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Published in: Lung 2/2019

01-04-2019 | Sleep Apnea | SLEEP

Predictors of Continuous Positive Airway Pressure Adherence in Patients with Obstructive Sleep Apnea

Authors: M. Mehrtash, J. P. Bakker, N. Ayas

Published in: Lung | Issue 2/2019

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Abstract

Obstructive sleep apnea (OSA) is a common disease which impacts quality of life, mood, cardiovascular morbidity, and mortality. Continuous positive airway pressure (CPAP) is the first-line treatment for patients with moderate to severe OSA. CPAP ameliorates respiratory disturbances, leading to improvements in daytime sleepiness, quality of life, blood pressure, and cognition. However, despite the high efficacy of this device, CPAP adherence is often sub-optimal. Factors including: socio-demographic/economic characteristics, disease severity, psychological factors, and side-effects are thought to affect CPAP adherence in OSA patients. Intervention studies have suggested that augmented support/education, behavioral therapy, telemedicine and technological interventions may improve CPAP adherence. In this paper, we will extensively review the most common factors including age, gender, race/ethnicity, socioeconomic status, smoking status, severity of OSA, severity of OSA symptoms, psychological variables, social support, marital status/bed partner involvement, dry nose and mouth, mask leak, and nasal congestion that may predict CPAP adherence. We will also extensively review interventions that may increase adherence to CPAP.
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Metadata
Title
Predictors of Continuous Positive Airway Pressure Adherence in Patients with Obstructive Sleep Apnea
Authors
M. Mehrtash
J. P. Bakker
N. Ayas
Publication date
01-04-2019
Publisher
Springer US
Published in
Lung / Issue 2/2019
Print ISSN: 0341-2040
Electronic ISSN: 1432-1750
DOI
https://doi.org/10.1007/s00408-018-00193-1

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