The Science Journal of the American Association for Respiratory Care

2009 OPEN FORUM Abstracts

COMPLIANCE OF CPAP/BIPAP PATIENTS IN HOME CARE

Julie A. Jordan, Laura Bazyk, Mike Jones, Alfred Daley, Donna Auston, Jeri Prosser, Brenda Small, Elizabeth Rockwell; Mid-Atlantic Healthcare, Alexandria, VA

Background: CPAP and BiPAP machines are most often used in the home to treat patients diagnosed with Obstructive Sleep Apnea (OSA). Once a sleep study has been completed and a diagnosis of OSA has been established, these patients are then instructed in the use of the CPAP/BiPAP machine, and are fitted for an appropriate mask. Follow-up with a Respiratory Therapist is done within 72 hours. This study investigates the compliance of patients suffering with OSA. Methods: Compliance was studied in 527 patients over a 6 month period. 30 days after initial set-up, data cards stored in the CPAP/BiPAP machines were downloaded onto Encore Pro Data software which transferred compliance results so that the patients’ therapy compliance could be assessed. This process was repeated at 90 days and in some patients, at 200 days. Results: Of the 527 patients studied on both CPAP and BiPAP, the total average days of usage was 88.51, total average hours were 3.83, and total average compliance was 49.7%. The highest compliance was measured in patients using BiPAP at 63.6%, Auto BIPAP with Bi-Flex at 62.7%, and BiPAP S/T at 62.3%. The lowest compliance was measured in patients who used BiPAP with Bi-Flex at 36.8%. Conclusion: Our findings suggest that despite the severity of symptoms associated with OSA and the proven favorable outcomes of consistent use of CPAP/BiPAP devices, many patients are reluctant to adhere to their prescribed therapy. This indicates a need for increased therapist and physician involvement in assessing individual needs and concerns regarding CPAP/BiPAP usage, and determining appropriate intervention that will improve compliance. Sponsored Research - None

OVERALL REPORT TOTALS FOR COMPLIANCE

# of Patients-527

Average Days of Use-88.51

Average Hours of Use-3.83

Average Percent Compliance-49.7%

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