Investigating CPAP Compliance in Patients with Obstructive Sleep Apnea

Yıl 2018, Cilt: 8 Sayı: 3, 145 - 150, 18.12.2018

Övsen Önay Hasan Mutlu Ahmet Emre Süslü Tevfik Metin Önerci

https://doi.org/10.32448/entupdates.499036

Öz

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.

Anahtar Kelimeler

Sleep surgery, Obstructive sleep apnea, Continuous positive airway pressure, Adherence

Kaynakça

• 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
• 9. Köktürk O, Çiftçi Ulukavak T. Obstrüktif Uyku Apne Sendromu CPAP/BPAP Tedavisi. Uykuda Solunum Bozuklukları Dizisi: 14, Tüberküloz ve Toraks Dergisi 2002;50(2): 317-334
• 10. Kohler M, Smith D, Tippett V. Stradling J Predictors of long-term compliance with continuous positive airway pressure. Thorax 2010;65(9):829–832.
• 11. Krieger J, Kurtz D, Petiau C, Sforza E, Trautmann D. Longterm compliance with CPAP therapy in obstructive sleep apnea patients and in snorers. Sleep 1996;19(9):136–143
• 12. Grunstein R, Sullivan C. Continuous positive airway pressure for sleep breathing disorders. In: Kryger MH, Roth T, Dement WC, Eds. Principles and Practice of Sleep Medicine. Philadelphia: WB Saunders Company, 2000: 894-912.
• 13. Sanders MH, Strollo PJ, Stiller RA. Positive airway pressure in the treatment of sleep-related breathing disorders. In: Chokroverty S, EDS. Sleep Disorders Medicine. Boston: Butterworth-Heinemann, 1999: 355-84.
• 14. Basoglu O, Midilli M, Midilli R, Bilgen C. Adherence to continuous positive airway pressure therapy in obstructive sleep apnea syndrome: effect of visual education. Sleep Breath 2011;16(4):1193–1200
• 15. Tokunaga T, Ninomiya T, Kato Y, Ito Y, Takabayashi T, Tokuriki M, Sunaga H, Fujieda S. Long-term compliance with nasal continuous positive airway pressure therapy for sleep apnea syndrome in an otorhinolaryngological office. Eur Arch Otorhinolaryngol 2013;270(8):2267–2273
• 16. Gay P, Weaver T, Loube D, Iber CS. Evaluation of positive airway pressure treatment for sleep-related breathing disorders in adults. Sleep 2006;117:442–451
• 17. McArdle N, Devereux G, Heidarnejad H, Engleman H, Mackay T, Douglas N. Long-term use of CPAP therapy for sleep apnea/ hypopnea syndrome. Am J Respir Crit Care Med 1999;159(4):1108–1114
• 18. Wozniak D, Lasserson T, Smith I. Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnea. 2014 Cochrane Database Syst Rev 1:CD007736
• 19. Riachy M, Najem S, Iskandar M, Choucair J, Ibrahim I, Juvelikian G. Factors predicting CPAP adherence in obstructive sleep apnea syndrome, , Sleep Breath 2017; 21:295–302
• 20. Olsen S, Smith S, Oei TP. Adherence to continuous positive airway pressure therapy in obstructive sleep apnoea sufferers: a theoretical approach to treatment adherence and intervention. Clin Psychol Rev 2008; 28: 1355–1371.