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Auto CPAP Titration in Patients With Poor Clinical Outcome FREE TO VIEW

Deisy Barrios Barreto, MD; Eva Mañas Baena, PhD; Carolina Gotera, MD; Carolina Jurkojc Mohremberger, MD; Javier Garcia Leaniz, MD; Patricia Lazo Meneses, MD; Patricia Castro Acosta, MD; Rosa Mirambeaux Villalona, MD; Maria Salazar, MD
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Hospital Ramón y Cajal, Madrid, Spain

Chest. 2014;145(3_MeetingAbstracts):589A. doi:10.1378/chest.1823599
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SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: Asses relationship between a poor clinical outcome in patients and therapeutic pressure variation determined by Auto CPAP

METHODS: Patients with poor clinical outcome after establishing fixed pressure CPAP with formula (F cpap), were placed in 3 groups according to the reasons for poor control: low tolerance, no clinical improvement and bad therapeutic adherence. All patients were titulated with auto cpap (a cpap). We evaluated clinical and polygraphic characteristics and looked for relationship between these reasons and the parameters analyzed. Variable was the pressure difference f cpap-a cpap. We compared this difference with clinical improvement, therapeutic adherence and tolerance using the U test of Mann Whitney.

RESULTS: 150 patients was studied with an average age of 62 years, BMI of 31.4 and RDI of 38.6. No significant differences were found between the pressure f cpap and a cpap in any of the three parameters evaluated. Smaller differences results for pressures between 7 and 9 cmH2O.

CONCLUSIONS: In our environment we have not found significant differences between setting pressure with formula or with Auto CPAP, perhaps because initial pressure were adjusted not only with formula, but also considering clinical, comorbidity and monitor closely.

CLINICAL IMPLICATIONS: AutoCPAP setting is not totally necessary if good clinical follow-up is done. Patient conditions and clinical experience must be also considered.

DISCLOSURE: The following authors have nothing to disclose: Deisy Barrios Barreto, Eva Mañas Baena, Carolina Gotera, Carolina Jurkojc Mohremberger, Javier Garcia Leaniz, Patricia Lazo Meneses, Patricia Castro Acosta, Rosa Mirambeaux Villalona, Maria Salazar

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