What is the recommendation for treating OSA using CPAP in patients with stroke?
The American College of Physicians recommends CPAP as the initial therapy for treating OSA in patients with stroke. Studies have shown that treatment with CPAP effectively reduces the AHI and improves measures of sleepiness, BP control, sleep-related quality of life, and physical functioning. Additionally, limited data from small trials suggest that treatment may improve mood and reduce the risk for stroke in patients with better CPAP adherence. As an alternative, mandibular advancement devices can be used for patients who do not tolerate CPAP or who prefer mandibular advancement, however, these devices have not been specifically tested in patients with stroke.