Redefining Sleep Apnea Treatment for Women: New Algorithm

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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OhHelpMe
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Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by OhHelpMe » Mon Jun 02, 2014 4:49 pm

Redefining Sleep Apnea Treatment for Women: New Algorithm Significantly Improves Treatment of Flow Limitation
Enables lower pressures over the course of the night than standard APAP

SAN DIEGO, May 21, 2014 /PRNewswire/ -- A new study presented today at the American Thoracic Society 2014 International Conference (Abstract #714) indicates that a new algorithm developed specifically for how female sleep apnea sufferers breathe and who use auto-adjusting positive airway pressure (APAP) therapy can improve flow limitation and enable lower pressures for therapy, leading to a more comfortable therapy experience.
A study indicates that a new algorithm developed specifically for how female sleep apnea sufferers breathe can lead to a more comfortable therapy experience.

This new approach to APAP treatment addresses female-specific obstructive sleep apnea characteristics. Nigel McArdle, M.D., consultant physician and research scientist at the West Australian Sleep Disorders Research Institute, Sir Charles Gairdner Hospital, served as lead investigator on the trial and presented the findings from the study, funded by ResMed (NYSE: RMD). ResMed is the global leader in the treatment of sleep-disordered breathing and other respiratory conditions.

The study findings have the potential to better inform treatment decisions, improve therapy experiences, and increase compliance among women with sleep apnea, according to McArdle.

"We've known for a while that sleep apnea presents itself differently in men and women, and that physiological gender differences affect treatment responses," said McArdle. "With that in mind, we designed this trial, the first of its kind, to investigate the possibility of a new treatment algorithm to make APAP therapy more effective and comfortable for women with sleep apnea."

Using the principles of APAP therapy, researchers at the University of Western Australia, the Western Australian Sleep Disorders Research Institute, and the ResMed Science Centre developed the new treatment algorithm to proactively address female-specific characteristics of sleep apnea. The algorithm has been designed to reflect the fact that respiratory events in women are typically shorter in duration, that female apneas occur mainly in the rapid eye movement phase of sleep, and that air flow is frequently constrained but not altogether blocked in female patients.

Researchers found that the proportion of flow-limited breaths was significantly lower with the new algorithm than with standard APAP, and mean mask pressure tended to be less.

"The overlooked gender differences of sleep apnea can make treatment uncomfortable and less effective for women," said Jeff Armitstead, Ph.D., vice president of medical affairs, ResMed. "As we learn more about the condition and seek to improve ways to treat it, gender-specific approaches are an obvious next step, and are in line with ResMed's history of innovative, patient-centric solutions. We'll continue to support research in this area and seek to translate the knowledge gained into effective therapies."

http://investor.resmed.com/phoenix.zhtm ... id=1933185

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Sclark08
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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by Sclark08 » Mon Jun 02, 2014 5:24 pm

Very interesting. I hope my Dr is aware and finds out about this one . Anything would be an improvement to the way sleep apnea is currently treated.
Don't get me wrong I am grateful for Medicare subsidizing my equipment which is top of the line. But I have always felt there must be a better way

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Kiralynx
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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by Kiralynx » Mon Jun 02, 2014 5:43 pm

Interesting. I will be looking forward to more information on this topic.

Women DO respond differently to treatments than men.

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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by kaiasgram » Mon Jun 02, 2014 6:19 pm

Thanks for posting the article OHM.

I agree with Kiralynx. Increasingly medical research is demonstrating that women and men do not always have the same responses to medications and other treatments.

I wish that this article or the resesearch paper it linked to would have described what changes to the algorithm were being studied. I'm guessing it's because ResMed doesn't want to give their secrets away.

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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by mellabella » Mon Jun 02, 2014 6:25 pm

The algorithm has been designed to reflect the fact that respiratory events in women are typically shorter in duration, that female apneas occur mainly in the rapid eye movement phase of sleep, and that air flow is frequently constrained but not altogether blocked in female patients.
Well, this describes me to a T and why I can't rely on my machine to know how to titrate me up on auto all the time (I check waveform data every morning when in doubt), so I'll be watching this with interest. I do think it's priming the market for a "for her" setting on a new generation of ResMed machines, so I'm guessing it's going to set me back about $2000 or so for the auto bipap I need (I have to self-pay for durable medical equipment because of my UARS diagnosis, ironically enough) to benefit from it. (And if it's going to be a software upgrade....I'm currently on a Respironics!)

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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by Drowsy Dancer » Mon Jun 02, 2014 7:38 pm

"Algorithms for her" would do a lot more for me than a pink "machine for her."

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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by mellabella » Mon Jun 02, 2014 7:40 pm

Drowsy Dancer wrote:"Algorithms for her" would do a lot more for me than a pink "machine for her."
Ha!! That's exactly one of the first thoughts that came into my mind when I realized this would turn into a product push by ResMed: "Good lord, please please don't make the damn thing come only in pink."

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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by chunkyfrog » Mon Jun 02, 2014 7:46 pm

---It could get even better than this?
Maybe I breathe like a guy; naaah!

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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by Newbie Woman » Mon Jun 02, 2014 11:48 pm

Pink is so last year. Maybe it will come in lilac.

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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by 49er » Tue Jun 03, 2014 5:06 am

Drowsy Dancer wrote:"Algorithms for her" would do a lot more for me than a pink "machine for her."
That also applies to masks in which I wish they would study the anatomy of the female face to make masks that better fitted us instead of just designating pink masks for females which in my opinion is extremely insulting.

Regarding defining sleep apnea treatment, I can't see anything that has really changed but as Kaisgram stated, we really need more information which I doubt will be forthcoming since Resmed thinks patients should stay dumb and uninformed.

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Sludge
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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by Sludge » Tue Jun 03, 2014 5:36 am

You Kids Have Fun!!

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Re: Redefining Sleep Apnea Treatment for Women: New Algorithm

Post by CowFish » Tue Jun 03, 2014 7:30 am


In brief terms, they seem to be analyzing not the inspiratory and expiratory curves, but smaller portions of each of these curves. Then the machine responds to each of these smaller segments.

I see no reason that this technique would not also work more effectively for men.