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. 2019 Dec 2;2019(12):CD003531. doi: 10.1002/14651858.CD003531.pub4

Ficker 2003.

Methods Randomised, parallel group study. Methods of randomisation not reported. Devices were identical in appearance.
Participants N = 100 participants. Mean age: 54.3; BMI: 31.8; AHI: 47.9; ESS: 12.6
Inclusion criteria: diurnal somnolence (≥ 8 on ESS); AHI > 10; written consent
Exclusion criteria: prior CPAP therapy; central sleep apnoea or Cheyne‐Stokes respiration; severe nasal obstruction or other conditions contraindicating CPAP treatment; COPD (FEV1 < 70% predicted); congestive heart failure (NYHA III or IV)
Interventions Auto‐CPAP (forced oscillation technique) versus fixed CPAP
Conference abstract reported 8 weeks duration (published paper reported 2 nights data from laboratory studies)
Outcomes
  1. Machine usage (average hours used)

  2. AHI

  3. Symptoms (ESS)

  4. Quality of life (SF‐36)

  5. Treatment pressure

Funding & conflicts of interest statements Not available (conference abstract)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Information not available
Allocation concealment (selection bias) Unclear risk Information not available
Blinding of participants and personnel (performance bias) 
 Machine usage, symptoms, quality of life, withdrawal, adverse effects Unclear risk Information not available
Blinding of participants and personnel (performance bias) 
 AHI, blood pressure, treatment pressure Unclear risk Information not available
Blinding of outcome assessment (detection bias) 
 Machine usage, symptoms, quality of life, withdrawal, adverse effects Unclear risk Information not available
Blinding of outcome assessment (detection bias) 
 AHI, blood pressure, treatment pressure Unclear risk Information not available
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Information not available
Selective reporting (reporting bias) Unclear risk Information not available
Other bias Unclear risk Information not available