scholarly journals Adherence to Positive Airway Pressure Therapy in Hospitalized Patients with Decompensated Heart Failure and Sleep-Disordered Breathing

2016 ◽  
Vol 12 (12) ◽  
pp. 1615-1621 ◽  
Author(s):  
Sunil Sharma ◽  
Anasua Chakraborty ◽  
Anindita Chowdhury ◽  
Umer Mukhtar ◽  
Leslee Willes ◽  
...  
Keyword(s):  
Heart Failure ◽  
Airway Pressure ◽  
Sleep Disordered Breathing ◽  
Positive Airway Pressure ◽  
Decompensated Heart Failure ◽  
Hospitalized Patients ◽  
Pressure Therapy ◽  
Positive Airway Pressure Therapy ◽  
Disordered Breathing

scholarly journals 0701 Positive Airway Pressure Therapy To Treat Sleep Disordered Breathing Impacts Number Of Hospitalizations In Patients With Heart Failure

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A267-A267
Author(s):  
S I Patel ◽  
M Vasquez ◽  
F Huang ◽  
D Combs ◽  
S Parthasarathy
Keyword(s):  
Heart Failure ◽  
Airway Pressure ◽  
Sleep Disordered Breathing ◽  
Positive Airway Pressure ◽  
Outcome Data ◽  
Administrative Claims ◽  
Pressure Therapy ◽  
Positive Airway Pressure Therapy ◽  
Patients With Heart Failure ◽  
Disordered Breathing

Abstract Introduction Some studies have shown a benefit while others have shown possible harm in patient outcomes when using positive airway pressure therapy (PAP) for treating sleep disordered breathing (SDB) in patients with heart failure (HF). The goal of this study was to evaluate the number of HF-related and all-cause related hospitalizations in patients with HF and SDB on various forms of PAP therapy versus those on no PAP therapy. Methods Administrative claims data from the Truven Health MarketScan Database from 1/1/2005- 10/31/2015 were analyzed. Those included were at least 21 years old, were continuously enrolled for 12 months before and 6 months after their index date (date of PAP prescription), had at least two distinct HF-related claims and were prescribed PAP therapy (n=1,324,414). To model the relationship between each device and hospitalization risk, and to account for the longitudinal and correlated nature of these binary outcome data, generalized estimating equations with binomial family, logit link, and unstructured correlation structure were used. Results There were a total of 12,538 patients on Bilevel-PAP, 2,700 patients on bilevel-PAP with backup rate, and 57,405 patients on CPAP, and 73,353 patients with HF and comorbid sleep apnea who were not on any treatment. The reduction in HF-related hospitalization for patients with HF and comorbid SDB treated with bilevel-PAP therapy (0.28; 95% CI 0.26, 0.31) was greater than that in patients receiving CPAP (OR 0.46 95% CI 0.43, 0.49), bilevel PAP with back-up rate (0.39; 95% CI 0.32, 0.49), or no PAP treatment (OR 0.54; 95%CI 0.50, 0.57)(P<0.01). Similar trend was observed for all-cause related hospitalizations. All results were adjusted for propensity score and other relevant confounders. Conclusion In claims-based analysis of patients with HF and comorbid SDB, bilevel PAP treatment was associated with reduced hospitalizations when compared to CPAP therapy or no PAP treatment. Support Phillips Respironics

scholarly journals Residual sleep-disordered breathing during autotitrating continuous positive airway pressure therapy

2011 ◽  
Vol 39 (6) ◽  
pp. 1391-1397 ◽  
Author(s):  
Angela L. Denotti ◽  
Keith K.H. Wong ◽  
George C. Dungan ◽  
John W. Gilholme ◽  
Nathaniel S. Marshall ◽  
...  
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Sleep Disordered Breathing ◽  
Positive Airway Pressure ◽  
Pressure Therapy ◽  
Positive Airway Pressure Therapy ◽  
Disordered Breathing

scholarly journals Does hormonal control obviate positive airway pressure therapy in acromegaly with sleep-disordered breathing?

2013 ◽  
Vol 107 (11) ◽  
pp. 1803-1809 ◽  
Author(s):  
Muhammed Emin Akkoyunlu ◽  
Mahmut Muzaffer İlhan ◽  
Mehmet Bayram ◽  
Ertuğrul Taşan ◽  
Fatih Yakar ◽  
...  
Keyword(s):  
Airway Pressure ◽  
Sleep Disordered Breathing ◽  
Positive Airway Pressure ◽  
Hormonal Control ◽  
Pressure Therapy ◽  
Positive Airway Pressure Therapy ◽  
Disordered Breathing
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