scholarly journals 0426 CPAP Compliance Rate of Patients with Diagnosis of Insomnia with underlying Obstructive Sleep Apnea (OSA)

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A161-A162
Author(s):  
S Ngan ◽  
J M Bolterman
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Compliance Rate ◽  
Obstructive Sleep ◽  
Cpap Compliance

scholarly journals 0632 The Correlation Between Severity of Obstructive Sleep Apnea and Patient Compliance

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A241-A241
Author(s):  
A C Roberts ◽  
G Bastin
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Patient Compliance ◽  
Compliance Rate ◽  
Newly Diagnosed ◽  
Cpap Therapy ◽  
Cpap Adherence ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Cpap Compliance

Abstract Introduction Obstructive sleep apnea (OSA) is a prevalent disorder affecting 9-38% of the global population and is linked to multiple health complications. Continuous Positive Airway Pressure (CPAP) is regarded as the gold standard treatment for OSA, but its efficacy is limited by poor patient compliance. Studies have linked many clinical and lifestyle factors to CPAP adherence, but have produced conflicting outcomes. Based on the current literature, it is assumed patients diagnosed with severe OSA are more likely to be compliant with CPAP due to a greater improvement in quality of life. The goal of this study is to compare the compliance rate of CPAP for patients with mild, moderate, and severe OSA, as well as identify other potential predictors of CPAP compliance. Methods This study is a retrospective chart review of 100 patients who were newly diagnosed with OSA and started on CPAP between January 1, 2017 and January 1, 2018. Baseline demographic data, past medical history, OSA severity, Epworth sleepiness scale, and compliance to CPAP therapy were recorded. Compliance was defined as CPAP usage greater than four hours per night for at least 21 days per month. Results Mean follow-up time after CPAP initiation was 3.19 months. Overall 77% of patients were compliant to CPAP therapy, of which 48% were males and 52% were females (P=0.48). CPAP compliance rates for mild OSA (79.3%), moderate OSA (73.7%), and severe OSA (78.8%) showed no significant difference for independence (P=0.83) or correlation with compliance (P=0.99). Only seasonal allergic rhinitis showed a positive association with CPAP adherence (P=0.031) and depression showed a negative association (P=0.027). Conclusion The level of OSA severity is not a significant predictor of short-term CPAP compliance among newly diagnosed patients. Support Parkview Physicians Group, Indiana School of Medicine - Fort Wayne, and the Dr. Luis and Anne B Schneider Foundation.

scholarly journals Correction to: CPAP Compliance in Obstructive Sleep Apnea

2019 ◽  
Vol 3 (2) ◽  
pp. 119-119
Author(s):  
Manvir Bhatia ◽  
Yogendra Singh
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep ◽  
Cpap Compliance

Early Predictors of CPAP Compliance in Patients With Obstructive Sleep Apnea (OSA)

CHEST Journal ◽  
2010 ◽  
Vol 138 (4) ◽  
pp. 629A
Author(s):  
Lawrence A. Smolley ◽  
Sudama Reddi ◽  
Jose Ramirez ◽  
Eduardo Oliveira ◽  
Franck Rahaghi ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Early Predictors ◽  
Obstructive Sleep ◽  
Cpap Compliance

scholarly journals CPAP Improved Daytime Sleepiness and Memory Function in Patients With Obstructive Sleep Apnea Syndrome

2021 ◽  
Author(s):  
Ya-Ling Hong ◽  
Yu-Chih Shen ◽  
En-Ting Chang ◽  
Shu-Chin Kung
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Daytime Sleepiness ◽  
Memory Function ◽  
Demographic Data ◽  
Sleep Apnea Syndrome ◽  
Cpap Treatment ◽  
Obstructive Sleep ◽  
Cpap Compliance ◽  
Control Study

Abstract Objective: Obstructive sleep apnea (OSA) is a sleep disorder which results in daytime sleepiness and impaired memory function. The aim of this study was to investigate the effect of continuous positive airway pressure (CPAP) on sleepiness and memory function in OSA patients. We also investigated whether CPAP compliance impacted the effect of this treatment.Methods: The case-control study enrolled sixty-six patients with moderate to severe OSA subjects. All subjects completed a polysomnographic study, sleepiness questionnaires (the Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Index), and four memory function tests (WM: working memory; PS: processing speed; LM: logical memory; FM: face memory).Results: Prior to CPAP treatment, no significant differences (p< 0.05) were noted in the demographic data, daytime sleepiness, or memory function between the two groups (with/without CPAP). However, OSA patients treated with CPAP for two months showed significant improvements in daytime sleepiness, PS, LM, and FM compared to those who did not receive CPAP treatment. A significant improvement in LM was observed in subjects who exhibited good compliance with CPAP treatment compared to those with poor compliance. Conclusions: In conclusion, CPAP treatment for two months improved daytime sleepiness and memory function in OSA patients. Patients exhibiting good CPAP compliance demonstrated greater improvements in daytime sleepiness and LM function.

scholarly journals CPAP compliance in patients with moderate to severe obstructive sleep apnea from three centers in South India

2017 ◽  
Vol 5 (11) ◽  
pp. 4886
Author(s):  
Mathew Ninan ◽  
Balachandran J.
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Low Cost ◽  
Compliance Rate ◽  
Sleep Apnea Syndrome ◽  
Upper Airway ◽  
Problem Area ◽  
High Rate ◽  
Positive Pressure ◽  
Obstructive Sleep

