Sleep time on back as a predictor of adherence to positive airway pressure therapy
Abstract Upper airway collapse can be effectively dealt with positive airway pressure (PAP), and patient adherence is considered as a major determining factor for success of PAP therapy. This study was performed to determine the potential factors affecting the adherence to PAP in patients with OSA b...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-49959-5 |
| _version_ | 1797388374839918592 |
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| author | Hyun-Ho Kwak Ji-Hwan Park Dong-Joo Lee Gyo Han Bae Sung-Dong Kim Kyu-Sup Cho |
| author_facet | Hyun-Ho Kwak Ji-Hwan Park Dong-Joo Lee Gyo Han Bae Sung-Dong Kim Kyu-Sup Cho |
| author_sort | Hyun-Ho Kwak |
| collection | DOAJ |
| description | Abstract Upper airway collapse can be effectively dealt with positive airway pressure (PAP), and patient adherence is considered as a major determining factor for success of PAP therapy. This study was performed to determine the potential factors affecting the adherence to PAP in patients with OSA by using polysomnography (PSG) parameters recorded for diagnosis of OSA. The data of 158 patients between December 2018 and July 2021 were collected. They were prescribed with PAP and used the device during the adaptation period for 90 days. They were categorized into adherent and non-adherent group according to the criteria of good adherence as use of PAP ≥ 4 h per night on 70% of nights. Demographic, clinical characteristics, and PSG results were reviewed. Among 158 patients engaged in PAP therapy, 121 patients (76.6%) met the criteria of good adherence. No significant differences were found in good adherence rate regarding demographic and clinical characteristics. None of the polysomnographic factors showed significant differences between adherent and non-adherent groups. However, the percentage of sleep time on back in the adherent group was significantly higher than non-adherent group (p = 0.041). The cut-off value was determined to be 41.45% (95% confidence interval 0.43 to 0.79) by receiver operating characteristic curve analysis and the odds ratio was calculated as 2.97. Only the percentage of sleep time on back appeared to be polysomnographic predictor for identifying good adherence to PAP therapy in OSA patients. However, the conclusions may be limited in generalization due to the small sample size. |
| first_indexed | 2024-03-08T22:38:53Z |
| format | Article |
| id | doaj.art-e976e65794b44bf4a815908fabd12330 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-08T22:38:53Z |
| publishDate | 2023-12-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj.art-e976e65794b44bf4a815908fabd123302023-12-17T12:17:29ZengNature PortfolioScientific Reports2045-23222023-12-011311710.1038/s41598-023-49959-5Sleep time on back as a predictor of adherence to positive airway pressure therapyHyun-Ho Kwak0Ji-Hwan Park1Dong-Joo Lee2Gyo Han Bae3Sung-Dong Kim4Kyu-Sup Cho5Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University HospitalDepartment of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University HospitalDepartment of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University HospitalDepartment of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University HospitalDepartment of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University HospitalDepartment of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University HospitalAbstract Upper airway collapse can be effectively dealt with positive airway pressure (PAP), and patient adherence is considered as a major determining factor for success of PAP therapy. This study was performed to determine the potential factors affecting the adherence to PAP in patients with OSA by using polysomnography (PSG) parameters recorded for diagnosis of OSA. The data of 158 patients between December 2018 and July 2021 were collected. They were prescribed with PAP and used the device during the adaptation period for 90 days. They were categorized into adherent and non-adherent group according to the criteria of good adherence as use of PAP ≥ 4 h per night on 70% of nights. Demographic, clinical characteristics, and PSG results were reviewed. Among 158 patients engaged in PAP therapy, 121 patients (76.6%) met the criteria of good adherence. No significant differences were found in good adherence rate regarding demographic and clinical characteristics. None of the polysomnographic factors showed significant differences between adherent and non-adherent groups. However, the percentage of sleep time on back in the adherent group was significantly higher than non-adherent group (p = 0.041). The cut-off value was determined to be 41.45% (95% confidence interval 0.43 to 0.79) by receiver operating characteristic curve analysis and the odds ratio was calculated as 2.97. Only the percentage of sleep time on back appeared to be polysomnographic predictor for identifying good adherence to PAP therapy in OSA patients. However, the conclusions may be limited in generalization due to the small sample size.https://doi.org/10.1038/s41598-023-49959-5 |
| spellingShingle | Hyun-Ho Kwak Ji-Hwan Park Dong-Joo Lee Gyo Han Bae Sung-Dong Kim Kyu-Sup Cho Sleep time on back as a predictor of adherence to positive airway pressure therapy Scientific Reports |
| title | Sleep time on back as a predictor of adherence to positive airway pressure therapy |
| title_full | Sleep time on back as a predictor of adherence to positive airway pressure therapy |
| title_fullStr | Sleep time on back as a predictor of adherence to positive airway pressure therapy |
| title_full_unstemmed | Sleep time on back as a predictor of adherence to positive airway pressure therapy |
| title_short | Sleep time on back as a predictor of adherence to positive airway pressure therapy |
| title_sort | sleep time on back as a predictor of adherence to positive airway pressure therapy |
| url | https://doi.org/10.1038/s41598-023-49959-5 |
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