TY - JOUR T1 - Prescription, subjective and objective compliances in patients with obstructive sleep apnea syndrome using positive airway pressure JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P3825 AU - Banu Salepci AU - Benan Caglayan AU - Nesrin Kiral AU - Elif Torun Parmaksiz AU - Gulsen Sarac AU - Ali Fidan AU - Sevda Sener Comert AU - Gulten Aktin Gungor Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P3825.abstract N2 - Gold treatment for obstructive sleep apnea syndrome(OSAS) is continuous positive airway pressure(CPAP).We aimed to assess prospectively prescription,subjective and objective compliances in OSAS patients recommended PAP treatment,factors effecting compliance.648 patients (69.6% men,30.4%women)recommended to use PAP in January 2005-June 2011,were included.Patients using PAP were questioned for adverse effects and assessed with ESS(Epworth Sleepiness Scale)at follow-ups.Prescription,objective and subjective compliances were assessed.Relationship between compliance and demographic data,PSG(polysomnography) findings,ESS scores,adverse effects were analyzed.The mean age was 51.29±9.97 and mean BMI(body mass index) was 33.52±6.56.In the first night PSG;mean AHI(apnea-hypopnea index) was 54.16±26.41 and AI(apnea index)was 31.46±26.95.248(38.3%)cases attended follow-ups,246 (37.9%) were followed by phone visits and 154(23.8%)couldn't be reached.Patients usingPAP for at least 4 hours per night for at least 70% of the days monitored were regarded as compliant and who didn't meet this criteria were considered as noncompliant.In whole population 63.9%obtained PAP machine(prescription).In 248 cases attending follow-ups,subjective compliance was 85.1%;objective compliance was 64.5%.Higher ODI(oxygen desaturation index) and lower SpO2(oxygen saturation) observed in first night PSG were found to positively affect prescription (p<0.05).Improvement in ESS score and satisfactory sleep were significantly correlated with objective compliance(p<0.05).Chest discomfort,difficulty falling asleep and sleep disturbances were significantly higher in noncompliant group (p<0.05). ER -