RT Journal Article
SR Electronic
T1 Length of hospitalization for CPAP adaption in OSAS: Effects on compliance
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P3842
VO 40
IS Suppl 56
A1 Elisabetta Zampogna
A1 Cristina Facchetti
A1 Anna Maria Lucioni
A1 Eleonora Milani
A1 Sabrina Della Patrona
A1 Andrea Zanini
A1 Antonio Spanevello
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/P3842.abstract
AB Introduction: The efficacy of continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea syndrome (OSAS) is known, but patient compliance is variable, relating to many factors. CPAP adherence requires a multi-layered approach, using combined technological, behavioral, and adverse-effect interventions.Aims and objectives: To assess the clinical efficacy of two different management models for CPAP adaptation on adherence to treatment, occurrence of discomfort and skillful management of the problems.Methods: We retrospectively evaluated 134 consecutive patients with moderate-severe OSAS, average age 57± 10, admitted in a rehabilitation institute for CPAP adaptation, between 2003 and 2009. According to the different provisions of the local health organization before and after 2006, we divided patients in two groups on the basis of the mean length of hospitalization (20 days in Group 1, 7 days in Group 2). CPAP use, numbers of dropout, numbers of patients with discomfort, and numbers of unscheduled visits were assessed at 1 year.Results: Comparisons are summarized in the table. Data are presented as mean±SD.View this table:Conclusions: We observed the same adherence to CPAP in terms of mean daily use in the two groups, at one year. However, to obtain the same adherence, the patients adapted in few days had more frequently discomfort, that required a great number of unscheduled visits.