ICU sedation, delirium & recovery

The Effect of Sleep Disorder Interventions in Patients With Obstructive Sleep Apnea Undergoing Solid-Organ Transplants: A Systematic Review

Anesth AnalgPublished Systematic review

Study context

Population
Adults (≥18 years) with obstructive sleep apnea (OSA) undergoing solid-organ transplantation3 studies
Comparison
OSA therapies such as continuous positive airway pressure (CPAP) in solid-organ transplant
Outcome
Sleep parameters (1 study, heart transplant)
Methodological detailsPRISMA-reported, 1407 studies identified, 38 full-text reviewed, 3 eligible
  • PRISMA-reported
  • 1407 studies identified, 38 full-text reviewed, 3 eligible

Pooled result

As reported in the abstract

  • Nasal CPAP led to significant improvements in Apnea-Hypopnea Index, Arousal Index, and total sleep time with SpO2 <90%

Further pooled results

Graft dysfunction

Untreated OSA more likely to develop graft dysfunction earlier than treated or no OSA

1-year mortality and 5-year overall survival

No detectable impact of CPAP after adjustment

Original publication

The Effect of Sleep Disorder Interventions in Patients With Obstructive Sleep Apnea Undergoing Solid-Organ Transplants: A Systematic Review. Anesth Analg. Published 8 August 2025. doi:10.1213/ane.0000000000007694

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