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Breathing irregularity during wakefulness associates with CPAP acceptance in sleep apnea

Overview of attention for article published in Sleep and Breathing, October 2012
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Title
Breathing irregularity during wakefulness associates with CPAP acceptance in sleep apnea
Published in
Sleep and Breathing, October 2012
DOI 10.1007/s11325-012-0775-2
Pubmed ID
Authors

Motoo Yamauchi, Frank J. Jacono, Yukio Fujita, Masanori Yoshikawa, Yoshinobu Ohnishi, Hiroshi Nakano, Cara K. Campanaro, Kenneth A. Loparo, Kingman P. Strohl, Hiroshi Kimura

Abstract

Individuals have different breathing patterns at rest, during wakefulness, and during sleep, and patients with sleep apnea are no different. The hypothesis for this study was that breathing irregularity during wakefulness associates with CPAP acceptance in obstructive sleep apnea (OSA). From a 2007-2010-database of patients with a diagnostic polysomnography (PSG) and prescribed CPAP (n = 380), retrospectively, 66 patients who quit CPAP treatment at 6 months were identified. Among them, 27 OSA patients quit despite having no side effects for discontinuing CPAP (Group A) and were compared to a matched group (age, body mass index, and apnea-hypopnea index) with good 6-month CPAP adherence (Group B; n = 21). Five minutes of respiratory signal during wakefulness at the initial PSG were extracted from respiratory inductance plethysmography recordings, and measured in a blinded fashion. The coefficients of variation (CV) for the breath-to-breath inspiration time (T i), expiration time (T e), T i + T e (T tot), and relative tidal volume, as well as an independent information theory-based metric of signal pattern variability (mutual information) were compared between groups. The CV for tidal volume was significantly greater (p = 0.001), and mutual information was significantly lower (p = 0.041) in Group A as compared to Group B. Differences in two independent measures of breathing irregularity correlated with CPAP rejection in OSA patients without nasal symptoms or comorbidity. Prospective studies of adherence should examine traits of breathing stability.

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Mendeley readers

Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 41 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 15%
Researcher 5 12%
Student > Master 5 12%
Student > Ph. D. Student 4 10%
Student > Postgraduate 4 10%
Other 5 12%
Unknown 12 29%
Readers by discipline Count As %
Medicine and Dentistry 11 27%
Psychology 4 10%
Nursing and Health Professions 4 10%
Neuroscience 2 5%
Computer Science 1 2%
Other 4 10%
Unknown 15 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 October 2012.
All research outputs
#15,255,201
of 22,684,168 outputs
Outputs from Sleep and Breathing
#666
of 1,373 outputs
Outputs of similar age
#110,349
of 176,091 outputs
Outputs of similar age from Sleep and Breathing
#11
of 16 outputs
Altmetric has tracked 22,684,168 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,373 research outputs from this source. They receive a mean Attention Score of 4.5. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 176,091 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 16 others from the same source and published within six weeks on either side of this one. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.