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• W2108889424 abstract "<h3>BACKGROUND:</h3> Continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BPAP) are the gold standard treatments for obstructive sleep apnea syndrome (OSAS), but CPAP/BPAP is not well tolerated and requires long-term follow-up. <h3>OBJECTIVE:</h3> We prospectively assessed subjective and objective adherence and factors that affect adherence in OSAS patients. <h3>METHODS:</h3> Subjects using CPAP/BPAP were questioned about adverse effects of CPAP/BPAP and were assessed with the Epworth Sleepiness Scale (ESS) at the first, third, sixth, and twelfth month, and once every 6 months after the first year. CPAP/BPAP use and objective and subjective adherence were assessed. Subjects who used CPAP/BPAP for at least 4 hours per night for at least 70% of the days monitored were regarded as adherent, and those who did not were considered non-adherent. The relationships between adherence and demographic data, polysomnography findings, ESS scores, and adverse effects were statistically analyzed. <h3>RESULTS:</h3> Six-hundred forty-eight subjects who were diagnosed with OSAS by polysomnography and accepted to use CPAP/BPAP in our sleep center between January 2005 and June 2011 were included. Four-hundred fifty-one subjects (69.6%) were men, and 197 (30.4%) were women. Two-hundred forty-eight (38.3%) subjects attended follow-ups, 246 (37.9%) were called by telephone, and 154 (23.8%) could not be reached. Of the whole population, 63.9% had obtained their CPAP/BPAP machine. In the 248 subjects who attended follow-ups, subjective adherence was 85.1% and objective adherence was 64.5%. Improvement in ESS score (<i>P</i> < .001) and satisfactory sleep (<i>P</i> < .001) were found to be significantly higher in the adherent group. Chest discomfort, difficulty falling asleep, and sleep disturbances were significantly higher in the non-adherent group (all <i>P</i> < .01). <h3>CONCLUSIONS:</h3> Of the whole population, just 38.3% attended follow-ups. The objective adherence was lower than the subjective adherence in subjects who attended follow-ups. Younger subjects were more adherent, and the most important factors that correlated with adherence were substantial improvement of daytime sleepiness and effect of CPAP/BPAP on satisfactory sleep. <h3>CONCLUSIONS:</h3> CPAP/BPAP adherence should be followed with objective monitoring." @default.
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• W2108889424 date "2013-02-19" @default.
• W2108889424 modified "2023-10-05" @default.
• W2108889424 title "CPAP Adherence of Patients With Obstructive Sleep Apnea" @default.
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• W2108889424 doi "https://doi.org/10.4187/respcare.02139" @default.
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