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Updated: Jul 16, 2025

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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
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Monitoring Seasonal Compliance of Patients with Obstructive Sleep Apnea Using CPAP Systems via SD Card
Athanasios Karagiannis1, Maria Tzitiridou1, Theodora Kafkia2
1Faculty of Midwifery, University of Western Macedonia, Ptolemaida, Greece.
Summary
Continuous Positive Airway Pressure (CPAP) therapy compliance for obstructive sleep apnea (OSA) patients in Greece varies seasonally, with lower adherence during summer. Nasal masks and auto CPAP devices may improve patient compliance.
Area of Science:
- Sleep Medicine
- Respiratory Medicine
- Public Health
Background:
- Obstructive sleep apnea (OSA) is a prevalent condition marked by repeated airway collapse during sleep.
- This collapse can lead to serious neurological and cardiovascular complications.
Purpose of the Study:
- To investigate seasonal variations in Continuous Positive Airway Pressure (CPAP) therapy adherence among Greek OSA patients.
- To identify factors influencing CPAP compliance throughout the year.
Main Methods:
- Analysis of CPAP usage data from 954 OSA patients across summer and winter months.
- Evaluation of parameters including Apnea-Hypopnea Index (AHI), mask type, mask leaks, and device usage duration.
Main Results:
- Overall compliance was 57.7%, with 22.1% non-compliance. Seasonal differences were noted, with some patients compliant only in summer (8.2%) or winter (12%).
- Compliance was linked to CPAP duration, BMI under 25, and nasal/pillow mask usage.
- Higher compliance correlated with lower summer severity and specific winter severity levels (low and severe).
Conclusions:
- CPAP device data offers valuable insights into seasonal compliance patterns for OSA patients.
- Strategies to enhance adherence include promoting nasal/pillow masks and auto CPAP devices, particularly addressing lower summer compliance.
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