Polysomnography in normocapnic patients receiving domiciliary noninvasive mechanical ventilation due to chronic respiratory failure: is it really necessary? Kronik solunum yetmezliği nedeniyle evde non-invaziv mekanik ventilasyon kullanan normokapnik hastalarda polisomnografi: gerçekten gerekli mi?
Pamukkale Medical Journal, cilt.13, sa.1, ss.109-117, 2020 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 13 Sayı: 1
- Basım Tarihi: 2020
- Doi Numarası: 10.31362/patd.643557
- Dergi Adı: Pamukkale Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.109-117
- Anahtar Kelimeler: chronic respiratory failure, domiciliary non-invasive mechanical ventilation, Polysomnography, Sleep apnea
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: Sleep affects respiratory system and lung mechanisms in patients with respiratory diseases, thus hypercapnia and hypoxemia could be determined during sleep. Nowadays the usage of domicilary non-invasive mechanical ventilation (NIV) have increased due to chronic respiratory failure (CRF). There is limited data about the polysomnographic features of the CRF patients requiring domiciliary NIV. The aim of this study was to evaluate the polysomnographic features of the domiciliary NIV patients. Material and methods: This retrospective, cross sectional study was conducted in sleep laboratory between January 2016-2019. Patients who underwent polysomnography were evaluated and using domiciliary NIV were included. Patient characteristics, diagnosis, comorbid diseases, polysomnographic parameters, NIV usuage hours, spirometry values, length of ICU stay were recorded. Appropriate statistical tests and analyzes were used. Results: Among 1850 patients who underwent polysomnography between January 2017-2019, thirty-four patients who were followed-up by domiciliary NIV were included. 22 (64.7%) of the cases were female, mean age was 67±10 years and 82.4% were diagnosed COPD. Total sleep time was 347.2±61.5 minutes and sleep efficiency was 68±13%. N1, N2, N3 and REM sleep percentage of total sleep time was 5.5 (4.6-8), 62.6 (59-69), 19.7 (13-27), 7.9 (5-13.5) respectively. NIV usage hours in ICU and out-patient clinic were7 (6-8), 3.3 (2.1-4.4) hours respectively. Conclusion: Abnormal sleep architecture and sleep related abnormalities can be seen in patients with CRF using domicilary NIV. In normocapnic CRF patients with domiciliary NIV, who has low compliance to devices, polysomnography should be performed to evaluate sleep features and the effect of NIV device on sleep.