• Tüberküloz ve toraks · Jan 2012

    Factors influencing compliance with continuous positive airway pressure ventilation in obstructive sleep apnea syndrome.

    • Meral Uyar, Osman Elbek, Ahmet Mete, Nazan Bayram, Nilüfer Çifçi, Nevhiz Gündoğdu, and Öner Dikensoy.
    • Department of Chest Diseases, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey. meraluyar1@yahoo.com
    • Tuberk Toraks. 2012 Jan 1; 60 (1): 47-51.

    IntroductionPositive pressure ventilation is considered first line therapy in obstructive sleep apnea syndrome however compliance is limited by various factors. We aimed to investigate possible factors influencing compliance.Materials And MethodsOne hundred and forty patients were prescribed positive pressure ventilation for obstructive sleep apnea during June 2006-June 2008. Of these patients, 77% (n= 108) were reached by telephone and a questionnaire was administered regarding factors influencing treatment compliance. Airway passage was measured with C2 vertebrae level and narrowest airway passage on lateral skull radiographs.ResultsThe mean age was 52.2 ± 12.3 years. Seventy one percent (n= 77) of subjects obtained the prescribed device. There was no difference in sex, age, marital status, educational level, symptoms, co-morbid conditions, and social security coverage between the subjects who have received the prescribed devices and who have not (p> 0.05). No difference was detected between these two groups of patients in view of Epworth sleepiness scale (ESS) and apnea hypopnea index (AHI). Mean duration of device usage was 6.3 ± 2.3 hours. The device use compliance was not affected by any of the following factors: age, gender, level of education, co-morbid diseases, ESS score, AHI, airway passage measurements, application of humidification and education concerning the device (p> 0.05). Patient (p= 0.057) and bed partners (p= 0.001) satisfaction about the device yielded higher compliance rates.ConclusionFactors influencing compliance rates in obstructive sleep apnea syndrome seems to be related to satisfaction about the device use however upper airway morphology measured with C2 vertebrae level and narrowest airway passage has no impact on treatment compliance.

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