Loube D I, Gay P C, Strohl K P, Pack A I, White D P, Collop N A
Walter Reed Army Medical Center, Washington, DC 20307-5001, USA.
Chest. 1999 Mar;115(3):863-6. doi: 10.1378/chest.115.3.863.
We developed a short-length document that clearly delineates a prudent approach to and criteria for reimbursement of positive airway pressure (PAP) costs for the treatment of obstructive sleep apnea (OSA). Treatment modalities for OSA with PAP include continuous positive airway pressure, bilevel or variable PAP, and autotitrating PAP. This guidance on the appropriate criteria for PAP use in OSA is based on widely acknowledged peer-reviewed studies and widely accepted clinical practice. These criteria reflect current opinion on the appropriate clinical management of OSA in lieu of data pending from the Sleep Heart Health Study and upcoming outcome studies. This document is not intended to provide a complete review and analysis of the OSA clinical literature. The key to the success of this document is to foster consensus within and outside the clinical sleep community by providing a common sense and easily understood approach to the treatment of OSA with PAP.
我们制定了一份简短文件，清晰地阐述了针对阻塞性睡眠呼吸暂停（OSA）治疗中气道正压通气（PAP）费用报销的审慎方法和标准。采用PAP治疗OSA的方式包括持续气道正压通气、双水平或可变PAP以及自动调压PAP。这份关于在OSA中使用PAP的适当标准的指南基于广泛认可的同行评审研究和广泛接受的临床实践。这些标准反映了当前对OSA适当临床管理的观点，而非等待睡眠心脏健康研究及即将开展的结果研究的数据。本文件并非旨在对OSA临床文献进行全面综述和分析。本文档成功的关键在于通过提供一种常识性且易于理解的PAP治疗OSA的方法，促进临床睡眠领域内外的共识。
