Factors predicting CPAP adherence in obstructive sleep apnea syndrome.
Identifieur interne : 000C30 ( Main/Exploration ); précédent : 000C29; suivant : 000C31Factors predicting CPAP adherence in obstructive sleep apnea syndrome.
Auteurs : Moussa Riachy [Liban] ; Samer Najem [Liban] ; Mirella Iskandar [Liban] ; Jad Choucair [Liban] ; Ihab Ibrahim [Liban] ; Georges Juvelikian [Liban]Source :
- Sleep & breathing = Schlaf & Atmung [ 1522-1709 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Liban (MeSH), Mâle (MeSH), Observance par le patient (psychologie), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Syndrome d'apnées obstructives du sommeil (psychologie), Syndrome d'apnées obstructives du sommeil (thérapie), Ventilation en pression positive continue (psychologie), Études de suivi (MeSH), Études transversales (MeSH).
- MESH :
- psychologie : Observance par le patient, Syndrome d'apnées obstructives du sommeil, Ventilation en pression positive continue.
- thérapie : Syndrome d'apnées obstructives du sommeil.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Liban, Mâle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Continuous Positive Airway Pressure (psychology), Cross-Sectional Studies (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Lebanon (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Compliance (psychology), Risk Factors (MeSH), Sleep Apnea, Obstructive (psychology), Sleep Apnea, Obstructive (therapy), Treatment Outcome (MeSH).
- MESH :
Abstract
PURPOSE
Obstructive sleep apnea (OSA) is associated with a range of neurocognitive and cardiovascular complications, leading to a compromised quality of life. Continuous positive airway pressure (CPAP) is the gold standard therapeutic intervention for this disorder, yet patient compliance remains essential to its success. This study aimed at identifying the determinants of short-term and long-term CPAP adherence in a group of Lebanese patients.
METHODS
This cross-sectional study, conducted at the Sleep Center of Hôtel-Dieu de France hospital in Lebanon, included patients diagnosed with OSA and treated with CPAP for at least one night between June 2008 and January 2015. Adherence was assessed based on patients' self-report.
RESULTS
The study enrolled 138 patients. Adherence rate was 70.3 % at 6 months and around 50 % after 5 years. Cox models showed that use of nasal masks (HR 0.48, p = 0.048) and higher oxygen desaturation index at baseline (HR 0.98 p = 0.048) were associated with a better short-term CPAP adherence. Patients who bought their devices (HR 0.18, p < 0.001), those who were frequently contacted by the CPAP provider (HR 0.85, p 0.024), and those who reported improvement on treatment (HR 0.36, p < 0.001) were significantly more likely to remain adherent on the long term. Conversely, individuals on a diet plan tended to interrupt the treatment earlier (HR 4.85, p 0.039).
CONCLUSION
The present findings should be further explored in order to tailor interventions to the specific needs of different patient profiles and secure an improved CPAP adherence.
DOI: 10.1007/s11325-016-1408-y
PubMed: 27638725
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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wicri:level="1"><nlm:affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon. riachy@dm.net.lb.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Najem, Samer" sort="Najem, Samer" uniqKey="Najem S" first="Samer" last="Najem">Samer Najem</name><affiliation wicri:level="1"><nlm:affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Iskandar, Mirella" sort="Iskandar, Mirella" uniqKey="Iskandar M" first="Mirella" last="Iskandar">Mirella Iskandar</name><affiliation wicri:level="1"><nlm:affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Choucair, Jad" sort="Choucair, Jad" uniqKey="Choucair J" first="Jad" last="Choucair">Jad Choucair</name><affiliation wicri:level="1"><nlm:affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Ibrahim, Ihab" sort="Ibrahim, Ihab" uniqKey="Ibrahim I" first="Ihab" last="Ibrahim">Ihab Ibrahim</name><affiliation wicri:level="1"><nlm:affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Juvelikian, Georges" sort="Juvelikian, Georges" uniqKey="Juvelikian G" first="Georges" last="Juvelikian">Georges Juvelikian</name><affiliation wicri:level="1"><nlm:affiliation>Pulmonary and Critical Care Department, Saint Georges Hospital, Beirut, Lebanon.</nlm:affiliation><country xml:lang="fr">Liban</country><wicri:regionArea>Pulmonary and Critical Care Department, Saint Georges Hospital, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author></analytic><series><title level="j">Sleep & breathing = Schlaf & Atmung</title><idno type="eISSN">1522-1709</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Continuous Positive Airway Pressure (psychology)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Lebanon (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Compliance (psychology)</term><term>Risk Factors (MeSH)</term><term>Sleep Apnea, Obstructive (psychology)</term><term>Sleep Apnea, Obstructive (therapy)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Liban (MeSH)</term><term>Mâle (MeSH)</term><term>Observance par le patient (psychologie)</term><term>Résultat thérapeutique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Syndrome d'apnées obstructives du sommeil (psychologie)</term><term>Syndrome d'apnées obstructives du sommeil (thérapie)</term><term>Ventilation en pression positive continue (psychologie)</term><term>Études de suivi (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Observance par le patient</term><term>Syndrome d'apnées obstructives du sommeil</term><term>Ventilation en pression positive continue</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Continuous Positive Airway Pressure</term><term>Patient Compliance</term><term>Sleep Apnea, Obstructive</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sleep Apnea, Obstructive</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Syndrome d'apnées obstructives du sommeil</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lebanon</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Liban</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de suivi</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>Obstructive sleep apnea (OSA) is associated with a range of neurocognitive and cardiovascular complications, leading to a compromised quality of life. Continuous positive airway pressure (CPAP) is the gold standard therapeutic intervention for this disorder, yet patient compliance remains essential to its success. This study aimed at identifying the determinants of short-term and long-term CPAP adherence in a group of Lebanese patients.