| Titre : | Continuous Positive Airway Pressure Use for Obstructive Sleep Apnea in Acute, Traumatic Tetraplegia (2019) |
| Auteurs : | Marnie Graco ; Rachel Schembri ; Jacqueline Ross |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 12, 2019) |
| Article en page(s) : | p. 2276-2282 |
| Note générale : | https://doi.org/10.1016/j.apmr.2019.07.005 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Observance par le patient ; Réadaptation ; Syndromes d'apnées du sommeil ; Traumatismes de la moelle épinière ; Ventilation en pression positive continue |
| Résumé : |
Objective
To describe continuous positive airway pressure (CPAP) use for treatment of obstructive sleep apnea (OSA) in acute tetraplegia, including adherence rates and associated factors. Design Secondary analysis of CPAP data from a multinational randomized controlled trial. Setting Inpatient rehabilitation units of 11 spinal cord injury centers. Participants : People with acute, traumatic tetraplegia and OSA (N=79). Interventions Autotitrating CPAP for OSA for 3 months. Main Outcome Measures Adherence measured as mean daily hours of use. Adherent (yes/no) was defined as an average of at least 4 hours a night throughout the study. Regression analyses determined associations between baseline factors and adherence. CPAP device pressure and leak data were analyzed descriptively. Results A total of 79 participants from 10 spinal units (91% men; mean age ± SD, 46±16; 78±64d postinjury) completed the study in the treatment arm and 33% were adherent. Mean daily CPAP use ± SD was 2.9±2.3 hours. Better adherence was associated with more severe OSA (P=.04) and greater CPAP use in the first week (P<.01 average percentile pressure was low cmh2o and leak high l> Conclusion Adherence to CPAP after acute, traumatic tetraplegia is low. Early acceptance of therapy and more severe OSA predict CPAP use over 3 months. People with acute tetraplegia require less pressure to treat their OSA than the nondisabled; however, air leak is high. These findings highlight the need for further investigation of OSA treatment in acute tetraplegia. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319309827 |
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