Ítem
Restringido
Relationship between level CPAP titration, anthropometric variables, and drug‐induced sleep endoscopy DISE
Título de la revista
Autores
Ramirez Merlano, Shirley Andrea
Fecha
2023-01-13
Directores
Buitrago Medina, Daniel Alejandro
Delgado Salazar, Nelsón Alexis
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Título del volumen
Editor
Universidad del Rosario
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Resumen
El objetivo de este estudio fue identificar las posibles relaciones entre el nivel terapéutico de la titulación inicial de presión positiva en las vías respiratorias y los niveles de colapso en la endoscopia del sueño inducida por fármacos (DISE). Un objetivo secundario fue establecer la relación entre las demás variables y la DISE.
Abstract
Introduction Subjects with palatal obstruction alone vs. multilevel obstruction on DISE had better outcomes after palate surgery. We asked ourselves if the therapeutic level positive airway pressure (PAP) titration could predict the level of airway obstruction and its complexity. Purpose The aim of this study was to identify possible relationships between therapeutic level of positive airway pressure initial titration and levels of collapse in drug-induced sleep endoscopy (DISE). A secondary objective was to establish the relationship the other variables and DISE. Methods We analyzed retrospective clinical histories between March 2020 to March 2022 of 37 patients with polysomnog- raphy or cardiorespiratory polygraphy studies and PAP initial titration who were taken to drug-induced sleep endoscopy. Sleep study data, anthropometric variables, and patterns of airway collapse during DISE were analyzed with PAP initial titration levels. Results Most of the patients with complex collapse had concentric velum collapse (p < 0.006). A significant association was found between the apnea–hypopnea index (AHI) and oropharyngeal collapse; (p < 0.0030) and finally we demonstrated relationship between neck circumference and gender with epiglottis collapse (p < 0.046), (p < 0.037), respectively. Conclusions Our findings show a strong relationship between that complex collapses and concentric velum collapse; patients with greater oropharyngeal collapse have a higher mean AHI. Patients without epiglottic collapse have a higher mean neck circumference. An association between mean pressure initial titration and complex collapse could not be established.
Palabras clave
Apnea obstructiva del sueño , Colapso epiglótico , Presión positiva continua en la vía aérea , Presión positiva en las vías respiratorias , Endoscopia del sueño inducida por fármacos , Titulación automática
Keywords
Obstructive sleep apnea , Epiglottic collapse , Continuous positive airway pressure , Positive airway pressure , Drug-induced sleep endoscopy , Automatic titration