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This cross-sectional study, conducted at the Sleep Center of Hôtel-Dieu de France hospital in Lebanon, included patients diagnosed with OSA and treated with CPAP for at least one night between June 2008 and January 2015. Adherence was assessed based on patients' self-report.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The study enrolled 138 patients. Adherence rate was 70.3 % at 6 months and around 50 % after 5 years. Cox models showed that use of nasal masks (HR 0.48, p = 0.048) and higher oxygen desaturation index at baseline (HR 0.98 p = 0.048) were associated with a better short-term CPAP adherence. Patients who bought their devices (HR 0.18, p < 0.001), those who were frequently contacted by the CPAP provider (HR 0.85, p 0.024), and those who reported improvement on treatment (HR 0.36, p < 0.001) were significantly more likely to remain adherent on the long term. Conversely, individuals on a diet plan tended to interrupt the treatment earlier (HR 4.85, p 0.039).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The present findings should be further explored in order to tailor interventions to the specific needs of different patient profiles and secure an improved CPAP adherence.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27638725</PMID><DateCompleted><Year>2018</Year><Month>04</Month><Day>10</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1522-1709</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>2</Issue><PubDate><Year>2017</Year><Month>May</Month></PubDate></JournalIssue><Title>Sleep & breathing = Schlaf & Atmung</Title><ISOAbbreviation>Sleep Breath</ISOAbbreviation></Journal><ArticleTitle>Factors predicting CPAP adherence in obstructive sleep apnea syndrome.</ArticleTitle><Pagination><MedlinePgn>295-302</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11325-016-1408-y</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Obstructive sleep apnea (OSA) is associated with a range of neurocognitive and cardiovascular complications, leading to a compromised quality of life. Continuous positive airway pressure (CPAP) is the gold standard therapeutic intervention for this disorder, yet patient compliance remains essential to its success. This study aimed at identifying the determinants of short-term and long-term CPAP adherence in a group of Lebanese patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This cross-sectional study, conducted at the Sleep Center of Hôtel-Dieu de France hospital in Lebanon, included patients diagnosed with OSA and treated with CPAP for at least one night between June 2008 and January 2015. Adherence was assessed based on patients' self-report.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The study enrolled 138 patients. Adherence rate was 70.3 % at 6 months and around 50 % after 5 years. Cox models showed that use of nasal masks (HR 0.48, p = 0.048) and higher oxygen desaturation index at baseline (HR 0.98 p = 0.048) were associated with a better short-term CPAP adherence. Patients who bought their devices (HR 0.18, p < 0.001), those who were frequently contacted by the CPAP provider (HR 0.85, p 0.024), and those who reported improvement on treatment (HR 0.36, p < 0.001) were significantly more likely to remain adherent on the long term. Conversely, individuals on a diet plan tended to interrupt the treatment earlier (HR 4.85, p 0.039).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The present findings should be further explored in order to tailor interventions to the specific needs of different patient profiles and secure an improved CPAP adherence.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Riachy</LastName><ForeName>Moussa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon. riachy@dm.net.lb.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Najem</LastName><ForeName>Samer</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Iskandar</LastName><ForeName>Mirella</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choucair</LastName><ForeName>Jad</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ibrahim</LastName><ForeName>Ihab</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Pulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Juvelikian</LastName><ForeName>Georges</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Pulmonary and Critical Care Department, Saint Georges Hospital, Beirut, Lebanon.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Sleep Breath</MedlineTA><NlmUniqueID>9804161</NlmUniqueID><ISSNLinking>1520-9512</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Sleep Breath. 2018 Mar;22(1):55</RefSource><PMID Version="1">28567690</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045422" MajorTopicYN="N">Continuous Positive Airway Pressure</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007861" MajorTopicYN="N">Lebanon</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010349" MajorTopicYN="N">Patient Compliance</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020181" MajorTopicYN="N">Sleep Apnea, Obstructive</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adherence</Keyword><Keyword MajorTopicYN="N">Continuous positive airway pressure</Keyword><Keyword MajorTopicYN="N">Lebanon</Keyword><Keyword MajorTopicYN="N">Obstructive sleep apnea</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>12</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>09</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>08</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>9</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>9</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27638725</ArticleId><ArticleId IdType="doi">10.1007/s11325-016-1408-y</ArticleId><ArticleId IdType="pii">10.1007/s11325-016-1408-y</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Eur Respir J. 2014 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sort="Riachy, Moussa" uniqKey="Riachy M" first="Moussa" last="Riachy">Moussa Riachy</name></noRegion><name sortKey="Choucair, Jad" sort="Choucair, Jad" uniqKey="Choucair J" first="Jad" last="Choucair">Jad Choucair</name><name sortKey="Ibrahim, Ihab" sort="Ibrahim, Ihab" uniqKey="Ibrahim I" first="Ihab" last="Ibrahim">Ihab Ibrahim</name><name sortKey="Iskandar, Mirella" sort="Iskandar, Mirella" uniqKey="Iskandar M" first="Mirella" last="Iskandar">Mirella Iskandar</name><name sortKey="Juvelikian, Georges" sort="Juvelikian, Georges" uniqKey="Juvelikian G" first="Georges" last="Juvelikian">Georges Juvelikian</name><name sortKey="Najem, Samer" sort="Najem, Samer" uniqKey="Najem S" first="Samer" last="Najem">Samer Najem</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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