Self-reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndrome

Introduction: Patients with obstructive sleep apnoea syndrome (OSAS) are often prescribed the use of continuous positive airway pressure (CPAP) devices to overcome obstruction during sleep. We aimed at assessing the adherence rates to CPAP therapy in two clinical subtypes of OSAS. Patients and Metho...

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Main Authors: Fatih Uzer, Ummuhan Okur, Aykut Cilli
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2021-01-01
Series:Indian Journal of Respiratory Care
Subjects:
Online Access:http://www.ijrc.in/article.asp?issn=2277-9019;year=2021;volume=10;issue=2;spage=221;epage=225;aulast=Uzer
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author Fatih Uzer
Ummuhan Okur
Aykut Cilli
author_facet Fatih Uzer
Ummuhan Okur
Aykut Cilli
author_sort Fatih Uzer
collection DOAJ
description Introduction: Patients with obstructive sleep apnoea syndrome (OSAS) are often prescribed the use of continuous positive airway pressure (CPAP) devices to overcome obstruction during sleep. We aimed at assessing the adherence rates to CPAP therapy in two clinical subtypes of OSAS. Patients and Methods: Patients diagnosed with positional or rapid eye movement related OSAS using polysomnography were included. Patients were contacted by telephone calls to collect data. Inclusion criteria were age >18 years, a total apnea-hypopnea index (AHI) >5, and a physician recommendation to initiate therapy with a CPAP device. Patients were excluded if they had known neurological disorders, were unwilling to answer all questions and had no recommendation to use CPAP therapy. Results: A total of 286 patients, 99 females (34.6%) and 187 males (65.4%), with a mean age of 56.5 ± 11.3 years were included. There were 134 (46.9%) CPAP users and 152 (53.1%) CPAP nonusers. Reasons for not using the CPAP device included unwillingness to use the device (n = 73, 48%), reduced patient comfort due to noise, hose, or air pressure (n = 31, 20.3%), reimbursement problems (n = 38, 25%), and reasons such as recovery or operation (n = 10, 6.5%). Age, duration of use/months, number of nights per week during which the device was used and the mean number of hours per night were not significantly different between OSAS types (P > 0.05), while the mean AHI and body mass index were significantly different between OSAS types (P < 0.05). Conclusion: A significant proportion of OSAS patients do not use CPAP devices due to various reasons. Adherence to CPAP therapy was not significantly different between groups.
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spelling doaj.art-1f538a491e944926ad8b47a898885f642023-09-03T15:24:08ZengJaypee Brothers Medical PublisherIndian Journal of Respiratory Care2277-90192321-48992021-01-0110222122510.4103/ijrc.ijrc_135_20Self-reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndromeFatih UzerUmmuhan OkurAykut CilliIntroduction: Patients with obstructive sleep apnoea syndrome (OSAS) are often prescribed the use of continuous positive airway pressure (CPAP) devices to overcome obstruction during sleep. We aimed at assessing the adherence rates to CPAP therapy in two clinical subtypes of OSAS. Patients and Methods: Patients diagnosed with positional or rapid eye movement related OSAS using polysomnography were included. Patients were contacted by telephone calls to collect data. Inclusion criteria were age >18 years, a total apnea-hypopnea index (AHI) >5, and a physician recommendation to initiate therapy with a CPAP device. Patients were excluded if they had known neurological disorders, were unwilling to answer all questions and had no recommendation to use CPAP therapy. Results: A total of 286 patients, 99 females (34.6%) and 187 males (65.4%), with a mean age of 56.5 ± 11.3 years were included. There were 134 (46.9%) CPAP users and 152 (53.1%) CPAP nonusers. Reasons for not using the CPAP device included unwillingness to use the device (n = 73, 48%), reduced patient comfort due to noise, hose, or air pressure (n = 31, 20.3%), reimbursement problems (n = 38, 25%), and reasons such as recovery or operation (n = 10, 6.5%). Age, duration of use/months, number of nights per week during which the device was used and the mean number of hours per night were not significantly different between OSAS types (P > 0.05), while the mean AHI and body mass index were significantly different between OSAS types (P < 0.05). Conclusion: A significant proportion of OSAS patients do not use CPAP devices due to various reasons. Adherence to CPAP therapy was not significantly different between groups.http://www.ijrc.in/article.asp?issn=2277-9019;year=2021;volume=10;issue=2;spage=221;epage=225;aulast=Uzeradherencecompliancecontinuous positive airway pressureobstructive sleep apnea syndromepositionalrapid eye movement
spellingShingle Fatih Uzer
Ummuhan Okur
Aykut Cilli
Self-reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndrome
Indian Journal of Respiratory Care
adherence
compliance
continuous positive airway pressure
obstructive sleep apnea syndrome
positional
rapid eye movement
title Self-reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndrome
title_full Self-reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndrome
title_fullStr Self-reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndrome
title_full_unstemmed Self-reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndrome
title_short Self-reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndrome
title_sort self reported continuous positive airway pressure device compliance of patients with obstructive sleep apnoea syndrome
topic adherence
compliance
continuous positive airway pressure
obstructive sleep apnea syndrome
positional
rapid eye movement
url http://www.ijrc.in/article.asp?issn=2277-9019;year=2021;volume=10;issue=2;spage=221;epage=225;aulast=Uzer
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AT ummuhanokur selfreportedcontinuouspositiveairwaypressuredevicecomplianceofpatientswithobstructivesleepapnoeasyndrome
AT aykutcilli selfreportedcontinuouspositiveairwaypressuredevicecomplianceofpatientswithobstructivesleepapnoeasyndrome