Comparison of Two Headgear Systems for Sleep Apnea Treatment of Stroke Patients

被引:8
作者
Brown, Devin L. [1 ]
Concannon, Maryann [1 ]
Kaye, Aaron B. [1 ]
Zupancic, Michael [3 ]
Lisabeth, Lynda D. [1 ,2 ]
机构
[1] Univ Michigan, Sch Med, Ctr Cardiovasc, Stroke Program, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
[3] Pacific Sleep Med Serv, San Diego, CA USA
关键词
Sleep apnea; obstructive; Stroke patients; Continuous positive airway pressure masks; Patient satisfaction; POSITIVE AIRWAY PRESSURE; CARDIOVASCULAR OUTCOMES;
D O I
10.1159/000185610
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Background: Obstructive sleep apnea is a very common condition after stroke, and it predicts poor outcomes. Unfortunately, stroke patients often do not tolerate continuous positive airway pressure. We hypothesized that a 1-piece head frame headgear would be easier and quicker to use than a traditional strap headgear. Methods: A convenience sample of ischemic stroke patients was taught to use 2 different headgear systems, a head frame and straps. Subjects were timed while putting on and taking off the 2 headgears, and they were queried about their ease of use. Results: All the 30 enrolled subjects found the head frame to be easier to apply and to remove than the straps. The patients took longer to put on (p < 0.01) and to remove (p < 0.01) the straps than the head frame. Conclusions: Headgear selection should be considered when fitting a stroke patient with a continuous positive airway pressure mask. Copyright (C) 2008 S. Karger AG, Basel
引用
收藏
页码:183 / 186
页数:4
相关论文
共 13 条
[1]
ASPLUND K, 1988, ACTA MED SCAND, P26
[2]
Sleep apnea in acute cerebrovascular diseases: Final report on 128 patients [J].
Bassetti, C ;
Aldrich, MS .
SLEEP, 1999, 22 (02) :217-223
[3]
Sleep-disordered breathing and acute ischemic stroke - Diagnosis, risk factors, treatment, evolution, and long-term clinical outcome [J].
Bassetti, CL ;
Milanova, M ;
Gugger, M .
STROKE, 2006, 37 (04) :967-972
[4]
Early investigation and treatment of obstructive sleep apnoea after acute stroke [J].
Broadley, Simon A. ;
Jorgensen, Lisbeth ;
Cheek, Alison ;
Salonikis, Suzie ;
Taylor, Jamie ;
Thompson, Philip D. ;
Antic, Ral .
JOURNAL OF CLINICAL NEUROSCIENCE, 2007, 14 (04) :328-333
[5]
Continuous positive airway pressure delivery interfaces for obstructive sleep apnoea [J].
Chai, C. L. ;
Pathinathan, A. ;
Smith, B. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (04)
[6]
Long-term effects of nasal continuous positive airway pressure therapy on cardiovascular outcomes in sleep apnea syndrome [J].
Doherty, LS ;
Kiely, JL ;
Swan, V ;
McNicholas, WT .
CHEST, 2005, 127 (06) :2076-2084
[7]
Sleep-disordered breathing and poor functional outcome after stroke [J].
Good, DC ;
Henkle, JQ ;
Gelber, D ;
Welsh, J ;
Verhulst, S .
STROKE, 1996, 27 (02) :252-259
[8]
Sleep-disordered breathing after stroke: a randomised controlled trial of continuous positive airway pressure [J].
Hsu, C-Y ;
Vennelle, M. ;
Li, H-Y ;
Engleman, H. M. ;
Dennis, M. S. ;
Douglas, N. J. .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2006, 77 (10) :1143-1149
[9]
Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study [J].
Marin, JM ;
Carrizo, SJ ;
Vicente, E ;
Agusti, AGN .
LANCET, 2005, 365 (9464) :1046-1053
[10]
Continuous positive airway pressure treatment in sleep apnea prevents new vascular events after ischemic stroke [J].
Martínez-García, AA ;
Galiano-Blancart, R ;
Román-Sáichez, P ;
Soler-Cataluña, JJ ;
Cabero-Salt, L ;
Salvedo-Maiques, E .
CHEST, 2005, 128 (04) :2123-2129