Cochrane · systematic review · CD012922

Pharmacological treatment for central sleep apnoea in adults

Rocha, A, Pinto, ACPereira Nunes, Pachito, DV, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

AirwaysAMSTAR 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
29
current version
GRADE rated
6
No studies
19
Included studies
NR
No studies 19 · 65.5%Ungraded 4 · 13.8%Very low 6 · 20.7%Low 0 · 0%Moderate 0 · 0%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

Carbonic anhydrase inhibitors versus inactive control for central sleep apnoea associated with heart failure in adults

Population: adults with central sleep apnoea associated with heart failure
8 questions
OutcomeEffectEvidenceStatus / GRADE
cAHI
Carbonic anhydrase inhibitors vs inactive control
no estimate extracted1 study · 12 participantsVery low
Downgraded: risk of bias, imprecision
Cardiovascular mortality
Carbonic anhydrase inhibitors vs inactive control
OR 0.21 [0.02, 2.48]1 study · 18 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events
Carbonic anhydrase inhibitors vs inactive control
no estimate extractedNRNo studies
Quality of sleep
Carbonic anhydrase inhibitors vs inactive control
no estimate extractedNRNo studies
Quality of life
Carbonic anhydrase inhibitors vs inactive control
no estimate extractedNRNo studies
AHI
Carbonic anhydrase inhibitors vs inactive control
no estimate extracted1 study · 12 participantsVery low
Downgraded: risk of bias, imprecision
AHI
Carbonic anhydrase inhibitors vs inactive control
no estimate extracted1 study · 18 participantsVery low
Downgraded: risk of bias, imprecision
All‐cause mortality
Carbonic anhydrase inhibitors vs inactive control
no estimate extractedNRNo studies

Anxiolytics compared to inactive control for central sleep apnoea associated with heart failure in adults

Population: adults with central sleep apnoea associated with heart failure
7 questions
OutcomeEffectEvidenceStatus / GRADE
cAHI
Anxiolytics vs inactive control
no estimate extracted1 study · 16 participantsUngraded
Cardiovascular mortality
Anxiolytics vs inactive control
no estimate extractedNRNo studies
Serious adverse events
Anxiolytics vs inactive control
no estimate extractedNRNo studies
Quality of sleep
Anxiolytics vs inactive control
no estimate extractedNRNo studies
Quality of lifeÂ
Anxiolytics vs inactive control
no estimate extractedNRNo studies
AHI
Anxiolytics vs inactive control
no estimate extracted1 study · 16 participantsUngraded
All‐cause mortality
Anxiolytics vs inactive control
no estimate extractedNRNo studies

Methylxanthine derivatives versus inactive control for central sleep apnoea associated with heart failure in adults

Population: adults with central sleep apnoea associated with heart failure in adults
7 questions
OutcomeEffectEvidenceStatus / GRADE
cAHI
Methylxanthine derivatives vs inactive control
no estimate extracted1 study · 15 participantsVery low
Downgraded: risk of bias, imprecision
Cardiovascular mortality
Methylxanthine derivatives vs inactive control
no estimate extractedNRNo studies
Serious adverse events
Methylxanthine derivatives vs inactive control
no estimate extractedNRNo studies
Quality of sleep
Methylxanthine derivatives vs inactive control
no estimate extractedNRNo studies
Quality of life
Methylxanthine derivatives vs inactive control
no estimate extractedNRNo studies
AHI
Methylxanthine derivatives vs inactive control
no estimate extracted1 study · 15 participantsVery low
Downgraded: risk of bias, imprecision
All‐cause mortality
Methylxanthine derivatives vs inactive control
no estimate extractedNRNo studies

Hypnotics compared to inactive control for primary central sleep apnoea in adults

Population: adults with primary central sleep apnoea
7 questions
OutcomeEffectEvidenceStatus / GRADE
cAHI
Hypnotics vs inactive control
no estimate extracted1 study · 5 participantsUngraded
Cardiovascular mortality
Hypnotics vs inactive control
no estimate extractedNRNo studies
Serious adverse events
Hypnotics vs inactive control
no estimate extractedNRNo studies
Quality of sleep
Hypnotics vs inactive control
no estimate extractedNRNo studies
Quality of lifeÂ
Hypnotics vs inactive control
no estimate extractedNRNo studies
AHI
Hypnotics vs inactive control
no estimate extracted1 study · 5 participantsUngraded
All‐cause mortality
Hypnotics vs inactive control
no estimate extractedNRNo studies