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Updated: Aug 14, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
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.
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.
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