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https://www.rpr.lib.ok.us/taxonomy/term/282/all
enNasal vs Oronasal CPAP for OSA Treatment: A Meta-Analysis.
https://www.rpr.lib.ok.us/resource/nasal-vs-oronasal-cpap-osa-treatment-meta-analysis
<div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Date Added: </div>
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<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2018-11-01T00:00:00-05:00">November 1, 2018</span></div>
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<div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix">
<div class="field-label">Journal/Publication: </div>
<div class="field-items">
<div class="field-item even">CHEST</div>
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<div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix">
<div class="field-label">Publisher: </div>
<div class="field-items">
<div class="field-item even">American College of Chest Physicians</div>
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<div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Publication Date: </div>
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<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2018-03-01T00:00:00-06:00">March 1, 2018</span></div>
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<div class="field field-name-field-artifact-issue field-type-text field-label-inline clearfix">
<div class="field-label">Issue: </div>
<div class="field-items">
<div class="field-item even">3</div>
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<div class="field field-name-field-artifact-volume field-type-text field-label-inline clearfix">
<div class="field-label">Volume: </div>
<div class="field-items">
<div class="field-item even">153</div>
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<div class="field field-name-field-artifact-pages field-type-text field-label-inline clearfix">
<div class="field-label">Pages: </div>
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<div class="field-item even">665-674</div>
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<div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix">
<div class="field-label">URL: </div>
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<div class="field-item even"><a href="https://www.ncbi.nlm.nih.gov/pubmed/29273515" target="_blank">Nasal vs Oronasal CPAP for OSA Treatment: A Meta-Analysis.</a></div>
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<div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Type: </div>
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<div class="field-item even">Meta-analyses, Reviews, and Guidelines, Meta-analyses, Reviews, and Guidelines</div>
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<div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Format: </div>
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<div class="field-item even">Article</div>
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<div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix">
<div class="field-label">DOI (1): </div>
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<div class="field-item even">10.1016/j.chest.2017.10.044</div>
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<div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above">
<div class="field-label">Keywords </div>
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<div class="field-item even"><a href="/tags/cpap" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">CPAP</a></div>
<div class="field-item odd"><a href="/tags/osa" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">OSA</a></div>
<div class="field-item even"><a href="/tags/oronasal-mask" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">oronasal mask</a></div>
</div>
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<div class="field field-name-field-artifact-pmid-1 field-type-text field-label-inline clearfix">
<div class="field-label">PMID (1): </div>
<div class="field-items">
<div class="field-item even">29273515 </div>
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<div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above">
<div class="field-label">MeSH </div>
<div class="field-items">
<div class="field-item even"><a href="/mesh/masks" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">masks</a></div>
<div class="field-item odd"><a href="/mesh/continuous-positive-airway-pressure" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">continuous positive airway pressure</a></div>
<div class="field-item even"><a href="/mesh/sleep-apnea-syndromes" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">sleep apnea syndromes</a></div>
</div>
</div>
<div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden">
<div class="field-items">
<div class="field-item even"><p>In adults with obstructive sleep apnea, oronasal CPAP requires higher pressures, is less effective for reducing AHI, and is associated with reduced adherence compared with nasal CPAP.</p>
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<div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden">
<div class="field-items">
<div class="field-item even">Commercial full text (fees may apply)</div>
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<div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden">
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<div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-824f4bb30b60324c43e7514468c9fdc1">
<div class="view-content">
<div class="views-row views-row-1 views-row-odd views-row-first views-row-last">
<a href="https://www.ncbi.nlm.nih.gov/pubmed/29273515" class="btn btn-primary" target="_blank">View</a> </div>
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<div class="field field-name-body field-type-text-with-summary field-label-hidden">
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<div class="field-item even" property="content:encoded"><p>BACKGROUND:</p>
<p>Nasal CPAP is the "gold standard" treatment for OSA. However, oronasal masks are frequently used in clinical practice. The aim of this study was to perform a meta-analysis of all randomized and nonrandomized trials that compared nasal vs oronasal masks on CPAP level, residual apnea-hypopnea index (AHI), and CPAP adherence to treat OSA.</p>
<p>METHODS:</p>
<p>The Cochrane Central Register of Controlled Trials, Medline, and Web of Science were searched for relevant studies in any language with the following terms: "sleep apnea" and "CPAP" or "sleep apnea" and "oronasal mask" or "OSA" and "oronasal CPAP" or "oronasal mask" and "adherence." Studies on CPAP treatment for OSA were included, based on the following criteria: (1) original article; (2) randomized or nonrandomized trials; and (3) comparison between nasal and oronasal CPAP including pressure level, and/or residual AHI, and/or CPAP adherence.</p>
<p>RESULTS:</p>
<p>We identified five randomized and eight nonrandomized trials (4,563 patients) that reported CPAP level and/or residual AHI and/or CPAP adherence. Overall, the random-effects meta-analysis revealed that as compared with nasal, oronasal masks were associated with a significantly higher CPAP level (Hedges' g, -0.59; 95% CI, -0.82 to -0.37; P < .001) (on average, +1.5 cm H2O), higher residual AHI (Hedges' g, -0.34; 95% CI, -0.52 to -0.17; P < .001) (+2.8 events/h), and a poorer adherence (Hedges' g, 0.50; 95% CI, 0.21-0.79; P = .001) (-48 min/night).</p>
<p>CONCLUSIONS:</p>
<p>Oronasal masks are associated with a higher CPAP level, higher residual AHI, and poorer adherence than nasal masks.</p>
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<div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Author/s: </div>
<div class="field-items">
<div class="field-item even">Andrade, Rafaela G. S., Viana, Fernanda M., Nascimento, Juliana A., Drager, Luciano F., Moffa, Adriano, Brunoni, André R., Genta, Pedro R., Lorenzi-Filho, Geraldo</div>
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Wed, 22 Aug 2018 15:57:24 +0000Jeffrey Wilson31 at https://www.rpr.lib.ok.us