Investigating CPAP Compliance in Patients with Obstructive Sleep Apnea
Abstract
Objectives: Our aim in this study is to investigate, in patients who are advised to use CPAP, the rate of usage, differences between the patients who use the device and those who don’t; and the factors affecting the compliance rates.
Methodology: A telephone survey was applied to the patients who underwent polysomnography, between the years 2010 -2015 and were thereafter advised to use CPAP as the treatment method.
Results: Total number of patients included in the study was 108. Of them, 77 (71%) was male and 31 (29%) was female. The mean age was 50 (±11). There were 47 (43,5%) patients with comorbidities. Of 108 patients, 63 (58%) reported using CPAP at the time of the survey and 45 (42%) reported having abandoned the treatment, 62% (n: 28) of this 45 patients reported that they ceased the CPAP use within the first week of their treatment. Of 63 patients using CPAP, 3 (5%) was found noncompliant while 60 (95%) was found compliant.
Conclusion: In our study, rate of CPAP use was found to be 55%. The difference between the mean ages of CPAP users and non-users was found statistically significant (p: 0,008). the results of our study suggests that BMI is not a factor that affects the rate of CPAP use. In our study, contrary to what would be expected, the mean CPAP pressure of the patients using the device were found to be higher than that of non-users.
Keywords
References
- 1.Young T, Peppard PE, GottliebDJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002;165(9):1217–1239.
- 2. Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol 2013;177(9): 1006–1014.
- 3. Virk JS, Kotecha BJ. When continuous positive airway pressure (CPAP) fails. Thorac Dis. 2016;8(10):1112-1121.
- 4. Meurice JC, Antone E, Gilbert M, Watrin A, Bironneau V. A Continuous positive airway pressure in obstructive sleep apnea. Presse Med. Presse Med. 2017;46(4):423-431
- 5. Gülcü A, İtil O, Öztura İ, Şener G, Şahbaz S, Sevinç C, Kılınç O, İkiz AÖ, Çımrın AH, Uçan ES, Akkoçlu A. Compliance, side effects and results of CPAP therapy in cases with obstructive sleep apnea syndrome. Turkish Respiratory Journal 2005; 6(3):135-38
- 6.Altıntaş N, Fırat H. Adherence problems during CPAP usage and solutions. Tuberk Toraks. 2013;61(1):63-70.
- 7.Engleman HM, Martin SE, Douglas NJ. Compliance with CPAP therapy in patients with the sleep apnoea/hypopnea syndrome. Thorax. 1994;49: 263–64.
- 8. Reeves-Hoche MK, Meck R, Zwillich DW. Nasal CPAP: an objective evaluation of patient compliance. Am J Respir Crit Care Med. 1994;149: 149–54
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
December 18, 2018
Submission Date
September 30, 2018
Acceptance Date
-
Published in Issue
Year 2018 Volume: 8 Number: 3