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KMID : 1034320200110010007
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Sleep Medicine Research
2020 Volume.11 No. 1 p.7 ~ p.14
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Compliance with Continuous Positive Airway Pressure in Patients with Obstructive Sleep Apnea
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Seo Min-Young
Lee Seung-Hoon
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Abstract
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Obstructive sleep apnea (OSA) is caused by upper airway obstruction during sleep and increases risk for stroke and cardiovascular morbidity. It is also related to excessive daytime sleepiness and cognitive dysfunction in affected adults. Additionally, OSA also affects children, manifesting as growth retardation and neurobehavioral abnormalities. Continuous positive airway pressure (CPAP) therapy is the treatment of choice for moderate to severe disease in adults and in some of the pediatric population. CPAP therapy reduces daytime sleepiness, improves quality of life, and reduces risk for cardiovascular morbidity and mortality in individuals with OSA. Although CPAP therapy is effective in these patients, it has significant limitations regarding compliance. Accordingly, the purpose of this review was to investigate factors impacting compliance with treatment including socioeconomic/demographic characteristics, nasal obstruction, previous upper airway surgery, severity of OSA, psychological factors, support/intervention of CPAP, and device-related factors. Additionally, factors associated with CPAP compliance in children are also discussed.
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KEYWORD
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Sleep apnea syndromes, Continuous positive airway pressure, Patient compliance
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