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[Long-term compliance of cpap-therapy--update, predictors and interventions]
M Orth1, S Kotterba, J W Walther
1Berufsgenossenschaftliche Kliniken Bergmannsheil, Universitätsklinik, Klinikum der Ruhr-Universität Bochum, Medizinische Klinik III, Pneumologie, Allergologie, Schlaf- und Beatmungsmedizin. maritta.orth@rub.de
Abstract:
CPAP (continuous positive airway pressure) is the therapy of choice for obstructive sleep apnea syndrome (OSAS). About 70 % of patients on CPAP use their device for at least 70 % of nights with an application-time of at least 4 hours per night. Severity of breathing disorder respectively disturbance of sleep architecture, degree of daytime sleepiness and patients' satisfaction with diagnostic and therapeutic procedures are good predictors of long-term CPAP-compliance. CPAP-compliance can be increased by intensive patient education. Alternative devices like for example Bilevel or auto-CPAP respectively cannot augment CPAP compliance.
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