Comparative Study on CPAP Compliance: PAP-NAP Followed by CPAP Trial vs. CPAP Trial Alone

Liang Chye Goh; Nesha Rajendram; Bryan Way Wern Lim; Jeyanthi Kulasegarah; Revadi Govindaraju; Chun Ian Soo; Chee Kuan Wong

doi:10.1055/s-0045-1806955

Sleep Science, Table of Contents

CC BY-NC-ND 4.0 · Sleep Sci 2025; 18(03): e301-e306
DOI: 10.1055/s-0045-1806955

Original Article

Comparative Study on CPAP Compliance: PAP-NAP Followed by CPAP Trial vs. CPAP Trial Alone

Liang Chye Goh

¹Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

,

Nesha Rajendram

¹Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

,

Bryan Way Wern Lim

³Department of Medicine, School of Medicine, University of Galway, Galway, Ireland

,

Jeyanthi Kulasegarah

¹Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

,

Revadi Govindaraju

¹Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

,

Chun Ian Soo

²Respiratory Unit, Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

,

Chee Kuan Wong

²Respiratory Unit, Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

› Author Affiliations

Abstract

Objective

To assess the effectiveness of allocating positive airway pressure nap (PAP-NAP) prior to continuous positive airway pressure (CPAP) trial compared with CPAP trial alone in improving CPAP therapy adherence among individuals diagnosed with obstructive sleep apnea (OSA) in our Southeast Asian cohort.

Materials and Methods

A total of 133 adults with OSA were divided into 2 groups: 1 received PAP-NAP before a CPAP trial, and the other underwent a CPAP trial alone. The correlation between CPAP adherence and polysomnographic data was investigated.

Results

The PAP-NAP group showed better CPAP compliance (above 90%) and adherence (66.64% ± 31.96%) compared with the CPAP-only group (57.90% ± 34.86%). Both groups experienced reductions in apnea hypopnea index (AHI), with the PAP-NAP group having lower residual AHI. Compliance was defined as usage of CPAP > 4H in 14 days.

Conclusion

Positive airway pressure naps prior to a CPAP trial increases short-term CPAP adherence and influences mask selection. Personalized CPAP approaches like PAP-NAP can enhance patient acceptance and motivation. Further research is recommended to investigate long-term adherence.

Keywords

obstructive sleep apnea - CPAP - compliance - adherence - southeastern - Asia

Full Text

References

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