Acceptance and long-term compliance to continuous positive airway pressure in obstructive sleep apnea. A prospective study on 72 patients treated between 2004 and 2007

被引:8
作者
Abdelghani, A. [1 ]
Slama, S. [1 ]
Hayouni, A. [1 ]
Harrabi, I. [2 ]
Mezghannia, S. [1 ]
Garrouche, A. [1 ]
Klabi, N. [1 ]
Benzarti, M. [1 ]
Jerray, M. [1 ]
机构
[1] CHU Farhat Hached, Serv Pneumol, Sousse 4000, Tunisia
[2] CHU Farhat Hached, Serv Epidemiol & Stat Med, Sousse 4000, Tunisia
关键词
Obstructive sleep apnea; Continuous positive airway pressure; Long-term compliance; CPAP THERAPY; APNOEA/HYPOPNOEA SYNDROME; APNEA/HYPOPNEA SYNDROME; BLOOD-PRESSURE; NCPAP; HYPOPNEA; INDEX;
D O I
10.1016/j.pneumo.2009.03.010
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Patients with obstructive steep apnea/hypopnea syndrome (OSAHS) treated by continuous positive airway pressure (CPAP) need to use long-term CPAP to prevent cardiovascular disease. The method of survival analysis was used to allow for long-term CPAP use in 72 patients who were prescribed a CPAP. During a mean follow-up of 22 +/- 15 months, one patient died and 17 patients stopped their treatment, 29% of them in the first 6 months. In compliant patients, the median value of daily CPAP use was 4.5 hours. Kaplan Meier analysis showed that 92% of patients were still using CPAP at 6 months, 83% at 12 months and 59.9% at 3 years. Chronic obstructive pulmonary disease was identified as a predictor factor of tong-term CPAP use (OR = 4.53, p = 0.01). CPAP is a well-accepted tong-term therapy for OSAHS with 60% of patients continuing to be compliant with treatment at 3 years. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:147 / 152
页数:6
相关论文
共 22 条
[1]   Health care utilization in males with obstructive sleep apnea syndrome two years after diagnosis and treatment [J].
Bahammam, A ;
Delaive, K ;
Ronald, J ;
Manfreda, J ;
Roos, L ;
Kryger, MH .
SLEEP, 1999, 22 (06) :740-747
[2]   Effect of nasal continuous positive airway pressure treatment on blood pressure in patients with obstructive sleep apnea [J].
Becker, HF ;
Jerrentrup, A ;
Ploch, T ;
Grote, L ;
Penzel, T ;
Sullivan, CE ;
Peter, JH .
CIRCULATION, 2003, 107 (01) :68-73
[3]   Long term use of nCPAP therapy in sleep apnoea patients [J].
Bizieux-Thaminy, A ;
Gagnadoux, F ;
Binquet, C ;
Meslier, N ;
Person, C ;
Racineux, J .
REVUE DES MALADIES RESPIRATOIRES, 2005, 22 (06) :951-957
[4]  
Collard P, 1997, Sleep Med Rev, V1, P33, DOI 10.1016/S1087-0792(97)90004-6
[5]   Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SANS) [J].
Engleman, HM ;
Wild, MR .
SLEEP MEDICINE REVIEWS, 2003, 7 (01) :81-99
[6]   EFFECT OF CONTINUOUS POSITIVE AIRWAY PRESSURE TREATMENT ON DAYTIME FUNCTION IN SLEEP APNOEA/HYPOPNOEA SYNDROME [J].
ENGLEMAN, HM ;
MARTIN, SE ;
DEARY, IJ ;
DOUGLAS, NJ .
LANCET, 1994, 343 (8897) :572-575
[7]   LONG-TERM COMPLIANCE TO CONTINUOUS POSITIVE AIRWAY PRESSURE THERAPY (NCPAP) SET-UP DURING A SPLIT-NIGHT POLYSOMNOGRAPHY [J].
FLEURY, B ;
RAKOTONANAHARY, D ;
TEHINDRAZANARIVELO, AD ;
HAUSSERHAUW, C ;
LEBEAU, B .
SLEEP, 1994, 17 (06) :512-515
[8]   Objective patient compliance in long-term use of nCPAP [J].
Fleury, B ;
Rakotonanahary, D ;
HausserHauw, C ;
Lebeau, B .
EUROPEAN RESPIRATORY JOURNAL, 1996, 9 (11) :2356-2359
[9]   MORTALITY AND APNEA INDEX IN OBSTRUCTIVE SLEEP-APNEA - EXPERIENCE IN 385 MALE-PATIENTS [J].
HE, J ;
KRYGER, MH ;
ZORICK, FJ ;
CONWAY, W ;
ROTH, T .
CHEST, 1988, 94 (01) :9-14
[10]   Long-term compliance with CPAP therapy in obstructive sleep apnea patients and in snorers [J].
Krieger, J ;
Kurtz, D ;
Petiau, C ;
Sforza, E ;
Trautmann, D .
SLEEP, 1996, 19 (09) :S136-S143