Article ; Online: Polysomnographic airflow shapes and site of collapse during drug-induced sleep endoscopy.
The European respiratory journal
2024
Abstract: Rationale: Differences in the pharyngeal site-of-collapse influences efficacy of non-CPAP therapies for obstructive sleep apnoea (OSA). Notably, complete concentric collapse at the palate (CCCp) during drug-induced sleep endoscopy (DISE) is associated ... ...
Abstract | Rationale: Differences in the pharyngeal site-of-collapse influences efficacy of non-CPAP therapies for obstructive sleep apnoea (OSA). Notably, complete concentric collapse at the palate (CCCp) during drug-induced sleep endoscopy (DISE) is associated with reduced efficacy of hypoglossal nerve stimulation, but CCCp is currently not recognisable using polysomnography. Here we develop a means to estimate DISE-based site-of-collapse using overnight polysomnography. Methods: 182 OSA patients provided DISE and polysomnography data. Six polysomnographic flow-shape characteristics (mean during hypopnoeas) were identified as candidate predictors of CCCp (primary outcome variable, N=44/182), including inspiratory skewness and inspiratory scoopiness. Multivariable logistic regression combined the six characteristics to predict clear presence (N=22) Results: CCCp was characterised by greater scoopiness (β=1.5±0.6 per 2SD, multivariable estimate±se) and skewness (β=11.4±2.4) compared to non-CCCp. Odds ratio [95%CI] for CCCp in predicted positive Conclusions: The current study provides a means to recognise patients with likely CCCp or other DISE-based site-of-collapse categories using routine polysomnography. Since site-of-collapse influences therapeutic responses, polysomnographic airflow shape analysis could facilitate precision site-specific OSA interventions. |
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Language | English |
Publishing date | 2024-03-28 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 639359-7 |
ISSN | 1399-3003 ; 0903-1936 |
ISSN (online) | 1399-3003 |
ISSN | 0903-1936 |
DOI | 10.1183/13993003.00261-2024 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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