2012 OPEN FORUM Abstracts
PATIENT ADHERENCE TO NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE.
Tim Opt Holt, Justin Feller; Cardiorespiratory Care, Univ of South Alabama, Mobile, AL
Background: Continuous positive airway pressure (CPAP) is the standard treatment for obstructive sleep apnea (OSA). An autotitrating CPAP program has been implemented at the Victory Health Partners (VHP) clinic for over two years. There are many health problems associated with OSA and the most effective treatment is CPAP. Objectives: We evaluated the prevalence of symptoms while using nasal CPAP. We also determined how adherent patients are to their nasal CPAP. Methods: A short survey was conducted to determine patient symptoms and adherence to their nasal CPAP following home CPAP titration and prescription at the VHP clinic in Mobile, AL. The survey included three parts: sociodemographic issues, symptom prevalence, and the adherence to nasal CPAP. We contacted patients who had received CPAP at the VHP clinic for a phone interview. If the patients were not able to be contacted by phone within three attempts, we mailed a postcard to them with information on why we were doing the survey along with a callback number. Results: The VHP clinic has provided CPAP to 48 patients. Of the 48 patients, 11 patients participated in the survey. 64% were males and 36% were females with an average age of 47 ± 11.7 years. Among respondents, there was a 91% decrease in snoring, a 73% decrease in night-time awakenings, 91% are less fatigued when they awaken in the morning, 64% experience a better quality of sleep, 64% have a decrease in daytime sleepiness, and 18% say that they have not noticed any changes of alertness while driving. Of the 11 patients, none have experienced morning headaches or memory loss. In the next section we determined the adherence of CPAP. Results demonstrated that 36% of the VHP clinic patients have been using their nasal CPAP either 1-6 months or more than a year. 73% of the patients use their nasal CPAP every night and 73% say they wear their nasal CPAP more than 6 hours a night. Conclusion: By conducting this survey, we have an understanding of the effectiveness of the Victory Clinic CPAP program. In this study, we found that the nasal CPAP mask is comfortable and effective in treatment patients with OSA. Sponsored Research - None