Authors: Takahiro Tokunaga Takahiro Ninomiya Yukinori Kato Yumi Ito Tetsuji Takabayashi Masaharu Tokuriki Hiroshi Sunaga Shigeharu Fujieda
Publish Date: 2013/04/09
Volume: 270, Issue: 8, Pages: 2267-2273
Abstract
Continuous positive airway pressure CPAP is effective for patients with SAS CPAP therapy requires longterm usage to prevent recurrence of symptoms It is thus important to examine the level of longterm CPAP use and the factors influencing compliance with CPAP therapy for SAS Compliance with CPAP therapy was examined in 204 patients in whom such therapy was started between 2003 and 2009 The median followup duration was 19 months IQR = 68−375 Although the subjective and objective curative effects were significant 18 patients 89 refused CPAP therapy Survival analysis showed that the patients’ adherence to CPAP after 5 years was 898 Multivariate analysis including gender age BMI AHI arousal index minSpO2 ESS sleep stage and LMI indicated that the degree of improvement of AHI percentage of deep sleep stage and LMI were clinical variables independently associated with longterm adherence to CPAP Furthermore use of appropriate drugs for the patients with nasal congestion resulted in better satisfaction and adherence to CPAP therapy We have shown that the rate of compliance and the subjective and objective curative effects of CPAP therapy were high and detected the independent clinical factors associated with continued CPAP therapy
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