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Insomnia symptoms and CPAP compliance in OSAS patients: A descriptive study using Data Mining methods
Xuân-Lan Nguyên1, Joël Chaskalovic, Dominique Rakotonanahary
1Unité de Sommeil, Service de Pneumologie, Hôpital Saint-Antoine, Paris, France. xuan-lan.nguyen@sat.aphp.fr
Sleep Medicine
|July 6, 2010
Summary
Insomnia is common in Obstructive Sleep Apnoea Syndrome (OSAS) patients but does not affect Continuous Positive Airway Pressure (CPAP) use. High prevalence of insomnia symptoms in OSAS patients did not impact CPAP compliance or rejection.
Area of Science:
- Sleep Medicine
- Respiratory Medicine
- Cardiovascular Health
Background:
- Obstructive Sleep Apnoea Syndrome (OSAS) and insomnia frequently co-occur.
- Continuous Positive Airway Pressure (CPAP) is crucial for managing OSAS, yet adherence can be challenging.
- Chronic insomnia may potentially hinder CPAP compliance in OSAS patients.
Purpose of the Study:
- To evaluate the impact of insomnia symptoms on long-term CPAP adherence in OSAS patients.
- To identify factors influencing CPAP use and rejection in individuals with OSAS and varying insomnia severity.
Main Methods:
- A prospective study involving 148 OSAS patients using CPAP.
- Insomnia Severity Index (ISI) and baseline data were collected, including CPAP compliance at 6 months.
- Data Mining analysis was employed to identify predictors of high/low insomnia and high/low CPAP use.
Main Results:
- 50% of patients reported moderate to severe insomnia (ISI ≥ 15).
- Insomnia severity did not significantly differentiate 6-month CPAP compliance rates.
- Respiratory Disturbance Index (RDI) predicted CPAP abandonment, while 1-month compliance predicted 6-month compliance, not insomnia severity.
Conclusions:
- Insomnia symptoms are highly prevalent in OSAS patients.
- Insomnia symptoms were not found to be a predictor of CPAP rejection or long-term compliance.
- RDI and early CPAP compliance are key factors in long-term adherence for OSAS patients.
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