Why patients are not compliant to continuous positive airway pres | 1008
Translational Medicine

Translational Medicine
Open Access

ISSN: 2161-1025

+44 1223 790975

Why patients are not compliant to continuous positive airway pressure (CPAP) treatment for sleep apnoea

2nd International Conference on Translational & Personalized Medicine

August 05-07, 2013 Holiday Inn Chicago-North Shore, IL, USA

Madhup Chaurasia

Posters: Transl Med

Abstract :

Obstructive sleep apnoea/ hypoapnoea syndrome (OSAHS) is a common condition affecting up to 4% of middle aged men. The long term implications of OSAS are wide being associated with: ? Cardiovascular diseases ? Stroke ? Hypertension ? Cognitive impairment ? Sexual dysfunction ? Excessive day time sleepiness ? Road traffic accidents ? Affect sleep quality of partner CPAP is an effective treatment for this condition but compliance to therapy remains a challenge Aim: We aimed to investigate why patients are not compliant to CPAP therapy. Methods: Retrospective notes review of patients under the care of an Otolaryngologist. Data collected using the Phillips Respitronics� online database. Patients who were using the CPAP machine less than 70% of the time or less than 4 hours a day were deemed non compliant to treatment. Non compliant patients were contacted by Phillips Respitronics  to identify reasons why, NICE Guidance. Continuous Positive Airway Pressure (CPAP) is recommended as a treatment option for patients with moderate or severe symptomatic obstructive sleep apnoea/hypoapnoea syndrome (OSAHS) Results: Mean age 54.1 years old (21-82 years), 85 male and 46 female patients,39.5% of patients were not compliant to therapy. Commonest complaint was mask problems (30%). Mask leak were the commonest mask problem (40%). More than half of patients (55.7%) who were not compliant to CPAP were consistently not compliant since the start of treatment. Conclusion: Compliance to CPAP treatment continues to be an issue with a compliance rate of 60.5% at our unit. Mask problems were the commonest complaint. Reinforces the importance of regular patient centred follow up to identify and solve problems early to improve long term compliance to treatment.