CPAP Adherence of Patients With Obstructive Sleep Apnea

• DOI: 10.4187/respcare.02139
• Publication Date: 2013-08-27T10:08:02Z
• Authors: Banu Salepci; Benan Caglayan; Nesrin Kiral; Elif Torun Parmaksiz; Sevda Sener Comert; Gulsen Sarac; Ali Fidan; Gulten Aktin Gungor
• Keywords: Epworth Sleepiness Scale

Continuous positive airway pressure (CPAP) and bi-level (BPAP) are the gold standard treatments for obstructive sleep apnea syndrome (OSAS), but CPAP/BPAP is not well tolerated requires long-term follow-up.We prospectively assessed subjective objective adherence factors that affect in OSAS patients.Subjects using were questioned about adverse effects of with Epworth Sleepiness Scale (ESS) at first, third, sixth, twelfth month, once every 6 months after first year. use assessed. Subjects who used least 4 hours per night 70% days monitored regarded as adherent, those did considered non-adherent. The relationships between demographic data, polysomnography findings, ESS scores, statistically analyzed.Six-hundred forty-eight subjects diagnosed by accepted to our center January 2005 June 2011 included. Four-hundred fifty-one (69.6%) men, 197 (30.4%) women. Two-hundred (38.3%) attended follow-ups, 246 (37.9%) called telephone, 154 (23.8%) could be reached. Of whole population, 63.9% had obtained their machine. In 248 was 85.1% 64.5%. Improvement score (P < .001) satisfactory found significantly higher adherent group. Chest discomfort, difficulty falling asleep, disturbances non-adherent group (all P .01).Of just 38.3% follow-ups. lower than Younger more most important correlated substantial improvement daytime sleepiness effect on sleep.CPAP/BPAP should followed monitoring.