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KMID : 0390220220330030114
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2022 Volume.33 No. 3 p.114 ~ p.122
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Comparison of Adherent and Non-Adherent Groups to Positive Airway Pressure Therapy for More Than One Year in Patients with Obstructive Sleep Apnea
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Geum Sang-Yen
Park Hee-Jun
Yoo Jae-Ho
Park Jin-Woo
Shin Seung-Heon
Ye Mi-Kyung
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Abstract
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Background and Objectives: The use of positive airway pressure (PAP) is the treatment of choice for patients with obstructive sleep apnea (OSA), however, poor adherence remains a major cause of treatment failure. The objective of this retrospective study was to compare the differences between adherent and non-adherent groups to auto-titration PAP (APAP) therapy for more than one year in patients with OSA.
Materials and Methods: Total 111 patients with OSA who had completed the 3 months compliance assessment for Korean national health insurance coverage were enrolled. They were allocated to adherent (using APAP for more than 12 months) or non-adherent group. Patients’ medical records, polysomnographic data, and APAP use data at the time of passing adaptation period were analyzed, and the differences between the two groups were compared.
Results: The number of patients in the adherent group was 66 (59.5%), and the non-adherent group was 45 (40.5%). There were no significant between-group differences in body mass index, Epworth sleepiness scale, apnea-hypopnea index (AHI), and APAP device data by binary logistic regression analysis. However, patients with severe OSA (AHI≥30) were more likely to be compliant with PAP therapy than patients with mild to moderate OSA (odds ratio 3.433, 95% confidence interval 1.329?8.870, p=0.011).
Conclusion: The percentage of patients who used APAP devices for more than 12 months was 59.5% in this study. Disease severity (AHI≥30) seems to be a predictor for APAP compliance for more than one year in patients with OSA.
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KEYWORD
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Continuous positive airway pressure, Patient compliance, Sleep apnea, obstructive, Polysomnography
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