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Compliance with nasal CPAP in obstructive sleep apnea patients
P Collard1, T Pieters, G Aubert
1Department of Pneumology Cliniques Universitaires Saint-Luc, avenue Hippocrate 10, B 1200 Brussels, Belgium.
Sleep Medicine Reviews
|August 18, 2004
Summary
Continuous positive airway pressure (CPAP) therapy is effective for obstructive sleep apnea (OSA), with most patients accepting treatment. Early monitoring of CPAP use is crucial for long-term adherence and success.
Area of Science:
- Sleep Medicine
- Respiratory Medicine
Background:
- Obstructive sleep apnea (OSA) is a common condition.
- Continuous positive airway pressure (CPAP) is the primary treatment for OSA.
Purpose of the Study:
- To evaluate the acceptance and adherence rates of CPAP therapy in OSA patients.
- To identify factors influencing CPAP treatment outcomes.
Main Methods:
- Analysis of CPAP trial acceptance rates.
- Monitoring of long-term CPAP adherence using device run times.
- Comparison of adherence rates between different regions.
Main Results:
- Initial CPAP acceptance rates range from 70-80%.
- Approximately 90% of OSA patients adhere to long-term CPAP treatment.
- CPAP device time-counters effectively monitor compliance.
- Long-term acceptors use CPAP for 5-6.5 hours daily.
- Lower acceptance and compliance observed in North America compared to Europe.
Conclusions:
- CPAP is a well-accepted and adhered to treatment for OSA.
- Close monitoring during the initial months of therapy is essential.
- CPAP compliance is comparable to other chronic disease treatments.
- Cultural and prescription differences may affect CPAP adherence.