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The Complex Sleep Apnea Resolution Study: A Prospective Randomized Controlled Trial of Continuous Positive Airway Pressure Versus Adaptive Servoventilation Therapy
Author(s) -
Timothy I. Morgenthaler,
Tomasz J. Kuźniar,
Lisa F. Wolfe,
Leslee Willes,
William C. McLain,
Rochelle Goldberg
Publication year - 2014
Publication title -
sleep
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.222
H-Index - 207
eISSN - 1550-9109
pISSN - 0161-8105
DOI - 10.5665/sleep.3662
Subject(s) - continuous positive airway pressure , medicine , randomized controlled trial , epworth sleepiness scale , sleep apnea , obstructive sleep apnea , polysomnography , anesthesia , apnea–hypopnea index , positive airway pressure , apnea , positive pressure
Prior studies show that adaptive servoventilation (ASV) is initially more effective than continuous positive airway pressure (CPAP) for patients with complex sleep apnea syndrome (CompSAS), but choosing therapies has been controversial because residual central breathing events may resolve over time in many patients receiving chronic CPAP therapy. We conducted a multicenter, randomized, prospective trial comparing clinical and polysomnographic outcomes over prolonged treatment of patients with CompSAS, with CPAP versus ASV.

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