CPAP Therapeutic Options for Obstructive Sleep Apnea.

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL Pragmatic and Observational Research Pub Date : 2020-07-13 eCollection Date: 2020-01-01 DOI:10.2147/POR.S258632
Robert G Hooper
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引用次数: 4

Abstract

Introduction: There are many options available to patients who are placed on constant positive airway pressure (CPAP) for obstructive sleep apnea. Despite the success of CPAP in correcting apnea, a significant number of patients have difficulty with the therapy. A large number of those patients who have difficulty stop therapy and are often labeled as "CPAP Failure". Non-sleep specialists may view CPAP therapy as a singular course of treatment, but there are many ways CPAP may be ordered for a patient. Each patient experiences a unique set of options that constitute a unique order set.

Methods: In order to demonstrate the magnitude of the possible options, estimates of the number of unique order sets were calculated. The author chose individual order options and the number of selections possible within each option. The calculated sets included a "Generous, Limited and Minimal" number of selections for each option. Calculations were done separately for standard CPAP and for auto-adjusting CPAP. Additional calculations were performed using the number of commercially available masks in the United States.

Results: The maximum number of unique order sets was seen using a standard CPAP combined with commercially available masks: 49,152 unique order sets. The fewest number of unique order sets were seen with the auto-adjusting CPAP and the "Minimal" selections: 288 unique order sets.

Discussion: There are a large number of unique CPAP orders that a patient may experience. CPAP treatment is not a singular or simple therapy. When evaluating obstructive sleep apnea patients with histories of CPAP failure or prior difficulty with CPAP, paying close attention to the patient's treatment experiences may help explain a significant number of those patients' CPAP therapy problems.

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阻塞性睡眠呼吸暂停的CPAP治疗选择。
导读:阻塞性睡眠呼吸暂停患者采用持续气道正压通气(CPAP)治疗有多种选择。尽管CPAP在纠正呼吸暂停方面取得了成功,但仍有相当数量的患者难以接受该治疗。大量有困难的患者停止治疗,通常被标记为“CPAP失败”。非睡眠专家可能认为CPAP治疗是一个单一的治疗过程,但有许多方法可以为患者订购CPAP。每个病人都经历了一组独特的选择,这些选择构成了一个独特的顺序集。方法:为了证明可能的选项的大小,估计的唯一订单集的数量进行了计算。作者选择了单独的订单选项和选择的数量可能在每个选项。计算集包括每个选项的“慷慨,有限和最小”数量的选择。分别对标准CPAP和自动调节CPAP进行计算。使用美国市售口罩的数量进行了额外的计算。结果:使用标准CPAP与市售口罩相结合的最大唯一订单集数量:49152个唯一订单集。使用自动调节CPAP和“Minimal”选项可以看到最少数量的唯一订单集:288个唯一订单集。讨论:患者可能会遇到大量独特的CPAP医嘱。CPAP治疗不是单一或简单的治疗。在评估有CPAP失败史或既往CPAP治疗困难的阻塞性睡眠呼吸暂停患者时,密切关注患者的治疗经历可能有助于解释大量患者的CPAP治疗问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Pragmatic and Observational Research
Pragmatic and Observational Research MEDICINE, GENERAL & INTERNAL-
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期刊介绍: Pragmatic and Observational Research is an international, peer-reviewed, open-access journal that publishes data from studies designed to closely reflect medical interventions in real-world clinical practice, providing insights beyond classical randomized controlled trials (RCTs). While RCTs maximize internal validity for cause-and-effect relationships, they often represent only specific patient groups. This journal aims to complement such studies by providing data that better mirrors real-world patients and the usage of medicines, thus informing guidelines and enhancing the applicability of research findings across diverse patient populations encountered in everyday clinical practice.
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