Adherence to Positive Airway Pressure Therapy in Obesity Hypoventilation Syndrome

被引:3
|
作者
Wearn, Jeremy [1 ,2 ]
Akpa, Bimaje [3 ]
Mokhlesi, Babak [4 ]
机构
[1] Oregon Hlth & Sci Univ, Sleep Med & Internal Med, 3710 SW US Vet Hosp Rd,PULM3-Sleep, Portland, OR 97239 USA
[2] Portland VA Med Ctr, 3710 SW US Vet Hosp Rd,PULM3 Sleep, Portland, OR 97239 USA
[3] Univ Minnesota, Div Pulm Allergy Crit Care & Sleep Med, 420 Delaware St SE,MMC 276, Minneapolis, MN 55455 USA
[4] Univ Chicago, Sleep Disorders Ctr, 5841 South Maryland Ave,MC6076 Room M630, Chicago, IL 60637 USA
关键词
Pickwickian; Hypercapnia; Sleep apnea; Noninvasive ventilation; CPAP; Compliance; OBSTRUCTIVE SLEEP-APNEA; NONINVASIVE VENTILATION; MOTIVATIONAL ENHANCEMENT; CPAP ADHERENCE; CLINICAL CHARACTERISTICS; HOSPITALIZED-PATIENTS; RESPIRATORY-FAILURE; EFFICACY; MANAGEMENT; MORTALITY;
D O I
10.1016/j.jsmc.2020.10.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Because of the prevalence of extreme obesity in the United States, there has been an increase in prevalence of obesity hypoventilation syndrome (OHS). There is limited information on the characteristics and pattern of positive airway pressure (PAP) adherence in patients with OHS compared with eucapnic patients with obstructive sleep apnea (OSA). This article discusses in detail the impact of PAP therapy on outcomes in patients with OHS, compares adherence between continuous PAP and noninvasive ventilation in OHS, and compares PAP adherence in patients with OHS to patients with moderate to severe OSA enrolled in clinical trials designed to improve CPAP adherence. © 2020 Elsevier Inc.
引用
收藏
页码:43 / 59
页数:17
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