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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 78(2)

Polysomnographic parameters during non-rapid eye movement sleep predict continuous positive airway pressure adherence

https://doi.org/10.18999/nagjms.78.2.195
https://doi.org/10.18999/nagjms.78.2.195
c823a2bb-aefb-4a81-ad91-25ef9ed5f4a4
名前 / ファイル ライセンス アクション
17_Hoshino.pdf 17_Hoshino.pdf (219.9 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-05-23
タイトル
タイトル Polysomnographic parameters during non-rapid eye movement sleep predict continuous positive airway pressure adherence
著者 Hoshino, Tetsurou

× Hoshino, Tetsurou

WEKO 65665

Hoshino, Tetsurou

Search repository
Sasanabe, Ryujiro

× Sasanabe, Ryujiro

WEKO 65666

Sasanabe, Ryujiro

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Murotani, Kenta

× Murotani, Kenta

WEKO 65667

Murotani, Kenta

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Arimoto, Mariko

× Arimoto, Mariko

WEKO 65668

Arimoto, Mariko

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Inagawa, Shuntaro

× Inagawa, Shuntaro

WEKO 65669

Inagawa, Shuntaro

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Tanigawa, Tohru

× Tanigawa, Tohru

WEKO 65670

Tanigawa, Tohru

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Uchida, Yasue

× Uchida, Yasue

WEKO 65671

Uchida, Yasue

Search repository
Ogawa, Tetsuya

× Ogawa, Tetsuya

WEKO 65672

Ogawa, Tetsuya

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Ueda, Hiromi

× Ueda, Hiromi

WEKO 65673

Ueda, Hiromi

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Shiomi, Toshiaki

× Shiomi, Toshiaki

WEKO 65674

Shiomi, Toshiaki

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キーワード
主題Scheme Other
主題 adherence
キーワード
主題Scheme Other
主題 continuous positive airway pressure
キーワード
主題Scheme Other
主題 obstructive sleep apnea
キーワード
主題Scheme Other
主題 polysomnography
抄録
内容記述 The aim of this study was to investigate the potential polysomnographic predictors of CPAP adherence
using polysomnographic parameters at the time of obstructive sleep apnea diagnosis that distinguished
between REM and NREM sleep. This was a retrospective cross-sectional study of 173 patients. Patients
who used CPAP for more than 4 hours per night for at least 70% of nights over a 6-month period were
considered to have good adherence. The poor adherence group included those who had used CPAP for
6 months from initiation, but did not fulfill the definition of good adherence or gave up the treatment
within 6 months of treatment initiation. Of the 173 participants, 44 patients had good CPAP adherence
and 129 patients had poor adherence. Univariate analysis showed that patients with good adherence had
significantly higher apnea-hypopnea index during NREM sleep (p = 0.043), oxygen desaturation index
during NREM sleep (p = 0.011), and cumulative percentage of time spent at saturations below 90% (CT90)
during NREM sleep (p < .001). In multiple logistic regression analysis including all variables, CT90 during
NREM sleep was the only factor independently associated with CPAP adherence (odds ratio, 0.693; 95%
confidence interval, 0.582–0.824; p <.0001). The area under the receiver-operating characteristic curve of
CT90 during NREM sleep was 0.823 (95% confidence interval, 0.745–0.901).Evaluating NREM sleep is
important in reliably predicting CPAP adherence using polysomnographic parameters. CT90 during NREM
sleep was the best predictor of CPAP adherence.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.78.2.195
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 78, 号 2, p. 195-203, 発行日 2016-05
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/782.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/24197
識別子タイプ HDL
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