Alteration of Auto-CPAP requirements in obstructive sleep apnea patients with COVID-19 history.

Alteration of Auto-CPAP requirements in obstructive sleep apnea patients with COVID-19 history.
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DOI:
10.1016/j.amjoto.2021.102919
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发表时间:
2021-05
影响因子:
2.5
通讯作者:
Akin O
Akin O
中科院分区:
医学3区
文献类型:
--
作者:
Fidan V;Koyuncu H;Akin O

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2019冠状病毒病(COVID-19)是一种导致严重呼吸道问题的传染病。阻塞性睡眠呼吸暂停(OSA)是最常见的睡眠相关呼吸疾病,其表现为呼吸道的反复受限,促使睡眠期间呼吸减少或不足。自动持续气道正压通气(Auto-CPAP)是一种呼吸通气模式,用作治疗OSA的金标准。本研究旨在总结有COVID-19病史的OSA患者中Auto-CPAP水平的变化。本研究纳入了19名治愈COVID-19并使用Auto-CPAP的OSA患者。从Auto-CPAP设备的电子卡中记录COVID-19疾病前和COVID治疗后一个月的夜间Auto-CPAP第95百分位数压力(95 thpp)、中位CPAP压力和AHI。在COVID感染前,Auto-CPAP 95 thpp的平均值为8.56 ± 0.17 cm H2O。COVID-19后1个月,Auto-CPAP 95 thpp平均值为9.78 ± 0.21 cm H2O(P < 0.01)。中位CPAP压力在COVID前为7.49 ± 0.16 cm H2O,在疾病后为8.15 ± 0.19 cm H2O(P < 0.01)。患有COVID-19疾病并使用Auto-CPAP的OSA患者对平均Auto-CPAP 95 thpp和中位CPAP压力的需求增加表明,这种疾病会导致下呼吸道和上呼吸道出现问题。
Coronavirus disease 2019 (COVID-19) is an infectious disease that leads to critical respiratory problems. Obstructive sleep apnea (OSA) is the most common sleep-associated breathing disease and is represented by repetitive experiences of constraint of the respiratory tract prompting to reduced or deficient breathing during sleep. Auto-Continuous positive airway pressure (Auto-CPAP) is a modality of respiratory ventilation used as gold standart in the treatment of OSA. This study was performed to conclude the alteration of Auto-CPAP levels in OSA patients who had COVID-19 history. Nineteen OSA patients who had cured COVID-19 and used Auto-CPAP were included in this study. Nightly Auto-CPAP 95th percentile pressure (95thpp), median CPAP pressure and AHI before COVID-19 disease and one month after COVID therapy were recorded from electronic cards of Auto-CPAP devices. Before COVID infection, average Auto-CPAP 95thpp was 8.56 ± 0.17 cm H2O. One month after COVID-19, average Auto-CPAP 95thpp was 9.78 ± 0.21 cm H2O (P < 0.01). While Median CPAP pressure was 7.49 ± 0.16 cm H2O before COVID, it was found to be 8.15 ± 0.19 cm H2O after the disease (P < 0.01). The increase in need of average Auto-CPAP 95thpp and median CPAP pressure in OSA patients who have had COVID-19 disease and use Auto-CPAP shows that this disease causes problems in both the lower and upper airways.
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