Purpose: Long-term management of sleep apnea patients treated with CPAP raises questions about the cost-effectiveness of certain resources. With the growing use of remote CPAP monitoring and patient questionnaires, the importance of direct patient supervision by technicians is being challenged. To date, no real-life study has investigated the long-term additional value of a technician in evaluating common CPAP side effects compared to patient-reported side effects.
Methods: InterfaceVent-CPAP is a prospective real-life cross-sectional study conducted in a cohort of apneic adults treated with CPAP for at least 3 months. Three common CPAP side effects (pain, erythema, and leaks) were independently assessed by the patient and the technician on visual analogue scales and diagrams, respectively. CPAP-reported leaks were also collected. Gwet's concordance coefficient was used to analyze concordance between patient and technician assessments of CPAP side effects.
Results: 1484 patients (median age 67 years (IQ: 60-74)) were evaluated by 32 technicians. Correlation between CPAP-reported leaks and technician-reported leaks was weak. For pain and erythema, moderate to high concordance was observed between technician and patient responses, while no concordance was found for leaks. Univariate linear regression analyses examining the effect of technician-reported areas of pain, erythema and leaks on the Epworth-Sleepiness-Scale revealed statistically significant associations between sleepiness in women and certain technician-reported areas of mask leaks and mask pain.
Conclusion: Direct supervision of chronic apneic patients by technicians adds value in managing mask-related issues. Long-term care should include a combination of remote CPAP monitoring, patient-reported outcomes, and technician direct supervision.
Trial Registration: InterfaceVent is registered with ClinicalTrials.gov (NCT03013283). First registration date is 2016-12-23.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s11325-025-03279-2 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Added value of technician intervention to improve mask management for apneic patients treated with long-term CPAP.
Sleep Breath
February 2025
Groupe Adène, Montpellier, France.
Purpose: Long-term management of sleep apnea patients treated with CPAP raises questions about the cost-effectiveness of certain resources. With the growing use of remote CPAP monitoring and patient questionnaires, the importance of direct patient supervision by technicians is being challenged. To date, no real-life study has investigated the long-term additional value of a technician in evaluating common CPAP side effects compared to patient-reported side effects.
View Article and Find Full Text PDFPoly(Aryl--Aryl Piperidinium) Copolymers for Anion Exchange Membrane Fuel Cells and Water Electrolyzers.
Acc Chem Res
March 2025
Department of Energy Engineering, College of Engineering, Hanyang University, Seoul 04763, Republic of Korea.
Next-generation cost-effective anion exchange membrane (AEM) fuel cells (AEMFCs) and AEM water electrolyzers (AEMWEs) have emerged as promising alternatives to costly proton exchange membrane (PEM) fuel cells and water electrolyzers due to the possibility of utilizing platinum-group-metal (PGM)-free catalysts and phasing out unsustainable perfluorosulfonic acid polymers. Anion exchange polyelectrolytes (AEPs), which can be utilized as AEMs or ionomers, are pivotal materials in AEM devices. Despite extensive exploration in the past decade, the application of AEPs has been significantly impeded by their poor ionic conductivity, insufficient alkaline stability, and unfavorable mechanical properties.
View Article and Find Full Text PDFCentriolar cap proteins CP110 and CPAP control slow elongation of microtubule plus ends.
J Cell Biol
March 2025
Cell Biology, Neurobiology and Biophysics, Department of Biology, Faculty of Science, Utrecht University, Utrecht, The Netherlands.
Centrioles are microtubule-based organelles required for the formation of centrosomes and cilia. Centriolar microtubules, unlike their cytosolic counterparts, are stable and grow very slowly, but the underlying mechanisms are poorly understood. Here, we reconstituted in vitro the interplay between the proteins that cap distal centriole ends and control their elongation: CP110, CEP97, and CPAP/SAS-4.
View Article and Find Full Text PDFComparing standard treatment of moderate to severe obstructive sleep apnoea to add-on acetazolamide treatment: An open-label randomised controlled trial.
Lung India
January 2025
Department of Pulmonary and Critical Care Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Background And Objective: Obstructive sleep apnea (OSA) is a common condition, featured by repetitive upper airway collapse during sleep manifested with poor quality of life and co-morbidities. Although continuous positive airway pressure (CPAP) is the recommended therapy, lack of patient compliance and persistent symptoms often preclude its success. The present study evaluates the effect of acetazolamide in combination with CPAP, and compares this treatment strategy to single therapy using CPAP in moderate to severe OSA.
View Article and Find Full Text PDFComparative Efficacy of Continuous Positive Airway Pressure and Antihypertensive Medications in Obstructive Sleep Apnea-Related Hypertension: A Narrative Review.
High Blood Press Cardiovasc Prev
March 2025
Department of Medicine and Surgery, Ladoke Akintola University of Technology, Ogbomoso, Nigeria.
Introduction: Obstructive sleep apnea (OSA) presents a significant global health concern, affecting a substantial portion of the population, particularly among young and middle-aged adults.
Aim: This review aims to assess the efficacy of continuous positive airway pressure (CPAP) compared to antihypertensive medications in managing OSA-related hypertension.
Methods: A comprehensive literature search was conducted across multiple databases, yielding studies published from 2000 to March 2024 that investigated CPAP, antihypertensives, or their combination therapy in OSA patients.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!