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Obstructive sleep apnea in patients surviving acute hypercapnic respiratory failure is best predicted by static hyperinflation

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  • Dan Adler
  • Elise Dupuis-Lozeron
  • Jean Paul Janssens
  • Paola M Soccal
  • Frédéric Lador
  • Laurent Brochard
  • Jean-Louis Pépin

Abstract

Rationale: Acute hypercapnic respiratory failure (AHRF) treated with non-invasive ventilation in the ICU is frequently caused by chronic obstructive pulmonary disease (COPD) exacerbations and obesity-hypoventilation syndrome, the latter being most often associated with obstructive sleep apnea. Overlap syndrome (a combination of COPD and obstructive sleep apnea) may represent a major burden in this population, and specific diagnostic pathways are needed to improve its detection early after ICU discharge. Objectives: To evaluate whether pulmonary function tests can identify a high probability of obstructive sleep apnea in AHRF survivors and outperform common screening questionnaires to identify the disorder. Methods: Fifty-three patients surviving AHRF (31 males; median age 67 years (interquartile range: 62–74) participated in the study. Anthropometric data were recorded and body plethysmography was performed 15 days after ICU discharge. A sleep study was performed 3 months after ICU discharge. Results: The apnea-hypopnea index was negatively associated with static hyperinflation as measured by the residual volume to total lung capacity ratio in the % of predicted (coefficient = -0.64; standard error 0.17; 95% CI -0.97 to -0.31; p

Suggested Citation

  • Dan Adler & Elise Dupuis-Lozeron & Jean Paul Janssens & Paola M Soccal & Frédéric Lador & Laurent Brochard & Jean-Louis Pépin, 2018. "Obstructive sleep apnea in patients surviving acute hypercapnic respiratory failure is best predicted by static hyperinflation," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-11, October.
    • Handle: RePEc:plo:pone00:0205669
    DOI: 10.1371/journal.pone.0205669
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    References listed on IDEAS

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    1. Sébastien Bailly & Marie Destors & Yves Grillet & Philippe Richard & Bruno Stach & Isabelle Vivodtzev & Jean-Francois Timsit & Patrick Lévy & Renaud Tamisier & Jean-Louis Pépin & scientific council an, 2016. "Obstructive Sleep Apnea: A Cluster Analysis at Time of Diagnosis," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-12, June.
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    Cited by:

    1. Brian W. Locke & Janet J. Lee & Krishna M. Sundar, 2022. "OSA and Chronic Respiratory Disease: Mechanisms and Epidemiology," IJERPH, MDPI, vol. 19(9), pages 1-19, April.

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