The importance of clinical monitoring for compliance with CPAP

Publication date: Available online 14 July 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Lucas B. Pelosi, Mariana L.C. Silveira, Alan L. Eckeli, Emilia M.P.C. Chayamiti, Leila A. Almeida, Heidi H. Sander, Daniel S. Küpper, Fabiana C.P. Valera
IntroductionOSAS (Obstructive Sleep Apnea Syndrome) is currently a public health problem of great importance. When misdiagnosed or improperly treated, it can lead to serious consequences on patients' quality of life. The gold standard treatment for cases of OSAS, especially in mild to severe and symptomatic cases, is CPAP therapy (Continuous Positive Airway Pressure). Compliance with CPAP is directly dependent on the active participation of the patient, which can be influenced by several factors.ObjectiveThe objective of this study is to describe the factors related to compliance with CPAP, and to analyze which associated factors directly influence the efficiency of the treatment.MethodsPatients who received CPAP through the Municipal Health Department of the city of Ribeirão Preto were recruited. A structured questionnaire was administered to the patients. Compliance with CPAP was assessed by average hours of CPAP usage per night. Patients with good compliance (patients using CPAP ≥4h/night) were compared to those with poor compliance (patients using <4h/night).Results138 patients were analyzed: 77 (55.8%) were considered compliant while 61 (44.2%) were non-compliant. The comparison between the two groups showed that regular monitoring by a specialist considerably improved compliance with CPAP (odds ratio, OR=2.62).ConclusionCompliance with CPAP is related to educational components, which can be enhanced with continuous and individualized care to patients with OSAS.



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