Sleep Med Psychophysiol.  2006 Jun;13(1):27-32.

Compliance of Nasal Continuous Positive Airway Pressure in Patients with Obstructive Sleep Apnea Syndrome

Affiliations
  • 1Kyunggi Provincial Hospital for the Elderly, Yongin, Korea.
  • 2Department of Neuropsychiatry and Behavioral Science, Seoul National University College of Medicine, and Center for Sleep and Chronobiology, Seoul National University Hospital, Seoul, Korea. jeongdu@snu.ac.kr

Abstract


OBJECTIVE
S: Nasal continuous positive airway pressure (nCPAP) is the treatment of choice and has been shown to reduce the frequency of nocturnal respiratory events, improve sleep architecture, and decrease daytime sleepiness in patients with obstructive sleep apnea syndrome (OSAS). However, little is known about the compliance of nCPAP treatment in Korea. Our objective was to look into the nCPAP compliance and examine the factors influencing it.
METHODS
We reviewed the records of one hundred and twenty consecutive patients with OSAS referred for nocturnal polysomnography with nCPAP pressure titration during the period of January 1995 through April 1999 to the Seoul National University Hospital. We performed a telephone interview and obtained data from eighty-three patients.
RESULTS
In sixty patients who had accepted nCPAP treatment, twenty-six patients (43.3%) were still using nCPAP device, while thirty-four patients (56.7%) stopped using it. Fifteen patients (25%) were using nCPAP device everyday. In thirty-four patients who discontinued nCPAP use, twenty-five patients (73.5%) did within the first three months, and thirty-one (91.2%) within the first year. Significant predictor of long-term nCPAP use was the presence of subjective daytime sleepiness before nCPAP application.
CONCLUSIONS
Long-term compliance with nCPAP treatment appears to be associated with the presence of subjective daytime sleepiness before nCPAP application. Long-term compliance with nCPAP may be mostly predicted from the usage pattern within the first three months of use.

Keyword

Obstructive sleep apnea syndrome; Continuous positive airway pressure; Compliance
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