Continuous Positive Airway Pressure Compliance in Patients with Obstructive Sleep Apnea
نویسندگان
چکیده
BACKGROUND Obstructive sleep apnea (OSA) is a common condition in adults. In most cases, first-line therapy includes treatment with positive airway pressure devices. However, because of discomfort, continuous positive airway pressure (CPAP) compliance is often poor. To determine the willingness of patients to use CPAP device, the relationship of demographic and polysomnographic variables with tolerance and the willingness to use CPAP, was evaluated. MATERIALS AND METHODS In this cross-sectional study, 120 OSA patients who were treated with CPAP in Baqiyatallah Hospital, Tehran, Iran, were selected by convenience sampling. Polysomnographic variables, willingness to use CPAP for short and long periods of time and possible complications were evaluated. RESULTS One hundred-twenty cases with a mean age of 53±10.3 years were assessed. The mean Epworth Sleepiness Scale (ESS) score was 11.9 ± 6.2 in CPAP users versus 11.8±6.1 in patients who did not use CPAP. The willingness to use CPAP for short-term was significantly different between the two groups (P=0.008). The average minimum oxygen saturation rate of patients was 75.21% in CPAP users versus 71.63% in non CPAP users. Also, the average desaturation index was higher in CPAP users (54.5 vs. 44.98). The mean ESS was 14.03 ± 6.19 in those who accepted long-term treatment versus 8.85 ± 4.89 (P=0.003). Skin wounds and rhinitis were reported in 4.1% and 4.1% of patients, respectively. CONCLUSION It is concluded that high CPAP compliance rates are achievable through comprehensive CPAP therapy.
منابع مشابه
Factors Affecting Patients’ Adherence to Continuous Positive Airway Pressure Therapy for Obstructive Sleep Apnea Disorder: A Multi-Method Approach
Background: Continuous positive airway pressure (CPAP) is the gold standard therapy for treating obstructive sleep apnea (OSA) disorder. However, patients’ adherence to its regular use is poor. The present study aimed to determine the adherence rate to CPAP therapy by identifying factors affecting its regular use and its associated problems and discomforts among a sample population in Mashhad (...
متن کاملInterventions to improve compliance in sleep apnea patients previously non-compliant with continuous positive airway pressure.
STUDY OBJECTIVES Despite widespread agreement that continuous positive airway pressure is effective therapy for obstructive sleep apnea, it is estimated that 50% of patients recommended for therapy are noncompliant 1 year later. Interventions to improve compliance in such patients have not been studied. We evaluated a 2 phase intervention program to improve compliance in sleep apnea patients pr...
متن کاملThe importance of clinical monitoring for compliance with Continuous Positive Airway Pressure.
INTRODUCTION Obstructive sleep apnea syndrome is currently a public health problem of great importance. When misdiagnosed or improperly treated, it can lead to serious consequences on patients' quality of life. The gold standard treatment for cases of obstructive sleep apnea syndrome, especially in mild to severe and symptomatic cases, is continuous positive airway pressure therapy. Compliance ...
متن کاملShould use of 4 hours continuous positive airway pressure per night be considered acceptable compliance?
Continuous positive airway pressure (CPAP) reduces blood pressure in obstructive sleep apnoea (OSA) patients, as well as in patients with resistant hypertension. The effect of CPAP is directly related to treatment compliance [1–3]. Observational studies have shown a reduction in cardiovascular mortality risk in severe OSA patients treated with CPAP and adequate compliance [4–6]. A recent random...
متن کاملAlternatives for OSAHS treatment: selection of patients for upper airway surgery and oral appliances
Although continuous positive airway pressure (CPAP) is considered to represent the standard treatment for patients with moderate-to-severe obstructive sleep apnoea/hypopnoea syndrome (OSAHS), poor treatment compliance and/or refusal is an issue in ,20–30% of these
متن کاملObjective measurement of compliance with nasal CPAP treatment for obstructive sleep apnoea syndrome.
Compliance with nasal continuous positive airway pressure (CPAP) has become a major concern, since this treatment is efficacious, but constraining. In 46 consecutive obstructive sleep apnoea (OSA) patients, we measured compliance with nasal CPAP by establishing a mean rate of use, with a built-in time counter read at three-month intervals, over a mean follow-up period of 232 +/- 27 days. The me...
متن کامل