Patients' preferences and the efficacy of a hybrid model of a minimal contact nasal mask in patients with sleep apnea treated with CPAP

被引:4
作者
Blanco, Magali [1 ]
Jaritos, Veronica [2 ]
Ernst, Glenda [1 ]
Salvado, Alejandro [1 ]
Nogueira, Facundo [2 ]
Borsini, Eduardo [1 ]
机构
[1] Hosp Britanico Buenos Aires, Sleep Units, Buenos Aires, DF, Argentina
[2] Hosp Clin Jose San Martin, Sleep Units, Buenos Aires, DF, Argentina
关键词
Treatment Adherence and Compliance; Continuous Positive Airway Pressure; Monitoring; Sleep Apnea Syndromes;
D O I
10.5935/1984-0063.20180040
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: To evaluate patient's satisfaction, efficacy and adherence to CPAP with a hybrid nasal mask (DW) we tested patients with OSA in unattended setting under real-life conditions. Material and Methods: Prospective, comparative study using DW mask 7 days against habitual mask in patients adapted to CPAP therapy. Results: We analyzed 52 patients: 35 men (67%) with IAH mean; 24.3 +/- 12.3 events/hour. At baseline mean compliance of 5.42 +/- 1.83 hours/night. After using DW mask, patients reported fewer marks, more comfort, greater partners acceptance, easier to use and was ranked higher to preventing leaks; p<0.05, and adherence (1 more hour per night, p>0.0042). Differences were not found in pressure 90th-95th percentile (9.6 +/- 9.2 cm of H2O, p<0.5), leaks (19.8 +/- 17 liters/min. p<0.37) or residual AHI (3.38 +/- 3.05 events/hour. p<0.93). Conclusion: In an uncontrolled non-randomized study, patients can use DW mask with similar leak level and better adherence as compared to conventional masks.
引用
收藏
页码:254 / 259
页数:6
相关论文
共 24 条
[1]   Nasal vs Oronasal CPAP for OSA Treatment A Meta-Analysis [J].
Andrade, Rafaela G. S. ;
Viana, Fernanda M. ;
Nascimento, Juliana A. ;
Drager, Luciano F. ;
Moffa, Adriano ;
Brunoni, Andre R. ;
Genta, Pedro R. ;
Lorenzi-Filho, Geraldo .
CHEST, 2018, 153 (03) :665-674
[2]   Cost-effectiveness of continuous positive airway pressure therapy for moderate to severe obstructive sleep apnea/hypopnea [J].
Ayas, Najib T. ;
FitzGerald, J. Mark ;
Fleetham, John A. ;
White, David P. ;
Schulzer, Michael ;
Ryan, C. Frank ;
Ghaeli, Reza ;
Mercer, G. William ;
Cooper, Peter ;
Tan, Michael C. Y. ;
Marra, Carlo A. .
ARCHIVES OF INTERNAL MEDICINE, 2006, 166 (09) :977-984
[3]   CPAP interface: satisfaction and side effects [J].
Bachour, Adel ;
Vitikainen, Pirjo ;
Virkkula, Paula ;
Maasilta, Paula .
SLEEP AND BREATHING, 2013, 17 (02) :667-672
[4]   Race and Residential Socioeconomics as Predictors of CPAP Adherence [J].
Billings, Martha E. ;
Auckley, Dennis ;
Benca, Ruth ;
Foldvary-Schaefer, Nancy ;
Iber, Conrad ;
Redline, Susan ;
Rosen, Carol L. ;
Zee, Phyllis ;
Kapur, Vishesh K. .
SLEEP, 2011, 34 (12) :1653-1658
[5]   Type of Mask May Impact on Continuous Positive Airway Pressure Adherence in Apneic Patients [J].
Borel, Jean Christian ;
Tamisier, Renaud ;
Dias-Domingos, Sonia ;
Sapene, Marc ;
Martin, Francis ;
Stach, Bruno ;
Grillet, Yves ;
Muir, Jean Francois ;
Levy, Patrick ;
Series, Frederic ;
Pepin, Jean-Louis .
PLOS ONE, 2013, 8 (05)
[6]  
Dibra MN, 2017, SLEEP MED CLIN, V12, P543, DOI 10.1016/j.jsmc.2017.07.004
[7]   The efficacy of three different mask styles on a PAP titration night [J].
Ebben, Matthew R. ;
Oyegbile, Temitayo ;
Pollak, Charles P. .
SLEEP MEDICINE, 2012, 13 (06) :645-649
[8]   Critical closing pressure during midazolam-induced sleep [J].
Genta, Pedro R. ;
Eckert, Danny J. ;
Gregorio, Marcelo G. ;
Danzi, Naury J. ;
Moriya, Henrique T. ;
Malhotra, Atul ;
Lorenzi-Filho, Geraldo .
JOURNAL OF APPLIED PHYSIOLOGY, 2011, 111 (05) :1315-1322
[9]   Continuous positive airways pressure for obstructive sleep apnoea in adults [J].
Giles, TL ;
Lasserson, TJ ;
Smith, BJ ;
White, J ;
Wright, J ;
Cates, CJ .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (01)
[10]  
Haniffa M, 2004, COCHRANE DB SYST REV, DOI DOI 10.1002/14651858.CD003531.PUB2