SLOUKA, David, Monika HONNEROVA, Petr HOSEK, Břetislav GÁL, Ondrej TRCKA, Tomas KOSTLIVY, Jana LANDSMANOVA, David HAVEL, Martina BANECKOVA and Radek KUCERA. Improved prediction of CPAP failure using T90, age and gender. Journal of applied biomedicine. České Budějovice: Faculty of Health and Social Care, University of South Bohemia, 2019, vol. 17, No 1, p. 76-81. ISSN 1214-021X. Available from: https://dx.doi.org/10.32725/jab.2018.008.
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Basic information
Original name Improved prediction of CPAP failure using T90, age and gender
Authors SLOUKA, David (203 Czech Republic, guarantor), Monika HONNEROVA (203 Czech Republic), Petr HOSEK (203 Czech Republic), Břetislav GÁL (203 Czech Republic, belonging to the institution), Ondrej TRCKA (203 Czech Republic), Tomas KOSTLIVY (203 Czech Republic), Jana LANDSMANOVA (203 Czech Republic), David HAVEL (203 Czech Republic), Martina BANECKOVA (203 Czech Republic) and Radek KUCERA (203 Czech Republic).
Edition Journal of applied biomedicine, České Budějovice, Faculty of Health and Social Care, University of South Bohemia, 2019, 1214-021X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30104 Pharmacology and pharmacy
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.700
RIV identification code RIV/00216224:14110/19:00112601
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.32725/jab.2018.008
UT WoS 000493806600011
Keywords in English Age; CPAP failure; Obesity; Prediction of failure; Sleep apnea syndrome
Tags 14110126, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 20/1/2020 09:04.
Abstract
Sleep apnea syndrome is associated with increased risk of cardiovascular disease. In treating older patients, there is a special emphasis put on minimally invasive and conservative procedures and a simple method for predicting the potential for treatment success is essential. Continuous positive airway pressure (CPAP) is the first choice for treatment, however, it is not always successful. In cases where CPAP was unsuccessful, treatment with bilevel positive airway pressure (BiPAP) is the next treatment option. In this study, we examine commonly evaluated respiratory parameters, obesity, and age relative to their ability to predict CPAP failure. We also tried to find differences in the predictive ability of these parameters in older and younger patients. The predictive ability, relative to CPAP failure, was examined for each individual parameter as well as for combinations of parameters. All variables had a statistical association with CPAP failure; failure prediction reliability ranged from poor to moderate. Combining T90, age, and gender can be used to find patients who will benefit from BiPAP as the first choice for treatment. An initial BiPAP indication can produce relevant reductions in treatment cost.
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