TY - JOUR T1 - Positive Airway Pressure Adherence of Obstructive Sleep Apnea Patients JF - Respiratory Care DO - 10.4187/respcare.02139 SP - respcare.02139 AU - Banu Salepci AU - Benan Caglayan AU - Nesrin Kiral AU - Elif Torun Parmaksiz AU - Sevda Sener Comert AU - Gulsen Sarac AU - Ali Fidan AU - Gulten Aktin Gungor Y1 - 2013/02/19 UR - http://rc.rcjournal.com/content/early/2013/02/19/respcare.02139.abstract N2 - Introduction: PAP(Positive Airway Pressure) is the gold standard treatment for OSAS(Obstructive Sleep Apnea Syndrome).But it is not well tolerated and requires long term follow-up. Objectives: We aimed to assess prospectively subjective and objective adherences and factors that effect adherence in OSAS patients who were in the course of PAP treatment. Methods: Patients using PAP were questioned for adverse effects of treatment and were assessed with ESS (Epworth Sleepiness Scale) at 1st, 3rd, 6th, 12th months and once in every six months after first year. PAP usage, objective and subjective adherence were assessed. Patients who used PAP for at least 4 hours per night for at least 70% of the days monitored were regarded as adherent and who didn’t meet this criteria were considered as non-adherent. The relationship between adherence and demographic data, PSG (polysomnography) findings, ESS(Epworth Sleepiness Scale) scores and adverse effects were statistically analyzed.For statistical analysis; Chi-square test,Kolmogorov-Smirnov test,T-test,Mann Whitney-U test and Logistic Regression analysis were used with SPSS package program. Results: Six hundred and forty eight patients who were diagnosed with OSAS by PSG and accepted to use PAP in our sleep center between January 2005-June 2011 were included. Four hundred and fifty one patients(69.6%) were men and 197(30.4%) were women.Two hundred and forty eight(38.3%) of cases attended follow-ups, 246(37.9%) were called by phone and 154(23.8%) couldn’t be reached. Of the whole population 63.9% had obtained their PAP machine. In 248 cases who attended to follow-ups subjective adherence was 85.1% and objective adherence was 64.5%.Improvement in ESS score and satisfactory sleep were found to be significantly higher in adherent group(p<0.05).Chest discomfort, difficulty falling asleep and sleep disturbances were significantly higher in the nonadherent group(p<0.05). Conclusions: Of the whole population, just 38.3% has attended follow-ups. The objective adherence is lower than subjective adherence in patients who attended to follow-ups. Additionally, younger patients were found to be more adherent and the most important factors that correlate with adherence were observed to be significant improvement of day time sleepiness and effect of treatment on satisfactory sleep. It was concluded that PAP recommended patients should necessarily be followed up and during follow-ups; machine times on counters should be controlled. ER -