Sex differences regarding the impact of a standardized adaptation session in Colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devices
Introduction: Positive airway pressure (PAP) is the most effective treatment for obstructive sleep apnea (OSA) but adherence to this device is poor. The Sleep and Breathing Disorders Clinic of Fundación Neumológica Colombiana (FNC) has a standardized adaptation session (SAS) aimed at patients with d...
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| Format: | Article |
| Language: | English |
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Universidad Nacional de Colombia
2021-09-01
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| Series: | Revista de la Facultad de Medicina |
| Subjects: | |
| Online Access: | https://revistas.unal.edu.co/index.php/revfacmed/article/view/92729 |
| _version_ | 1797824745451814912 |
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| author | María Angélica Bazurto-Zapata Fredy Valderrama Federico Fernández Mauricio González-García |
| author_facet | María Angélica Bazurto-Zapata Fredy Valderrama Federico Fernández Mauricio González-García |
| author_sort | María Angélica Bazurto-Zapata |
| collection | DOAJ |
| description | Introduction: Positive airway pressure (PAP) is the most effective treatment for obstructive sleep apnea (OSA) but adherence to this device is poor. The Sleep and Breathing Disorders Clinic of Fundación Neumológica Colombiana (FNC) has a standardized adaptation session (SAS) aimed at patients with difficulties in using PAP devices.
Objective: To evaluate the impact of a SAS in short-term adherence to PAP therapy in patients with OSA, and to determine differences by sex.
Materials and methods: Before-and-after single cohort study conducted in 40 people aged ≥18 years with an apnea–hypopnea index ≥15/hour and treated at the FNC, Bogotá D.C. (Colombia) between 2015 and 2017, who attended a SAS due to poor adherence to PAP therapy (defined as <4 hours use in 70% of nights). Data on the hours of use of the PAP device and the percentage of days in which it was used >4 hours were recorded before and after the intervention to evaluate changes in patients’ adherence. Descriptive statistics were used for data analysis. The paired samples t-test was used for the comparison of variables before and after the intervention.
Results: A significant increase was observed in PAP device use (1.8 hours, 95%CI: 1.3-2.3; p<0.001) and in the percentage of days it was used >4 hours (35.6%, 95%CI: 26.0-45.3; p<0.001). Among men, the increase was higher in both cases (2.3 hours, 95%CI: 1.7-2.9; p=0.029 and 47.8%, 95%CI: 32.9-62.8; p=0.029).
Conclusion: The SAS offered by the FNC, which includes education strategies and the identification and solving of barriers hindering the use of PAP devices, significantly increased the hours of PAP device use and the percentage of days in which it was used >4 hours in the study population, particularly in men.
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| first_indexed | 2024-03-13T10:43:45Z |
| format | Article |
| id | doaj.art-f3c1b4fd4abf41d7af9bb7842c293230 |
| institution | Directory Open Access Journal |
| issn | 0120-0011 2357-3848 |
| language | English |
| last_indexed | 2024-03-13T10:43:45Z |
| publishDate | 2021-09-01 |
| publisher | Universidad Nacional de Colombia |
| record_format | Article |
| series | Revista de la Facultad de Medicina |
| spelling | doaj.art-f3c1b4fd4abf41d7af9bb7842c2932302023-05-17T22:02:53ZengUniversidad Nacional de ColombiaRevista de la Facultad de Medicina0120-00112357-38482021-09-0170310.15446/revfacmed.v70n3.92729Sex differences regarding the impact of a standardized adaptation session in Colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devicesMaría Angélica Bazurto-Zapata0Fredy Valderrama1Federico Fernández2Mauricio González-García3Fundación Neumológica Colombiana - Sleep Laboratory - Bogotá D.C. - Colombia.Fundación Neumológica Colombiana - Sleep Laboratory - Bogotá D.C. - Colombia.Fundación Neumológica Colombiana - Sleep Laboratory - Bogotá D.C. - Colombia.Fundación Neumológica Colombiana - Research Department - Bogotá D.C. - Colombia.Introduction: Positive airway pressure (PAP) is the most effective treatment for obstructive sleep apnea (OSA) but adherence to this device is poor. The Sleep and Breathing Disorders Clinic of Fundación Neumológica Colombiana (FNC) has a standardized adaptation session (SAS) aimed at patients with difficulties in using PAP devices. Objective: To evaluate the impact of a SAS in short-term adherence to PAP therapy in patients with OSA, and to determine differences by sex. Materials and methods: Before-and-after single cohort study conducted in 40 people aged ≥18 years with an apnea–hypopnea index ≥15/hour and treated at the FNC, Bogotá D.C. (Colombia) between 2015 and 2017, who attended a SAS due to poor adherence to PAP therapy (defined as <4 hours use in 70% of nights). Data on the hours of use of the PAP device and the percentage of days in which it was used >4 hours were recorded before and after the intervention to evaluate changes in patients’ adherence. Descriptive statistics were used for data analysis. The paired samples t-test was used for the comparison of variables before and after the intervention. Results: A significant increase was observed in PAP device use (1.8 hours, 95%CI: 1.3-2.3; p<0.001) and in the percentage of days it was used >4 hours (35.6%, 95%CI: 26.0-45.3; p<0.001). Among men, the increase was higher in both cases (2.3 hours, 95%CI: 1.7-2.9; p=0.029 and 47.8%, 95%CI: 32.9-62.8; p=0.029). Conclusion: The SAS offered by the FNC, which includes education strategies and the identification and solving of barriers hindering the use of PAP devices, significantly increased the hours of PAP device use and the percentage of days in which it was used >4 hours in the study population, particularly in men. https://revistas.unal.edu.co/index.php/revfacmed/article/view/92729Sleep ApneaContinuous Positive Airway PressurePatient Compliance |
| spellingShingle | María Angélica Bazurto-Zapata Fredy Valderrama Federico Fernández Mauricio González-García Sex differences regarding the impact of a standardized adaptation session in Colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devices Revista de la Facultad de Medicina Sleep Apnea Continuous Positive Airway Pressure Patient Compliance |
| title | Sex differences regarding the impact of a standardized adaptation session in Colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devices |
| title_full | Sex differences regarding the impact of a standardized adaptation session in Colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devices |
| title_fullStr | Sex differences regarding the impact of a standardized adaptation session in Colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devices |
| title_full_unstemmed | Sex differences regarding the impact of a standardized adaptation session in Colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devices |
| title_short | Sex differences regarding the impact of a standardized adaptation session in Colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devices |
| title_sort | sex differences regarding the impact of a standardized adaptation session in colombian patients with obstructive sleep apnea and poor adherence to positive airway pressure devices |
| topic | Sleep Apnea Continuous Positive Airway Pressure Patient Compliance |
| url | https://revistas.unal.edu.co/index.php/revfacmed/article/view/92729 |
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