Obstructive Sleep Apnea Syndrome Clinical Trial
Official title:
Feasibility Evaluation of Continuous Positive Airway Pressure (CPAP) in the Treatment of Obstructive Sleep Apnea Synchrone in the Acute Phase of Stroke
This project is focused on the treatment of obstructive sleep apnea in the acute phase of
stroke. Stroke is a frequent pathology with a high morbidity and mortality rate. Although it
has now been proved that obstructive sleep apnea syndrome (OSAS) is a risk factor of stroke,
on the other hand, there is evidence that 50 to 70% of patients in the acute phase of stroke
have obstructive sleep apnea (OSA) based on an apnea-hypopnea index (AHI) of ≥ 10. OSA is
associated with worse functional outcomes and higher mortality in the post-stroke period.
Profound hemodynamic fluctuations and hypoxia generated by sleep apnea are likely to
aggravate cerebral ischemia, particularly in the acute phase of stroke in the potentially
reversible ischemic penumbra. Continuous Positive Airway Pressure (CPAP) is the primary
treatment for obstructive sleep apnea.
Yet, to our knowledge, there have been very few studies aimed at demonstrating the value of
CPAP in the treatment of obstructive sleep apnea in the acute phase of stroke. Only one
randomised trial has provided the means to document neurological improvement at mid term (1
month) in a targeted population.
Before undertaking a comparative study evaluating the efficacy of CPAP in the acute phase of
ischemic stroke, it is worth evaluating the feasibility and tolerance of introducing CPAP at
the very early stage of ischemic stroke. Therefore, the purpose of our study is to evaluate
the feasibility of CPAP in the treatment of OSA in the acute phase of ischemic stroke.
n/a
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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