• Chest · Mar 2014

    CPAP Compliance in Indian OSAHS Patients Can Be Improved by Correcting Mask and Humidifier Related Problems.

    • Deepak Talwar and Pallavi Periwal.
    • Chest. 2014 Mar 1;145(3 Suppl):590A.

    Session TitleOSA PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: CPAP Compliance in OSAHS is low all over the world. Studies evaluating compliance related issues in Indian patients using CPAP are scarce.Methods35 patients of moderate to severe OSAHS who agreed to use CPAP after full polysomnography and titration studies between Jan-June 2013 and after 12 weeks were reviewed in OPD and asked to fill a prestructured questionnaire about compliance to PAP therapy. Usage data was downloaded in clinic and verified with patient responses and analysed.Results17% refused to use CPAP despite initially agreeing as they did not feel the need. 27% changed masks (nasal to oronasal) due to mask intolerance. Mask related problems reported in 40%. 41% (12/29) used CPAP for =< 6hrs daily for 70% of days in last 4 weeks. Improved sleep was reported in 72%, reduced daytime sleepiness in 31 %, while 10% reported no improvement after CPAP. Humidifier was used by 21% despite dryness of mouth being reported by 67%. Nearly 2/3rd used battery backup being scared of power failure. Mask was changed by 20% while machine replaced by 2 patients. Only 14% used fixed CPAP while rest chose to use Auto CPAP mode. Only 17.2% felt that they are addicted to machine. Physician advised and data regarding usage of CPAP was downloaded in 27% patients.ConclusionsCPAP Compliance is 40% in Indian patients with preference for Auto CPAP with 2/3rd reporting improvement in sleep, snoring and day time symptoms with mask related issues and dryness of mouth being reported in 66.6% patients.Clinical ImplicationsMask related issues and dryness of mouth are two easily correctable issues for improving compliance in Indian patients.DisclosureThe following authors have nothing to disclose: Pallavi Periwal, Mir Ali, Deepak TalwarNo Product/Research Disclosure Information.

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