Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
COMPLIANCE WITH CPAP THERAPY IN PATIENTS WITH THE SLEEP APNOEA HYPOPNOEA SYNDROME/
Autore:
ENGLEMAN HM; MARTIN SE; DOUGLAS NJ;
Indirizzi:
CITY HOSP EDINBURGH,RESP MED UNIT EDINBURGH EH10 5SB MIDLOTHIAN SCOTLAND CITY HOSP EDINBURGH,RESP MED UNIT EDINBURGH EH10 5SB MIDLOTHIAN SCOTLAND
Titolo Testata:
Thorax
fascicolo: 3, volume: 49, anno: 1994,
pagine: 263 - 266
SICI:
0040-6376(1994)49:3<263:CWCTIP>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
APNEA HYPOPNEA SYNDROME; LATENCY TEST; ASTHMA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
H.M. Engleman et al., "COMPLIANCE WITH CPAP THERAPY IN PATIENTS WITH THE SLEEP APNOEA HYPOPNOEA SYNDROME/", Thorax, 49(3), 1994, pp. 263-266

Abstract

Background - Continuous positive airway pressure (CPAP) therapy is the treatment of choice for the sleep apnoea/ hypopnoea syndrome. Compliance with this relatively obtrusive therapy has not been well studied. Methods - Usage of CPAP was investigated in 54 patients with sleep apnoea/hypopnoea syndrome (median 36 (range 7-129) apnoeas + hypopnoeas/hour slept) over the first 1-3 months after starting CPAP therapy. In all cases CPAP usage was monitored by hidden time clocks that indicated for how long the machines were switched on - that is, the CPAP run time. In 32 patients the time at which the CPAP mask pressure was at the therapeutic level of CPAP pressure set for that patient - that is, the mask time - was also monitored. In all patients objective daytime sleepiness was assessed by multiple sleep latency before and after CPAPtherapy. Results - The mean (SE) nightly CPAP run time was 4.7 (0.4) hours. There was no correlation between run time and severity of the sleep apnoea/hypopnoea syndrome as assessed by apnoea + hypopnoea frequency or multiple sleep latency, and no correlation between CPAP usage and improvement in multiple sleep latency. Thirty two patients in whommask time was recorded had therapeutic CPAP pressures for 89% (3%) oftheir CPAP run times. Patients who experienced side effects from CPAPused their CPAP machines significantly less than those who did not. Conclusions - Patients with sleep apnoea/hypopnoea syndrome used CPAP for less than five hours/night on average with no correlation between severity of sleep apnoea/hypopnoea syndrome and CPAP usage. Patients who complained of side effects used their CPAP therapy less. It is recommended that, as a minimum, CPAP run time should be regularly recorded in all patients receiving CPAP therapy.

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Documento generato il 25/01/20 alle ore 16:12:11