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Association between the Monthly Visit Behavior and CPAP Adherence in OSAS Patients.
Kensuke Sumi1, Tomomasa Tsuboi1, Yuichi Chihara1
1Department of Respiratory Medicine, National Hospital Organization Minami-Kyoto Hospital, Japan.
Internal Medicine (Tokyo, Japan)
|October 27, 2024
Summary
Timing of clinic visits impacts adherence to Continuous Positive Airway Pressure (CPAP) therapy for Obstructive Sleep Apnea Syndrome (OSAS). Late-month appointments correlate with reduced CPAP use, highlighting a need for targeted interventions.
Area of Science:
- Sleep Medicine
- Respiratory Medicine
- Health Services Research
Background:
- Obstructive Sleep Apnea Syndrome (OSAS) is a serious condition linked to increased mortality.
- Continuous Positive Airway Pressure (CPAP) is an effective treatment, but patient adherence remains a significant challenge.
- Understanding factors influencing CPAP adherence is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the association between the timing of monthly hospital visits and CPAP adherence in OSAS patients.
- To determine if visit frequency correlates with CPAP therapy adherence.
- To identify potential factors affecting treatment compliance.
Main Methods:
- A study involving 119 OSAS patients at Minami Kyoto Hospital (June 2022 - May 2023).
- Daily measurement of CPAP adherence.
- Categorization of hospital visits into 'early-month' and 'late-month' (on or after the 25th).
Main Results:
- Patients with late-month visits showed significantly lower CPAP use (4h 17min) compared to early-month visitors (6h 01min, p=0.003).
- No significant correlation was found between visit frequency and CPAP adherence.
- Lower visit frequency unexpectedly corresponded with longer CPAP use (p=0.04).
Conclusions:
- The timing of clinic visits is a significant factor influencing CPAP adherence in OSAS patients.
- Late-month visits are associated with poorer CPAP adherence.
- Further interventions focusing on appointment scheduling and patient support are recommended to enhance adherence and treatment efficacy.
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