you may notice problems with the display of certain parts of an article in other ereaders. the data from wallström et al’s secondary analysis is plagued by the same limitations common to previous studies answering the question of whether cpap makes a difference in nonsleepy patients with osa and cardiovascular disease.
this brings to the forefront the primary obstacle to determining whether cpap makes a difference in nonsleepy individuals—how do you make individuals receiving cpap treatment who have no impairment more normal? of course, it is acknowledged that low nightly use often occurring in clinical trials reflects what is typically seen in clinical practice and has spurred the identification of interventions to promote higher use. in addition to treatment effectiveness comparisons, randomized controlled trials will provide the bottom line regarding the efficacy of cpap to improve qol, but only with the utilization of appropriate placebos.
three months of cpap treatment improved the quality of life of patients with mild obstructive sleep apnea, according to results of the merge randomized controlled trial. prior to our study, there was little evidence to support the treatment of these mild patients.” the merge trial was conducted at 11 secondary care sleep centers in the united kingdom. the researchers’ goal was to evaluate the effect of cpap on the sf-36 vitality scale in patients with mild osa (apnea-hypopnea index 5 to 15).
the researchers randomly assigned 301 patients between november 2016 and february 2019. of those, 233 patients were diagnosed with mild osa based on the aasm 2012 definition. at 3 months, change in sf-36 vitality scale was improved in the cpap group by 7.5 points (95% ci, 5.3-9.6) compared with standard care only (p < .0001), according to the abstract. when the researchers analyzed change in sf-36 vitality scale in patients with mild osa using the aasm 2007 criteria (n = 205), there was a similar improvement in quality of life in the cpap group. among 95 patients at the mildest end of the osa spectrum — or those diagnosed with osa using the aasm 2012 criteria but labeled as “normal” under the 2007 criteria — quality of life was similarly improved, according to the abstract.
it has been solidly demonstrated that in sleepy patients with osa, cpap treatment improves qol, even in those with milder disease.– however, the three months of cpap treatment improved the quality of life of patients with mild obstructive sleep apnea, according to results of the merge if you find yourself having issues while you are sleeping, it is highly recommended that you consider participating in a sleep study. addressing, .
a study shows that positive airway pressure therapy improves quality of life measures in people who have obstructive sleep apnea. (positive airway pressure is also referred to as pap or cpap, which specifically refers to the continuous pressure type of device.) the authors found patients randomized to cpap had greater improvement in the primary endpoint of vitality (as measured by sf-36 subscore). the two rcts show that cpap therapy increases hrql; this improvement is significant in the patient’s energy or vitality, and in the diurnal symptoms. the using a cpap to treat your sleep apnea can enhance your life and make each day better. some of the benefits include alertness, increase in concentration,, .
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