The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
The impact of split-night versus traditional sleep studies on CPAP compliance
Abstract
Background Split-night polysomnography allows for the diagnosis of obstructive sleep apnea and titration of continuous positive airway pressure in a single study. However, there is concern that split-night studies do not provide sufficient time for optimal continuous positive airway pressure (CPAP) titration, which may lead to a poor initial experience with CPAP and potentially, worse adherence. Our goal was to determine whether CPAP use, after a split-night examination, is comparable to the use following separate diagnostic and titration studies. Methods We included consecutive patients presenting for follow-up 4-6 weeks after initiating CPAP therapy. Objective measures of CPAP use were recorded, and adherence to therapy was analyzed based on the initial method of diagnosis and titration-split-night versus dual-night study. Results A total of 400 patients (78% male, mean age 47 +/- 8 years) were included. Among the patients, 267 and 133 underwent split- and dual-night studies, respectively. The groups were similar at baseline; however, the average apnea-hypopnea index was significantly higher in the split-night group. Mean number of days between diagnosis and titration in the dual-night group was 80.5 days. There was no difference in therapeutic adherence between groups as measured by percentage of nights used (78.7% vs 77.5%; p = 0.42), hours per night used (3.9 vs 3.9; p = 0.95), or percentage of patients using continuous positive airway pressure for >4 hours per night for…
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One study compared CPAP adherence in those who underwent split-night studies against those who had full-night studies.
“One study compared CPAP adherence in those who underwent split-night studies against those who had full-night studies.124”
From Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017) · cites this paper as [124]
One study reported no clinically significant difference in adherence to CPAP treatment in patients undergoing a split-night study (78.7%) versus a full-night study with follow-up titration (77.5%).
“One study reported no clinically significant difference in adherence to CPAP treatment in patients undergoing a split-night study (78.7%) versus a full-night study with follow-up titration (77.5%)124”
From Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017) · cites this paper as [124]
Our literature search yielded nine studies that met inclusion criteria.
“Our literature search yielded nine studies that met inclusion criteria.112,121–128”
From Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017) · cites this paper as [124]
Citations
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Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6506 · Cited by 3,253
Metadata
- Authors
- Collen, J., Holley, A., Lettieri, C., Shah, A., & Roop, S.
- Affiliations
- Walter Reed National Military Medical Center (US)
- Corresponding author
- Collen, Jacob
- Venue
- Sleep and Breathing
- Published
- 2009-08-28
- Volume
- 14
- Issue
- 2
- Pages
- 93-99
- ISSN
- 1520-9512 (ISSN-L)
- 1522-1709
- OpenAlex
- W2010767066
- Cited by
- 16
- References
- 1
- Citations by year
- 2022: 3 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 1
- FWCI
- 0.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Sleep And Breathing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- split-night polysomnography, CPAP adherence, obstructive sleep apnea, apnea-hypopnea index, sleep apnea diagnosis
- MeSH terms
- Adult, Appointments and Schedules, District of Columbia, Female, Follow-Up Studies, Humans, Male, Middle Aged, Oxygen, Patient Compliance, Predictive Value of Tests, Quality Assurance, Health Care, Body Mass Index, Polysomnography, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure
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