Identifying Affecting Factors on Acceptance with CPAP on the First Night of PAP Titration in Sleep Clinic on Patients with Obstructive Sleep Apnea
Introduction:This research examined the causes of low acceptance with Continuous Positive Airway Pressure Continuous Positive Airway Pressure (CPAP) especially anatomical causes and if eliminating them would result in increasing its adherence. Materials and Methods:This cross sectional study was pe...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Mashhad University of Medical Sciences
2023-11-01
|
| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | https://ijorl.mums.ac.ir/article_23345_4145f57a236c2659c71d376c9c6459ec.pdf |
| _version_ | 1827281127771996160 |
|---|---|
| author | Reihaneh Heidari Ayeh Shamsadini Arezu Najafi Reza Erfanian |
| author_facet | Reihaneh Heidari Ayeh Shamsadini Arezu Najafi Reza Erfanian |
| author_sort | Reihaneh Heidari |
| collection | DOAJ |
| description | Introduction:This research examined the causes of low acceptance with Continuous Positive Airway Pressure Continuous Positive Airway Pressure (CPAP) especially anatomical causes and if eliminating them would result in increasing its adherence. Materials and Methods:This cross sectional study was performed on patients with moderate to severe Obstructive Sleep Apnea Obstructive Sleep Apnea (OSA) undergoing PAP titration in the sleep clinic. CPAP acceptance was evaluated by visual analog scale (VAS) about mask and sleep satisfaction and the possibility of using CPAP in the future, mask complications, physical examination of the upper airway and polysomnographic (PSG) results before and after titration. Results:participants were divided into three groups of non-acceptant, semi-acceptant and acceptant with CPAP based on the satisfaction of the mask and sleep. There were no significant differences between groups based on age, gender, education, BMI and polysomnographic variables. With a study of mask complication, there were significant differences among groups for dry mouth, mask leakage and cold air. (p<0.05) The severity of septal deviation, high arch palate, mallampati, retrognathia and maxillary hypoplasia in the acceptant group was less than the other two groups, but it was not statistically significant. Conclusions:Satisfaction with the sleep and the mask on the first night of titration will significantly increase the likelihood of using CPAP in the future. A number of the pathological physical examinations were lower in the acceptant group than two other groups, but were not significant. |
| first_indexed | 2024-04-24T08:52:58Z |
| format | Article |
| id | doaj.art-1df4dcf633a94729aa9457c810559604 |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-04-24T08:52:58Z |
| publishDate | 2023-11-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-1df4dcf633a94729aa9457c8105596042024-04-16T09:03:52ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2023-11-0135630330910.22038/ijorl.2023.68296.332523345Identifying Affecting Factors on Acceptance with CPAP on the First Night of PAP Titration in Sleep Clinic on Patients with Obstructive Sleep ApneaReihaneh Heidari0Ayeh Shamsadini1Arezu Najafi2Reza Erfanian3Otorhinolaryngology Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Otorhinolaryngology Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran.Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.Introduction:This research examined the causes of low acceptance with Continuous Positive Airway Pressure Continuous Positive Airway Pressure (CPAP) especially anatomical causes and if eliminating them would result in increasing its adherence. Materials and Methods:This cross sectional study was performed on patients with moderate to severe Obstructive Sleep Apnea Obstructive Sleep Apnea (OSA) undergoing PAP titration in the sleep clinic. CPAP acceptance was evaluated by visual analog scale (VAS) about mask and sleep satisfaction and the possibility of using CPAP in the future, mask complications, physical examination of the upper airway and polysomnographic (PSG) results before and after titration. Results:participants were divided into three groups of non-acceptant, semi-acceptant and acceptant with CPAP based on the satisfaction of the mask and sleep. There were no significant differences between groups based on age, gender, education, BMI and polysomnographic variables. With a study of mask complication, there were significant differences among groups for dry mouth, mask leakage and cold air. (p<0.05) The severity of septal deviation, high arch palate, mallampati, retrognathia and maxillary hypoplasia in the acceptant group was less than the other two groups, but it was not statistically significant. Conclusions:Satisfaction with the sleep and the mask on the first night of titration will significantly increase the likelihood of using CPAP in the future. A number of the pathological physical examinations were lower in the acceptant group than two other groups, but were not significant.https://ijorl.mums.ac.ir/article_23345_4145f57a236c2659c71d376c9c6459ec.pdfacceptancecpaposa |
| spellingShingle | Reihaneh Heidari Ayeh Shamsadini Arezu Najafi Reza Erfanian Identifying Affecting Factors on Acceptance with CPAP on the First Night of PAP Titration in Sleep Clinic on Patients with Obstructive Sleep Apnea Iranian Journal of Otorhinolaryngology acceptance cpap osa |
| title | Identifying Affecting Factors on Acceptance with CPAP on the First Night of PAP Titration in Sleep Clinic on Patients with Obstructive Sleep Apnea |
| title_full | Identifying Affecting Factors on Acceptance with CPAP on the First Night of PAP Titration in Sleep Clinic on Patients with Obstructive Sleep Apnea |
| title_fullStr | Identifying Affecting Factors on Acceptance with CPAP on the First Night of PAP Titration in Sleep Clinic on Patients with Obstructive Sleep Apnea |
| title_full_unstemmed | Identifying Affecting Factors on Acceptance with CPAP on the First Night of PAP Titration in Sleep Clinic on Patients with Obstructive Sleep Apnea |
| title_short | Identifying Affecting Factors on Acceptance with CPAP on the First Night of PAP Titration in Sleep Clinic on Patients with Obstructive Sleep Apnea |
| title_sort | identifying affecting factors on acceptance with cpap on the first night of pap titration in sleep clinic on patients with obstructive sleep apnea |
| topic | acceptance cpap osa |
| url | https://ijorl.mums.ac.ir/article_23345_4145f57a236c2659c71d376c9c6459ec.pdf |
| work_keys_str_mv | AT reihanehheidari identifyingaffectingfactorsonacceptancewithcpaponthefirstnightofpaptitrationinsleepcliniconpatientswithobstructivesleepapnea AT ayehshamsadini identifyingaffectingfactorsonacceptancewithcpaponthefirstnightofpaptitrationinsleepcliniconpatientswithobstructivesleepapnea AT arezunajafi identifyingaffectingfactorsonacceptancewithcpaponthefirstnightofpaptitrationinsleepcliniconpatientswithobstructivesleepapnea AT rezaerfanian identifyingaffectingfactorsonacceptancewithcpaponthefirstnightofpaptitrationinsleepcliniconpatientswithobstructivesleepapnea |