That’s one small book for a man, one gian leap for CPAP compliance. Association between patient education and CPAP comliance in an urban and a rural setting in Canada

Shapiro, Colin M.; Zalai, Dóra

doi:10.1016/j.sleep.2013.11.643

Cited by 1 publication

(2 citation statements)

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“…As study participants had not previously recognized that they had a SDB, they may not have come to terms with having a sleep disorder and may not have seen the need for the treatment of their SDB. Participants’ attitude and beliefs have been shown to greatly impact treatment adherence [ 33 ], and patient education is crucial for promoting adherence to treatment for SDB [ 34 , 35 ]. As such, the implementation of ASV treatment adherence strategies, including educational sessions and distribution of educational materials, should be considered for this patient population.…”

Section: Discussionmentioning

confidence: 99%

“…As such, the implementation of ASV treatment adherence strategies, including educational sessions and distribution of educational materials, should be considered for this patient population. Anecdotally, we have noted clinically that a tailor-made short educational booklet [ 35 ] providing information about CPAP can improve compliance and a similar booklet for this population would be strongly encouraged. However, our finding that respiratory indices were significantly improved with ASV treatment despite the low adherence rates attests to the unique efficacy of ASV treatment of SDB in chronic pain participants on high doses of opioids.…”

Section: Discussionmentioning

confidence: 99%

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Home-use servo-ventilation therapy in chronic pain patients with central sleep apnea: initial and 3-month follow-up

et al. 2015

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PurposeOpioid treatment of non-malignant chronic pain can result in hypoxemia, hypercarbia, and central sleep apnea. The aim of this study was to determine the initial efficacy of auto servo-ventilation (ASV) and after 3 months of home use.MethodsThis prospective multicenter interventional study recruited chronic pain patients prescribed ≥100 morphine equivalents for at least 4 months.ParticipantsFollowing full-night polysomnography (PSG) to confirm the presence of sleep-disordered breathing, patients were randomized to three additional full-night-attended PSGs with continuous positive airway pressure (CPAP), ASV, and servo-ventilation with an initial mandatory pressure support of 6 cm H2O (ASV manual PSmin 6). Following the PSGs, patients were sent home with EncoreAnywhere and ASV with or without mandatory pressure support.ResultsBased on the initial PSG studies, CPAP improved but did not normalize the apnea-hypopnea index (AHI), central apnea index (CAI), or hypopnea index (HI), as all remained elevated. Clinically significant reductions were noted after just one night of ASV and ASV manual (PSmin 6). After 3 months of ASV home use, the AHI, CAI, and obstructive apnea index (OAI) were significantly reduced when compared to baseline diagnostic levels and even when compared to respiratory disturbance indices with CPAP treatment.ConclusionsInitial and home use of ASV for 3 months resulted in significantly lower AHI, CAI, and OAI. This reduction attests to the efficacy of ASV treatment in chronic pain patients on high doses of opioids.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%