首页|Effect of continuous positive airway pressure in very elderly with moderate-to-severe obstructive sleep apnea pooled results from two multicenter randomized controlled trials

Effect of continuous positive airway pressure in very elderly with moderate-to-severe obstructive sleep apnea pooled results from two multicenter randomized controlled trials

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  • NSTL
  • Elsevier
? 2021 Elsevier B.V.Study objective: There is very limited information about the effect of continuous positive airway pressure (CPAP) in the very elderly. Here we aimed to analysed the effect of CPAP on a clinical cohort of patients with obstructive sleep apnea (OSA) ≥80 years old. Methods: Post-hoc pooled analysis of two open-label, multicenter clinical trials aimed to determine the effect of CPAP in a consecutive clinical cohort of elderly (≥70 years old) with moderate-to-severe OSA (apnea-hipopnea index ≥15 events/hour) randomized to receive CPAP or no CPAP for three months. Those consecutive patients ≥80 years old were included in the study. The primary endpoint was the change in Epworth Sleepiness scale (ESS). Secondary outcomes included sleep-related symptoms, quality of life, neurocognitive and mood status as well as office blood pressure measurements. Results: From the initial 369 randomized individuals with ≥70 years, 97 (26.3%) with ≥80 years old were included (47 in the CPAP group and 50 in the no-CPAP group). The mean (SD) age was 81.5 (2.4) years. Average use of CPAP was 4.3 (2.6) hours/night (53% with good adherence) Patients in the CPAP group significantly improved snoring and witnessed apneas as well as AHI (from 41.9 to 4.9 events/hour). However no clinical improvements were seen in ESS (?1.2 points, 95%CI, 0.2 to ?2.6), any domain of QSQ, any neurocognitive test, OSA-related symptoms, depression/anxiety or blood pressure levels. Conclusions: The present study does not support the use of CPAP in very elderly patients with moderate-to-severe OSA.

CPAPNeurocognitiveObstructive sleep apneaOSAQuality of lifeVery elderly

Martinez-Garcia M.A.、Oscullo G.、Ponce S.、Pastor E.、Orosa B.、Catalan P.、Martinez A.、Hernandez L.、Muriel A.、Chiner E.、Vigil L.、Carmona C.、Mayos M.、Garcia-Ortega A.、Gomez-Olivas J.D.、Beauperthuy T.、Bekki A.、Gozal D.

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Pneumology Department Hospital Universitario y Politécnico La Fe

Pneumology Department Hospital Universitario Dr Peset

Pneumology Department Hospital Universitario San Juan

Internal Medicine Department Hospital General de Requena

Pneumology Department Hospital General Universitario de Castellón

Pneumology Department Hospital General Universitario de Alicante

Clinical Biostatistics Unit Hospital Universitario Ramón y Cajal IRYCIS CIBERESP Nursing Department

Pneumology Department Hospital de Sabadell Corporació Sanitaria Parc Tauli

Pneumology Department Hospital Universitario Virgen Del Rocio

Pneumology Department Hospital Universitario Santa Creu i Sant Pau

University of Missouri School of Medicine Department of Child Health

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2022

10.1016/j.sleep.2021.11.009

Sleep medicine

Sleep medicine

SCI
ISSN：1389-9457
年,卷(期)：2022.89
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