Adherence to Positive Airway Pressure therapy as Severity of Adult Obstructive Sleep Apnea

박성민; 서민영; 이민규; 한문수; 유준; 황선진; 이승훈

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자료유형: 학술저널

저자정보: 박성민 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) 서민영 (고려대학교) 이민규 (고려대학교) 한문수 (고려대학교) 유준 (고려대학교 이비인후과) 황선진 (고려대학교) 이승훈 (고려대학교)

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후-두경부외과학회지 제65권 제3호

발행연도: 2022.3

수록면: 150 - 156 (7page)

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Background and Objectives The aim of this study was to compare adherence to positive airwaypressure (PAP) therapy in patients with obstructive sleep apnea (OSA) of different severity. Subjects and Method We conducted a retrospective study including 270 adult OSA patientswho used a PAP device for at least 3 months. We assessed the percentage of days onwhich the device was used, the percentage of days on which the device was used for ≥4 h, andthe average duration of PAP device usage at 12 weeks of PAP therapy. We also evaluated adequateadherence to PAP therapy using a PAP device for ≥4 h/day and during ≥70% of nights. Results The percentage of days on which a PAP device used did not differ significantly accordingto OSA severity (median [Q1-Q3]; mild: 91.40% [81.25%-97.65%], moderate: 94.50%[86.90%-100%], severe: 95.90% [88.10%-100%], p=0.268). We also found that the percentageof days on which a PAP device was used during sleep for ≥4 h was not significantly differentin patients with different OSA severity (median [Q1-Q3], mild: 76.20% [69.70%-89.90%],moderate: 89.30% [67.65%-95.70%], severe: 85.70% [75.85%-95.45%], p=0.097). The percentageof patients with adequate PAP adherence did not differ significantly according to OSA severity(mild: 74.2%, moderate: 72.1%, severe: 83.0%, p=0.084). Moreover, the mean duration(minutes) of PAP device usage during sleep did not differ significantly according to OSA severityin the mild, moderate, and severe OSA groups (mean±standard deviation, mild: 348.03±47.78 min, moderate: 358.58±85.22 min, severe: 363.79±57.21 min, p=0.440). Conclusion Adherence to PAP therapy did not differ significantly according to OSA severity. Therefore, it is necessary to continuously expand and maintain the insurance for healthpromotion in OSA patient in South Korea.

#Continuous positive airway pressure #Obstructive sleep apnea #Treatment adherence and compliance.

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