The Baveno Classification as a Predictor of CPAP Titration Pressure in Obstructive Sleep Apnea Syndrome
Introduction: Obstructive sleep apnea syndrome (OSAS) is a clinical condition characterised by repeated periods of partial or full obstruction of airflow throughout sleep, with impairment of the quality of life and increased mortality with socioeconomic impacts. CPAP therapy is a simple and effectiv...
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| Format: | Article |
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MDPI AG
2023-12-01
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| Series: | Advances in Respiratory Medicine |
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| Online Access: | https://www.mdpi.com/2543-6031/91/6/42 |
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| author | Ahmed Ehab Axel T. Kempa Harald Englert Shaza Almasri Bittar Aida M. Yousef Heba Wagih Abdelwahab |
| author_facet | Ahmed Ehab Axel T. Kempa Harald Englert Shaza Almasri Bittar Aida M. Yousef Heba Wagih Abdelwahab |
| author_sort | Ahmed Ehab |
| collection | DOAJ |
| description | Introduction: Obstructive sleep apnea syndrome (OSAS) is a clinical condition characterised by repeated periods of partial or full obstruction of airflow throughout sleep, with impairment of the quality of life and increased mortality with socioeconomic impacts. CPAP therapy is a simple and effective treatment option for OSAS patients. To overcome the clinical and prognostic limitations of AHI—as a sole index of OSAS—the Baveno classification was recently set out and introduced into clinical practice. This study aims to analyse the effect of the Baveno classification on the optimum CPAP titration pressure. Methods: A retrospective analysis of the records of sleep studies in two centres between 2018 and 2021 was carried out. Patients diagnosed with OSAS and recruited for CPAP titration were included. Based on the Baveno classification, the patients were categorised into four groups (A, B, C, and D). Results: Consequently, 700 patients were analysed and 427 patients were included. A significant positive correlation was detected between the CPAP optimum titration pressure and OSAS severity, neck circumference, the oxygen desaturation index (ODI), mean oxygen saturation, the AHI, the BMI, and cumulative sleep time when the SpO<sub>2</sub> was <90% (T90) on the other side (<i>p</i>: <0.0001). A non-significant correlation was seen between the Epworth Sleepiness Scale (ESS), symptom severity, end organ impact, and Baveno classification of the CPAP optimum titration pressure (<i>p</i>: 0.8, 0.4, 0.5, and 0.7, respectively). Conclusions: The Baveno classification is not useful in the prediction of CPAP optimum titration pressure. However, the ODI and neck circumference were significant independent predictors of a higher CPAP titration pressure. |
| first_indexed | 2024-03-08T21:00:24Z |
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| issn | 2543-6031 |
| language | English |
| last_indexed | 2024-03-08T21:00:24Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
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| series | Advances in Respiratory Medicine |
| spelling | doaj.art-36d5e48b934245ea9e34e200099a570c2023-12-22T13:52:25ZengMDPI AGAdvances in Respiratory Medicine2543-60312023-12-0191657157910.3390/arm91060042The Baveno Classification as a Predictor of CPAP Titration Pressure in Obstructive Sleep Apnea SyndromeAhmed Ehab0Axel T. Kempa1Harald Englert2Shaza Almasri Bittar3Aida M. Yousef4Heba Wagih Abdelwahab5Pulmonary Medicine Department, Loewenstein Lung Center, 74245 Loewenstein, GermanyPulmonary Medicine Department, Loewenstein Lung Center, 74245 Loewenstein, GermanyPulmonary Medicine Department, Loewenstein Lung Center, 74245 Loewenstein, GermanyPulmonary Medicine Department, Loewenstein Lung Center, 74245 Loewenstein, GermanyChest Medicine Department, Mansoura University, Mansoura 35511, EgyptChest Medicine Department, Mansoura University, Mansoura 35511, EgyptIntroduction: Obstructive sleep apnea syndrome (OSAS) is a clinical condition characterised by repeated periods of partial or full obstruction of airflow throughout sleep, with impairment of the quality of life and increased mortality with socioeconomic impacts. CPAP therapy is a simple and effective treatment option for OSAS patients. To overcome the clinical and prognostic limitations of AHI—as a sole index of OSAS—the Baveno classification was recently set out and introduced into clinical practice. This study aims to analyse the effect of the Baveno classification on the optimum CPAP titration pressure. Methods: A retrospective analysis of the records of sleep studies in two centres between 2018 and 2021 was carried out. Patients diagnosed with OSAS and recruited for CPAP titration were included. Based on the Baveno classification, the patients were categorised into four groups (A, B, C, and D). Results: Consequently, 700 patients were analysed and 427 patients were included. A significant positive correlation was detected between the CPAP optimum titration pressure and OSAS severity, neck circumference, the oxygen desaturation index (ODI), mean oxygen saturation, the AHI, the BMI, and cumulative sleep time when the SpO<sub>2</sub> was <90% (T90) on the other side (<i>p</i>: <0.0001). A non-significant correlation was seen between the Epworth Sleepiness Scale (ESS), symptom severity, end organ impact, and Baveno classification of the CPAP optimum titration pressure (<i>p</i>: 0.8, 0.4, 0.5, and 0.7, respectively). Conclusions: The Baveno classification is not useful in the prediction of CPAP optimum titration pressure. However, the ODI and neck circumference were significant independent predictors of a higher CPAP titration pressure.https://www.mdpi.com/2543-6031/91/6/42obstructive sleep apnea syndromeapnea–hypopnea indexcontinuous positive airway pressureBaveno classification |
| spellingShingle | Ahmed Ehab Axel T. Kempa Harald Englert Shaza Almasri Bittar Aida M. Yousef Heba Wagih Abdelwahab The Baveno Classification as a Predictor of CPAP Titration Pressure in Obstructive Sleep Apnea Syndrome Advances in Respiratory Medicine obstructive sleep apnea syndrome apnea–hypopnea index continuous positive airway pressure Baveno classification |
| title | The Baveno Classification as a Predictor of CPAP Titration Pressure in Obstructive Sleep Apnea Syndrome |
| title_full | The Baveno Classification as a Predictor of CPAP Titration Pressure in Obstructive Sleep Apnea Syndrome |
| title_fullStr | The Baveno Classification as a Predictor of CPAP Titration Pressure in Obstructive Sleep Apnea Syndrome |
| title_full_unstemmed | The Baveno Classification as a Predictor of CPAP Titration Pressure in Obstructive Sleep Apnea Syndrome |
| title_short | The Baveno Classification as a Predictor of CPAP Titration Pressure in Obstructive Sleep Apnea Syndrome |
| title_sort | baveno classification as a predictor of cpap titration pressure in obstructive sleep apnea syndrome |
| topic | obstructive sleep apnea syndrome apnea–hypopnea index continuous positive airway pressure Baveno classification |
| url | https://www.mdpi.com/2543-6031/91/6/42 |
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