Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
-
Children with obstructive sleep apnea are increasingly being treated with positive airway pressure (PAP), particularly if they have underlying medical conditions. Although PAP is an effective treatment, its use is challenging due to poor adherence. We hypothesized that demographic, psychosocial, and polysomnographic parameters would be related to PAP adherence. We therefore prospectively collected data potentially pertaining to PAP adherence, and correlated it with PAP use. ⋯ PAP adherence in children and adolescents is related primarily to family and demographic factors rather than severity of apnea or measures of psychosocial functioning. Further research is needed to determine the relative contributions of maternal education, socioeconomic status and cultural beliefs to PAP adherence in children, in order to develop better adherence programs.
-
Sleep disturbance is a frequently overlooked complication of intensive care unit (ICU) stay. ⋯ Reduced sleep quality is a common problem in ICU with a multifactorial etiology.
-
To evaluate functional outcomes in adults with REM-related obstructive sleep apnea (OSA) treated with positive airway pressure (PAP) therapy. ⋯ A commentary on this article appears in this issue on page 249.