Auto-PAP Titration Efficacy in Obstructive Sleep Apnea: A Single-Center Experience

Author:

Gabhale Sanjay D.1,Gupta Ekta2,Bagrecha Mahavir Satishchand3,Saifuddin Rehan4,Nelson Anish5,Sharma Mayank6

Affiliation:

1. Department of Respiratory Medicine, Dr D. Y. Patil Medical College, Hospital and Research Centre, Dr D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

2. Department of Orthodontics and Dentofacial Orthopeadics, Siddhpur Dental College and Hospital, Patan, Gujarat, India

3. Department of Pulmonary Medicine, Dr D Y Patil Medical College, Hospital and Research Center, Pimpri, Pune, Maharashtra, India

4. BDS, Lithuanian University of Health Sciences, Kaunas, Lithuania, Europe

5. Department of Oral and Maxillofacial Surgery, AB Shetty Memorial Institute of Dental Sciences, Nitte (Deemed To Be University), Mangalore, India

6. BDS, Central Coast Dental Care, Seaside, CA, USA

Abstract

ABSTRACT Introduction: Obstructive sleep apnea, often known as OSA, is a sleep-related breathing disease that, if not treated, can lead to serious disabilities or even death. Continuous positive airway pressure (CPAP) is the therapy technique that is suggested for treating severe and moderate OSA. An auto/manual CPAP titration study can be used to determine the appropriate pressure that must be maintained to treat this condition. The motive of this research is to appraise the effectiveness among OSA patients for the auto-PAP titrations. Methodology: A cross-sectional clinical prospective study was conducted at the tertiary care center. Subjects who underwent auto-PAP titration and had a diagnosis of moderate and sever OSA were included. They were evaluated for the efficacy of auto-PAP titration and other demographic features and their association with the titration efficacy. The values were compared for statistical significance. Results: The findings of the study showed that fifty percent of the cohort showed optimal titration, forty percent showed good titration, ten percent showed suitable titration, and none fell into the unacceptable group. Conclusion: According to the findings, using auto-PAP was associated with positive results in those with moderate and severe OSA. There is evidence to suggest that unattended auto-PAP titration is a very successful technique that might be regarded as a substitute for attended CPAP titrations. This would result in a reduction in the amount of labor required and the price.

Publisher

Medknow

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