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CC BY-NC-ND 4.0 · Sleep Sci 2021; 14(04): 385-389
DOI: 10.5935/1984-0063.20200118
SHORT COMMUNICATIONS

Compliance to Continuous Positive Airway Pressure therapy in patients with obstructive sleep apnea – long-term assessment

Josefina Pascua
1   Hospital Británico de Buenos Aires, Sleep Unit - Buenos Aires - Ciudad Autónoma de Buenos AIres - Argentina.
2   Hospital Británico de Buenos Aires, Center for Respiratory Medicine -Buenos Aires - Ciudad Autónoma de Buenos AIres - Argentina.
,
Magali Blanco
1   Hospital Británico de Buenos Aires, Sleep Unit - Buenos Aires - Ciudad Autónoma de Buenos AIres - Argentina.
2   Hospital Británico de Buenos Aires, Center for Respiratory Medicine -Buenos Aires - Ciudad Autónoma de Buenos AIres - Argentina.
,
Glenda Ernst
1   Hospital Británico de Buenos Aires, Sleep Unit - Buenos Aires - Ciudad Autónoma de Buenos AIres - Argentina.
3   Hospital Británico de Buenos Aires, Teaching and Research Department -Buenos Aires - Ciudad Autónoma de Buenos AIres - Argentina.
,
Alejandro Salvado
,
Eduardo Enrique Borsini
1   Hospital Británico de Buenos Aires, Sleep Unit - Buenos Aires - Ciudad Autónoma de Buenos AIres - Argentina.
2   Hospital Británico de Buenos Aires, Center for Respiratory Medicine -Buenos Aires - Ciudad Autónoma de Buenos AIres - Argentina.
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Introduction To assess CPAP acquirement, compliance, and dropout rates among OSA patients three years after the prescription.

Material and Methods We assessed CPAP acquirement (Acq), compliance (Comp), and dropout (Dout) through a telephone survey. We interviewed 156 patients; ESS: 9.9±5.7, AHI>15ev/hour in 96.4%. 92 patients had accessed CPAP therapy (58.9%) and 67 (72.8%) were still using it. Dropout was reported by 25 (27.2%). The Comp group was older (p<0.01), had more men (p<0.001), higher ESS scores (p<0.03) and a higher level of specialist follow-up (p<0.001). Multivariate analysis adjusted showed; follow-up by experts (OR: 4.39; p<0.05) and ESS>10 (OR: 1.25; p<0.05) increased CPAP compliance.

Conclusion There is a high number of patients without CPAP therapy acquirement. Long-term compliance was found in ¾ of the study population in symptomatic patients followed up by specialists. Finally, 43% had effective treatment.

Obstructive Sleep Apnea - CPAP Therapy - Compliance - Dropout

FUNDING SOURCE

No funds were received in support of this study.


FUNDING SOURCE

The authors of this study do not have any kind of relationship or interest in any organization or for-profit entity (eg, fees, scholarship, entities in charge of arranging lectures, membership, employment, shares, etc.), expert testimony, license or patent agreement, nor any non-financial interest (eg, personal or professional relationships, membership, knowledge, and beliefs) related to the topic or the materials discussed herein.




Publikationsverlauf

Eingereicht: 02. September 2020

Angenommen: 01. März 2021

Artikel online veröffentlicht:
30. November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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