Long-term Compliance Rates to Continuous Positive Airway Pressure in Obstructive Sleep Apnea

Acceptance and long-term compliance of nCPAP in obstructive sleep apnea

“…The compliance, deWned as nCPAP use for minimally 4 h during Wve nights per week, in the remaining 174 patients in our series, was 79% (82.1% for Wxed pressure CPAP vs. 77.1% for auto-CPAP) as compared to earlier reported data, ranging from 46 to 89%. [10][11][12][13][14][15][16][17][18][19][20][21][22][23] Overall, only 59.5% of cases were successful, taking the non-compliant cases and the 58 (25%) failures together. Although it was to be expected that patients with a higher AHI and ESS and lower required pressure would be more compliant, no diVerence was found.…”

“…[15] When looking back at 2 decades (1986-now) [10][11][12][13][14][15][16][17][18][19][20][21][22][23] of all reported series on nCPAP use, the conclusion is that in spite of many improvements in the machinery, adjustment, intensive support, and all attempts (positive reinforcement, psychological/educational interventions, heated humidiWcation) to increase compliance otherwise, the overall compliance has only improved marginally, if at all.…”

“…A vast body of literature was published in the last two decades on the subject of (long-term) compliance of nCPAP. [10][11][12][13][14][15][16][17][18][19][20][21][22][23] Improvements in nCPAP technology, in particular the introduction of automatic adjustments of the nCPAP pressure throughout the night (auto-CPAP), [24][25][26][27][28][29] and other attempts to enhance acceptance and compliance (positive reinforcement, psychological/educational interventions, heated humidiWcation) have been introduced. [30][31][32][33][34] We were interested to see if these actions have led to better acceptance, adherence and long-term compliance as compared to earlier reported data.…”

Effect of laparoscopic Roux-en-Y gastric bypass surgery on obstructive sleep apnea in a Chinese population with obesity and T2DM

“…Nasal CPAP is considered the gold standard therapy for OSA [4]. However, reported CPAP compliance rates vary from 34 to 85 % [5,6], which Jianyin Zou and Pin Zhang contributed equally to this manuscript.…”

New and Unconventional Treatments for Obstructive Sleep Apnea

“…In addition, CPAP has shown itself to be a cost effective treatment option compared to lifestyle measures [8] There is a wide range of CPAP compliance rates reported in the literature, varying by study design and definitions of compliance, with values ranging from 46 % to 85 % [9,10]. Patients report various reasons for non compliance: psychological causes such as claustrophobia, discomfort from mask or skin irritation, or just inconvenience, especially in occupations where travel and time on the road are considerate and transporting CPAP would be cumbersome.…”