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- W784879560 abstract "OBJECTIVE: Determine the frequency of Positive Airway Pressure (PAP) adherence in Veterans with Traumatic Brain Injury (TBI) and Obstructive Sleep Apnea (OSA) and assess predictors of PAP adherence. BACKGROUND: Patients with TBI are at risk for the development of sleep disorders, particularly sleep apnea. We hypothesize that PAP compliance in TBI patients is poor given cognitive challenges and may impact rehabilitation potential. DESIGN/METHODS: This was a retrospective chart review of 44 consecutively tested, male Veterans with TBI and OSA. The Departments of Defense and Veterans Affairs definition of TBI was used. PAP compliance was defined as greater than 4 hours of use 70[percnt] of the time. We performed an exploratory data analysis to determine contributors to compliance. RESULTS: In our sample the mean age was 42 (range 23-67), mean BMI (Body Mass Index) was 33 (range 23-51), and mean AHI (Apnea Hypopnea Index) was 29 (range 5-90). Nineteen percent (n=6) of patients were PAP compliant and 81[percnt] (n=25) were non-compliant. Thirteen patients were lost to follow up. A significant difference was found in BMI (p=0.003) between the compliant (BMI=41) and non-compliant (BMI=32) groups in this interim analysis using a student’s t test. Patients with mild TBI had a lower AHI (median 15.3) than patients with moderate or severe TBI (median 29.45) though this was not statistically significant. TBI severity did not predict compliance in this small sample. CONCLUSIONS: Nineteen percent PAP adherence in our veterans diagnosed with TBI and OSA was lower than prevalence estimates of approximately 40[percnt]. BMI was found to be significant predictor of compliance. An increased BMI may motivate TBI patients to use PAP in an effort to avoid further health consequences. Further education and monitoring are needed to improve compliance in this population which might have a positive impact on rehabilitation potential. Study Supported by: N/A Disclosure: Dr. Kataria has nothing to disclose. Dr. Chapman has nothing to disclose. Dr. Ahuja has nothing to disclose. Dr. Balish has nothing to disclose." @default.
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- W784879560 date "2015-04-06" @default.
- W784879560 modified "2023-09-24" @default.
- W784879560 title "Is Traumatic Brain Injury Associated with PAP Adherence in Obstructive Sleep Apnea: A Pilot Study. (P7.318)" @default.
- W784879560 hasPublicationYear "2015" @default.
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