Obstructive Sleep Apnea
Conditions
Keywords
Exhaled breath analysis, Mass spectrometry
Brief summary
Determination of changes in molecular breath patterns in OSA patients, naïve for OSA treatment before and after one month of CPAP therapy by untargeted, secondary electrospray ionisation-high resolution mass spectrometry (SESI-HRMS). Furthermore, breath patterns will be assessed for correlation and association to clinical outcomes such as change in OSA severity, sleepiness, and blood pressure.
Interventions
No intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Recently diagnosed OSA (AHI ≥20/h) * Patient is willing to start CPAP therapy * ESS \> 10 points * 18 years or above
Exclusion criteria
* Moribund or severe disease prohibiting protocol adherence * Use of oxygen therapy or home ventilation * Physical or intellectual impairment precluding informed consent or protocol adherence * Known malignancy, acute pulmonary disease, drug or alcohol abuse, known active inflammatory diseases (e.g. autoimmune disease), relevant congenital defects e.g. amino acid metabolism defect, relevant endocrinological disease, renal failure (GFR \< 15 mL/min) * Pregnant patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exhaled breath pattern | twice during 1 month | Change in exhaled breath pattern in response to one month of CPAP treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Vital signs | twice during 1 month | Correlation of breath print with changes in blood pressure and heart rate |
| Sleepiness | twice during 1 month | Correlation of breath print with changes in sleepiness (Epworth sleepiness scale) and Functional outcome of sleep questionnaire (FOSQ 30) |
| OSA severity parameter | twice during 1 month | Correlation of breath print with changes in OSA severity parameters on CPAP (e.g. AHI, ODI) |
| CPAP therapy | twice during 1 month | Correlation of breath print with CPAP therapy parameters (adherence and leakage) |
| Therapy feedback | twice during 1 month | Correlation of breath print with patients' and their partners' feedback report on CPAP machine used |
| Spirometry | twice during 1 month | Correlation of breath print with spirometry (FEV1, FVC) |
Countries
Switzerland