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Randomized Controlled Trial
. 2019 Jan 15;15(1):47-53.
doi: 10.5664/jcsm.7568.

Symptoms During CPAP Therapy Are the Major Reason for Contacting the Sleep Unit Between Two Routine Contacts

Heidi Avellan-Hietanen  1 , Pirkko Brander  1 , Adel Bachour  1
Affiliations
Randomized Controlled Trial

Symptoms During CPAP Therapy Are the Major Reason for Contacting the Sleep Unit Between Two Routine Contacts

Heidi Avellan-Hietanen et al. J Clin Sleep Med. .

Abstract

Study objectives: The demand for continuous positive airway pressure (CPAP) therapy outpaces available resources in most health care settings. We sought to evaluate predictors of nonroutine CPAP follow-up visits to improve resource utilization.

Methods: We randomly analyzed 1,141 of the 2,446 patients who had received at least 1 year of CPAP therapy. Reasons for contacts, type (routine = R, nonroutine = NR), and mode (face-to-face or not, physician, nurse) were collected.

Results: A total of 771 patients were classified R, and 370 NR. Age, profession, and sex did not affect the NR frequency. Symptoms increased the odds ratio for NR 12.1-fold, somnolence 34.8-fold, and suffocation at night 10.4-fold. Patients with nonroutine reasons abandoned CPAP therapy significantly (7.6-fold) more frequently than patients with routine reasons.

Conclusions: Symptoms during CPAP therapy predicted the nonroutine contacts well. In line with this, patients with symptoms have become a priority follow-up group, and could constitute the only follow-up policy when dealing with insufficient medical resources.

Keywords: APAP; CPAP; follow-up; health care policy; outpatient; sleep apnea.

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Figures

Figure 1
Figure 1. Flowchart of the organization of CPAP follow-up after 1 year from CPAP initiation.
CPAP = continuous positive airway pressure.
Figure 2
Figure 2. Distribution of routine and nonroutine contacts among different follow-up groups.
Figure 3
Figure 3. Reasons and description of symptoms for nonroutine contacts.
CPAP = continuous positive airway pressure.
See this image and copyright information in PMC

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References

    1. Loube DI, Gay PC, Strohl KP, Pack AI, White DP, Collop NA. Indications for positive airway pressure treatment of adult obstructive sleep apnea patients: a consensus statement. Chest. 1999;115(3):863–866. - PubMed
    1. Kushida CA, Littner MR, Hirshkowitz M, et al. Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders. Sleep. 2006;29(3):375–380. - PubMed
    1. Mysliwiec V, Gill J, Matsangas P, Baxter T, Barr T, Roth BJ. IGF-1: a potential biomarker for efficacy of sleep improvement with automatic airway pressure therapy for obstructive sleep apnea? Sleep Breath. 2015;19(4):1221–1228. - PubMed
    1. Bachour A, Maasilta P. Mouth breathing compromises adherence to nasal continuous positive airway pressure therapy. Chest. 2004;126(4):1248–1254. - PubMed
    1. Balakrishnan K, James KT, Weaver EM. Predicting CPAP use and treatment outcomes using composite indices of sleep apnea severity. J Clin Sleep Med. 2016;12(6):849–854. - PMC - PubMed

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