Efficacy of continuous positive airway pressure treatment on 5-year survival in patients with ischaemic stroke and obstructive sleep apnea : a randomized controlled trial

© 2014 European Sleep Research Society..

The main purpose of the present analysis is to assess the influence of introducing early nasal continuous positive airway pressure (nCPAP) treatment on cardiovascular recurrences and mortality in patients with a first-ever ischaemic stroke and moderate-severe obstructive sleep apnea (OSA) with an apnea-hypopnea index (AHI) ≥20 events h(-1) during a 5-year follow-up. Patients received conventional treatment for stroke and were assigned randomly to the nCPAP group (n = 71) or the control group (n = 69). Cardiovascular events and mortality were registered for all patients. Survival and cardiovascular event-free survival analysis were performed after 5-year follow-up using the Kaplan-Meier test. Patients in the nCPAP group had significantly higher cardiovascular survival than the control group (100 versus 89.9%, log-rank test 5.887; P = 0.015) However, and also despite a positive tendency, there were no significant differences in the cardiovascular event-free survival at 68 months between the nCPAP and control groups (89.5 versus 75.4%, log-rank test 3.565; P = 0.059). Early nCPAP therapy has a positive effect on long-term survival in ischaemic stroke patients and moderate-severe OSA.

Errataetall:

ErratumIn: J Sleep Res. 2015 Aug;24(4):474. - PMID 26219623

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Journal of sleep research - 24(2015), 1 vom: 12. Feb., Seite 47-53

Sprache:

Englisch

Beteiligte Personen:

Parra, Olga [VerfasserIn]
Sánchez-Armengol, Ángeles [VerfasserIn]
Capote, Francisco [VerfasserIn]
Bonnin, Marc [VerfasserIn]
Arboix, Adrià [VerfasserIn]
Campos-Rodríguez, Francisco [VerfasserIn]
Pérez-Ronchel, José [VerfasserIn]
Durán-Cantolla, Joaquín [VerfasserIn]
Martínez-Null, Cristina [VerfasserIn]
de la Peña, Mónica [VerfasserIn]
Jiménez, Maria Carmen [VerfasserIn]
Masa, Fernando [VerfasserIn]
Casadon, Ignacio [VerfasserIn]
Alonso, Maria Luz [VerfasserIn]
Macarrón, José L [VerfasserIn]

Links:

Volltext

Themen:

Ischaemic stroke
Journal Article
Mortality
Nasal continuous positive airway pressure
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 17.03.2015

Date Revised 30.03.2022

published: Print-Electronic

ErratumIn: J Sleep Res. 2015 Aug;24(4):474. - PMID 26219623

Citation Status MEDLINE

doi:

10.1111/jsr.12181

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM240219120