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Nasal Expiratory Positive Airway Pressure Devices (Provent) for OSA: A Systematic Review and Meta-Analysis
المؤلفون المشاركون
Zaghi, Soroush
Camacho, Macario
Riaz, Muhammad
Certal, Victor
Kushida, Clete A.
Nigam, Gaurav
Abdullatif, Jose
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-15، 15ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-12-21
دولة النشر
مصر
عدد الصفحات
15
التخصصات الرئيسية
الملخص EN
Objective.
To quantify the effectiveness of nasal expiratory positive airway pressure (nasal EPAP) devices or Provent as treatment for obstructive sleep apnea (OSA).
Methods.
PubMed and six other databases were searched through November 15, 2015, without language limitations.
Results.
Eighteen studies (920 patients) were included.
Pre- and post-nasal EPAP means ± standard deviations (M ± SD) for apnea-hypopnea index (AHI) in 345 patients decreased from 27.32±22.24 to 12.78±16.89 events/hr (relative reduction = 53.2%).
Random effects modeling mean difference (MD) was −14.78 events/hr [95% CI −19.12, −10.45], p value < 0.00001.
Oxygen desaturation index (ODI) in 247 patients decreased from 21.2±19.3 to 12.4±14.1 events/hr (relative reduction = 41.5%, p value < 0.00001).
Lowest oxygen saturation (LSAT) M ± SD improved in 146 patients from 83.2±6.8% to 86.2±11.1%, MD 3 oxygen saturation points [95% CI 0.57, 5.63].
Epworth Sleepiness Scale (ESS) M ± SD improved (359 patients) from 9.9±5.3 to 7.4±5.0, MD −2.5 [95% CI −3.2, −1.8], p value < 0.0001.
Conclusion.
Nasal EPAP (Provent) reduced AHI by 53.2%, ODI by 41.5% and improved LSAT by 3 oxygen saturation points.
Generally, there were no clear characteristics (demographic factors, medical history, and/or physical exam finding) that predicted favorable response to these devices.
However, limited evidence suggests that high nasal resistance could be associated with treatment failure.
Additional studies are needed to identify demographic and polysomnographic characteristics that would predict therapeutic success with nasal EPAP (Provent).
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Riaz, Muhammad& Certal, Victor& Nigam, Gaurav& Abdullatif, Jose& Zaghi, Soroush& Kushida, Clete A.…[et al.]. 2015. Nasal Expiratory Positive Airway Pressure Devices (Provent) for OSA: A Systematic Review and Meta-Analysis. Sleep Disorders،Vol. 2015, no. 2015, pp.1-15.
https://search.emarefa.net/detail/BIM-1076493
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Riaz, Muhammad…[et al.]. Nasal Expiratory Positive Airway Pressure Devices (Provent) for OSA: A Systematic Review and Meta-Analysis. Sleep Disorders No. 2015 (2015), pp.1-15.
https://search.emarefa.net/detail/BIM-1076493
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Riaz, Muhammad& Certal, Victor& Nigam, Gaurav& Abdullatif, Jose& Zaghi, Soroush& Kushida, Clete A.…[et al.]. Nasal Expiratory Positive Airway Pressure Devices (Provent) for OSA: A Systematic Review and Meta-Analysis. Sleep Disorders. 2015. Vol. 2015, no. 2015, pp.1-15.
https://search.emarefa.net/detail/BIM-1076493
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1076493
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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