Cochrane · systematic review · CD012803

Positive airway pressure therapy for the treatment of central sleep apnoea associated with heart failure

Yamamoto, S, Yamaga, T, Nishie, K, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 5 · 71.4%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

PAP therapy compared to usual care for heart failure associated with central sleep apnoea

Population: heart failure associated with central sleep apnoea
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
PAP therapy vs usual care
RR 0.81 [0.54, 1.21]6 studies · 1804 participantsVery low
Downgraded: risk of bias, inconsistency
Cardiac‐related mortality
PAP therapy vs usual care
RR 0.97 [0.77, 1.24]5 studies · 1775 participantsModerate
Downgraded: risk of bias
All‐cause rehospitalisation
PAP therapy vs usual care
RR 0.95 [0.7, 1.3]5 studies · 1533 participantsLow
Downgraded: risk of bias
Cardiac‐related rehospitalisation
PAP therapy vs usual care
RR 0.97 [0.7, 1.35]5 studies · 1533 participantsLow
Downgraded: risk of bias
QOL
PAP therapy vs usual care
no estimate extracted6 studies · 1617 participantsLow
Downgraded: risk of bias, inconsistency
QOL: Minnesota Living with Heart Failure Questionnaire (MLHFQ) (points) scale from 0 to 105
PAP therapy vs usual care
no estimate extracted4 studies · 1458 participantsLow
Downgraded: risk of bias, inconsistency
Adverse events
PAP therapy vs usual care
no estimate extracted3 studies · 1412 participantsLow
Downgraded: risk of bias