Background: Obstructive sleep apnea syndrome (OSAS) is a common sleep related breathing disorder, characterised by frequent interruptions of breathing during sleep resulting in arousals and a sympathetic overdrive. The most effective treatment for patients with significant sleep apnea has been a device which delivers positive pressure on the upper airway to act as a physiological splint thus preventing collapse of the upper airway (CPAP) to be used while sleeping. However patient compliance with CPAP use has always been a problem area. Many studies published show a compliance rate between 30% to 80% from different parts of the globe. We wanted to assess compliance with CPAP in our patient population.Methods: A retrospective telephonic interview of patients who had been diagnosed with moderate to severe OSAS from 3 centers in Kerala.Results: In present study we found a net compliance rate of only 14.7% and the primary reason for this high rate of non-compliance was the relatively high cost of the CPAP.Conclusions: The compliance with CPAP in our study was very low and the most cited reason was the cost of the device. In patients who brought the device the compliance rate was similar to studies from western countries. To increase compliance with CPAP in patients with OSAS may require innovative thinking to reduce the upfront cost of the device (e.g. renting or leasing devices, providing options for paying in instalments and also more importantly focussing on low cost devices (CPAP).

CPAP Compliance in Obstructive Sleep Apnea

2019 ◽  
Vol 3 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Manvir Bhatia ◽  
Yogendra Singh
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep ◽  
Cpap Compliance

Upper Airway Reconstructive Surgery Long-Term Quality-of-Life Outcomes Compared with CPAP for Adult Obstructive Sleep Apnea

2009 ◽  
Vol 141 (2) ◽  
pp. 257-263 ◽  
Author(s):  
Sam Robinson ◽  
Michael Chia ◽  
A. Simon Carney ◽  
Sharad Chawla ◽  
Penelope Harris ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Side Effects ◽  
Upper Airway ◽  
Cpap Therapy ◽  
Obstructive Sleep ◽  
Cpap Compliance

OBJECTIVE: To measure long-term quality-of-life (QOL) improvement following contemporary multilevel upper airway reconstruction surgery, compared with continuous positive airway pressure (CPAP) therapy. Secondary aims were to investigate factors determining clinical effectiveness and QOL impact of reported side effects. DESIGN: Cohort study. SUBJECTS AND METHODS: Consecutive, simultaneously treated adult patients with moderate-severe obstructive sleep apnea (OSA) having upper airway surgery (N = 77) or CPAP (N = 89) therapy were studied by questionnaire. Glasgow Benefit Inventory (GBI), change in snoring status and Epworth Sleepiness Scale (ESS), subjective CPAP compliance, and side effects in both groups were measured at mean ± SEM 44.12 ± 5.78 months (3.68 ± 0.48 years) after commencement of therapy. RESULTS: No significant difference was seen between surgical outcomes for GBI, snoring, or ESS and CPAP controls. Multivariate analysis showed reduction in Respiratory Disturbance Index (RDI) predicted postoperative snoring and ESS, but not GBI outcomes. Snoring control and GBI were related to CPAP compliance ( P < 0.001). CPAP side effects (reported in 26%) significantly reduced the QOL benefit of treatment, independent of compliance. Surgical complications (occurring in 44%) did not affect QOL treatment benefit. CONCLUSION: Patients with poor CPAP compliance and/or significant side effects of CPAP therapy (45% of cases in this series) should be evaluated for contemporary upper airway reconstructive surgery.

scholarly journals Impact of bariatric surgery on obstructive sleep apnea severity and continuous positive airway pressure therapy compliance—prospective observational study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Paweł Nastałek ◽  
Kamil Polok ◽  
Natalia Celejewska-Wójcik ◽  
Aleksander Kania ◽  
Krzysztof Sładek ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Architecture ◽  
Obstructive Sleep ◽  
Cpap Compliance ◽  
Therapy Compliance

AbstractTo evaluate association between bariatric surgery and changes in obstructive sleep apnea (OSA) severity and sleep architecture was as well as to asses continuous positive airway pressure (CPAP) effectiveness and compliance. We enrolled patients undergoing bariatric surgery. Polysomnography was performed in each patient preoperatively and 12 months after the procedure in a subgroup of patients diagnosed with OSA. STOP-BANG, Epworth Sleepiness Scale (ESS) and Berlin questionnaire scores were obtained pre- and postoperatively. CPAP compliance data was recorded during follow-up hospitalization. Among 44 patients with median age of 49.5 years, predominantly women (68.2%) pre- and postoperative polysomnography was performed. We observed significant improvement in STOP-BANG (6.0 vs. 3.0, p < 0.001) and ESS (12.0 vs. 5.0, p < 0.001) scores, apnea–hypopnea index (44.9 vs. 29.2, p < 0.001), oxygen desaturation index (43.6 vs. 18.3, p < 0.001) and sleep architecture parameters. CPAP compliance was poor with a median percentage of days with CPAP use accounting to 49.3%. Bariatric surgery is associated with a significant decrease in the number of sleep-related respiratory disturbances, as well as improvement of sleep efficiency. Postoperative CPAP therapy compliance was poor despite low rate of OSA resolution. This study suggests that patients with OSA undergoing bariatric surgery require postoperative reassessment.

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