1. Apnea-hypopnea index supplied by CPAP devices: time for standardization?
- Author
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Jean-Christian Borel, Najeh Daabek, Alphanie Midelet, Sébastien Bailly, Jean-Louis Pépin, Ronan Le Hy, Renaud Tamisier, Marie-Caroline Schaeffer, Hypoxie : Physiopathologie Respiratoire et Cardiovasculaire (HP2), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Grenoble Alpes (UGA), Probayes [Montbonnot], and ANR-19-P3IA-0003,MIAI,MIAI @ Grenoble Alpes(2019)
- Subjects
medicine.medical_specialty ,Wilcoxon signed-rank test ,Polysomnography ,medicine.medical_treatment ,03 medical and health sciences ,0302 clinical medicine ,stomatognathic system ,Internal medicine ,medicine ,Humans ,In patient ,Continuous positive airway pressure ,ComputingMilieux_MISCELLANEOUS ,Sleep Apnea, Obstructive ,Continuous Positive Airway Pressure ,business.industry ,Significant difference ,Sleep apnea ,General Medicine ,Reference Standards ,medicine.disease ,Treatment efficacy ,nervous system diseases ,respiratory tract diseases ,3. Good health ,Obstructive sleep apnea ,Treatment Outcome ,030228 respiratory system ,Apnea–hypopnea index ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,030217 neurology & neurosurgery - Abstract
Background/objective For obstructive sleep apnea (OSA) patients on continuous positive airway pressure (CPAP) treatment, the apnea-hypopnea index (AHI) is a key measure of treatment efficacy. However, the residual AHI is CPAP brand specific. Here, we studied changes in residual AHI in patients who used two different brands over their treatment history. Patients/methods Using our CPAP telemonitoring database of 3102 patients, we compared the residual AHI of 69 patients before and after change in their CPAP device. Results A paired Wilcoxon signed-rank test revealed a significant difference between brands in the reported AHI, which might be clinically misleading. Conclusions These findings suggest that physicians should be alerted to the differences between brands and learned societies should push for standardization of AHI reporting.
- Published
- 2021