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Relationship between level CPAP titration, anthropometric variables, and drug-induced sleep endoscopy DISE.
Merlano, Shirley Andrea Ramírez; Repetto, Giorgio Pio; Durán, Rodrigo Aliaga; Silva, Jorge Astudillo; Saldaña, Rodolfo Lugo.
Afiliação
  • Merlano SAR; Otolaryngology Resident of the Universidad del Rosario, Escuela de Medicina y Ciencias de la Salud, Bogotá, Colombia. Shirleya.ramirez@urosario.edu.co.
  • Repetto GP; Department of Otolaryngology, Clínica Alemana de Santiago, Vitacura, Chile.
  • Durán RA; Department of Otolaryngology, Red de Salud UC Christus, Santiago, Chile.
  • Silva JA; Department of Otolaryngology, Hospital Naval Almirante Nef, Viña del Mar, Chile.
  • Saldaña RL; Department of Otolaryngology, Grupo Médico San Pedro, Monterrey, Mexico.
Eur Arch Otorhinolaryngol ; 280(3): 1353-1359, 2023 Mar.
Article em En | MEDLINE | ID: mdl-36637520
INTRODUCTION: Subjects with palatal obstruction alone vs. multilevel obstruction on DISE had better outcomes after palate surgery. We asked ourselves if the therapeutic level positive airway pressure (PAP) titration could predict the level of airway obstruction and its complexity. PURPOSE: The aim of this study was to identify possible relationships between therapeutic level of positive airway pressure initial titration and levels of collapse in drug-induced sleep endoscopy (DISE). A secondary objective was to establish the relationship the other variables and DISE. METHODS: We analyzed retrospective clinical histories between March 2020 to March 2022 of 37 patients with polysomnography or cardiorespiratory polygraphy studies and PAP initial titration who were taken to drug-induced sleep endoscopy. Sleep study data, anthropometric variables, and patterns of airway collapse during DISE were analyzed with PAP initial titration levels. RESULTS: Most of the patients with complex collapse had concentric velum collapse (p < 0.006). A significant association was found between the apnea-hypopnea index (AHI) and oropharyngeal collapse; (p < 0.0030) and finally we demonstrated relationship between neck circumference and gender with epiglottis collapse (p < 0.046), (p < 0.037), respectively. CONCLUSIONS: Our findings show a strong relationship between that complex collapses and concentric velum collapse; patients with greater oropharyngeal collapse have a higher mean AHI. Patients without epiglottic collapse have a higher mean neck circumference. An association between mean pressure initial titration and complex collapse could not be established.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Apneia Obstrutiva do Sono / Obstrução das Vias Respiratórias Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Eur Arch Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Alemanha
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Apneia Obstrutiva do Sono / Obstrução das Vias Respiratórias Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Eur Arch Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Alemanha