The Usefulness of Respiratory Mechanic Instability in Evaluating the Effect of Continuous Positive Airway Pressure for Obstructive Sleep Apnea
DC Field | Value | Language |
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dc.contributor.author | Choi, Ji Ho | - |
dc.contributor.author | Jung, Jae Yeup | - |
dc.contributor.author | Moon, Ji Eun | - |
dc.contributor.author | Hwang, Se-Hwan | - |
dc.date.accessioned | 2021-08-11T08:37:10Z | - |
dc.date.available | 2021-08-11T08:37:10Z | - |
dc.date.issued | 2020-04 | - |
dc.identifier.issn | 0003-4894 | - |
dc.identifier.issn | 1943-572X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/2985 | - |
dc.description.abstract | Objectives: Respiratory mechanics instability (RMI) based on paradoxical movement is correlated with respiratory disturbance such as apnea-hypopnea index (AHI) and reflects the severity of obstructive sleep apnea (OSA). The purpose of this study was to identify RMI as a method for assessing the effectiveness of continuous positive airway pressure (CPAP) in the management for OSA. Methods: A total of 71 consecutive OSA patients with CPAP titration were included in this study. We compared sleep (sleep efficiency, arousal index, and sleep stages), respiratory (AHI, oxygen desaturation index >= 3% [ODI3], and lowest oxygen saturation), and RMI parameters (events, index, duration, and % of stage duration) between diagnostic polysomnography and CPAP titration data. Results: All RMI parameters (events [157.5 +/- 80.9 vs 80.0 +/- 47.1; P < .001], index [25.3 +/- 12.4 vs 12.7 +/- 7.0; P < .001], duration [182.6 +/- 96.2 vs 79.8 +/- 88.9; P < .001], and % of stage duration [49.0 +/- 24.4 vs 20.5 +/- 21.3; P < .001]) were significantly improved by the alleviation of obstructive respiratory disturbance parameters (AHI [45.1 +/- 23.0 vs 4.2 +/- 4.3; P < .001], ODI3 [44.9 +/- 22.6 vs 4.8 +/- 4.6; P < .001], and lowest oxygen saturation [77.7 +/- 7.3 vs 89.3 +/- 3.8; P < .001]) compared to diagnostic polysomnography and CPAP titration data. Conclusion: RMI may be a useful method for evaluating the effect of CPAP in OSA patients. | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Annals Publishing Co. | - |
dc.title | The Usefulness of Respiratory Mechanic Instability in Evaluating the Effect of Continuous Positive Airway Pressure for Obstructive Sleep Apnea | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1177/0003489419889371 | - |
dc.identifier.scopusid | 2-s2.0-85076853007 | - |
dc.identifier.wosid | 000499773200001 | - |
dc.identifier.bibliographicCitation | Annals of Otology, Rhinology and Laryngology, v.129, no.4, pp 388 - 393 | - |
dc.citation.title | Annals of Otology, Rhinology and Laryngology | - |
dc.citation.volume | 129 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 388 | - |
dc.citation.endPage | 393 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Otorhinolaryngology | - |
dc.relation.journalWebOfScienceCategory | Otorhinolaryngology | - |
dc.subject.keywordAuthor | obstructive sleep apnea | - |
dc.subject.keywordAuthor | continuous positive airway pressure | - |
dc.subject.keywordAuthor | respiratory mechanic instability | - |
dc.subject.keywordAuthor | thoracoabdominal movement | - |
dc.subject.keywordAuthor | apnea-hypopnea index | - |
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