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

Hussain 2004.

Methods Randomised, single‐blind, cross‐over study. Method of randomisation not described. Statistical test: paired t tests
Participants N = 10 (9 M/1 F). Mean age: 44.98; AHI: 47.2; BMI: 35.9; ESS: 11.1
Inclusion criteria: CPAP‐naive at baseline; symptomatic OSA (AHI > 15/h)
Exclusion criteria: not described
Interventions Auto‐CPAP versus fixed CPAP
Study duration: 2 x 4‐week treatment periods (washout 2 weeks)
Outcomes
  1. Machine usage (average hours used)

  2. Symptoms (ESS)

  3. AHI

  4. Treatment pressure

  5. Preference

  6. Polsomnography outcomes

Funding & conflicts of interest statements Quote: "This study was funded by Respironics Inc., Murrysville, PA." Author conflicts of interest: not declared
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 High risk Quote: "...this randomized, prospective, single‐blind cross‐over trial.....Patients were unaware of the treatment mode..."
Blinding of participants and personnel (performance bias) 
 AHI, blood pressure, treatment pressure Low risk These outcomes unlikely to be affected by single‐blind study design.
Blinding of outcome assessment (detection bias) 
 Machine usage, symptoms, quality of life, withdrawal, adverse effects High risk Study personnel would have been aware of treatment group assignment.
Blinding of outcome assessment (detection bias) 
 AHI, blood pressure, treatment pressure Low risk These outcomes unlikely to be affected by single‐blind study design.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants completed
Selective reporting (reporting bias) Low risk All outcomes reported
Other bias Low risk No concerns identified