo López; Cano-Pumarega, Irene; García‐Sánchez, Aldara; Arcos, Beatriz Arias; García, Enrique Zamora; Rodrı́guez, P.; Iturricastillo, Gorane; Lores, Vanesa; Alonso, Carlos; Ortola, Martha Vidal; López-Riolobos, Cristina; García-Prieto, Fernando; Abad-Fernández, Araceli; Baena, Eva Mañas

doi:10.5664/jcsm.9656

Cited by 4 publications

(1 citation statement)

References 54 publications

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“…Hier gibt es noch großes Forschungspotenzial und wahrscheinlich sind die Bedingungen wechselseitig. Allerdings zeigen zahlreiche Studien der letzten fünf Jahre, dass zumindest im Bereich Schlafapnoe, zentral und obstruktiv, bei älteren Menschen eine PAP(Positive Airway Pressure)-Therapie zu einer Verbesserung der Lebensqualität und mittelfristig auch einer Verbesserung der Kognition führen kann, was darauf schließen lässt, dass hier die Schlafstörung, die Schlafapnoe, die Henne ist, die das Ei dementielle Entwicklung und weitere klinische Symptome legt [3][4][5].…”

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Aktuelle Entwicklungen in der Schlafforschung und Schlafmedizin – eine Einschätzung der AG „Geriatrie“

Netzer

Frohnhofen²

2022

Somnologie

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Aktuelle Entwicklungen in der Schlafforschung und Schlafmedizin – eine Einschätzung der AG „Geriatrie“

Netzer

Frohnhofen²

2022

Somnologie

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Challenges in Obstructive Sleep Apnea Management in Elderly Patients

Joskin,

Bruyneel

2024

JCM

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With the aging of the population, obstructive sleep apnea (OSA) in elderly patients is now more commonly seen in clinical practice. In older people, sleepiness is less marked than in younger patients, but insomnia symptoms are more common. Comorbidities are numerous and related to cardiometabolic and cognitive conditions. Polygraphy can be used to establish the diagnosis in the vast majority of cases, but polysomnography is indicated in cases of comorbid sleep disorders. Continuous positive airway pressure (CPAP) remains the cornerstone of treatment, but compliance decreases with age, especially in those over 80, and when cognitive disorders are also present. In these patients, CPAP can be beneficial in terms of nighttime symptoms, sleepiness, mood, and cognition but can also prevent cardiovascular and cerebrovascular disorders, especially in severeOSA patients. For this reason, we should offer this treatment to elderly patients and devise strategies to support them with treatment difficulties (e.g., therapeutic education, adapted masks, and telemonitoring). In the future, we need prospective studies to help identify elderly patients who will gain the greatest long-term benefit from treatment. Dedicated sleep testing, OSA severity markers, and specific questionnaires need to be developed in this older, but large, OSA population.

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Large variability in definitions of sleep apnea indices used in clinical studies

Balk,

Adam,

D’Ambrosio

2024

Journal of Clinical Sleep Medicine

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Moderate obstructive sleep apnea and cardiovascular outcomes in older adults: a propensity score–matched multicenter study (CPAGE-MODE study)

Cited by 4 publications

References 54 publications

Aktuelle Entwicklungen in der Schlafforschung und Schlafmedizin – eine Einschätzung der AG „Geriatrie“

Aktuelle Entwicklungen in der Schlafforschung und Schlafmedizin – eine Einschätzung der AG „Geriatrie“

Challenges in Obstructive Sleep Apnea Management in Elderly Patients

Large variability in definitions of sleep apnea indices used in clinical studies

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