[Long-term compliance of cpap-therapy--update, predictors and interventions].
CPAP (continuous positive airway pressure) is the therapy of choice for obstructive sleep apnea syndrome (OSAS). About 70 % of patients on CPAP use their device for at least 70 % of nights with an application-time of at least 4 hours per night. Severity of breathing disorder respectively disturbance of sleep architecture, degree of daytime sleepiness and patients' satisfaction with diagnostic and therapeutic procedures are good predictors of long-term CPAP-compliance. CPAP-compliance can be increased by intensive patient education. Alternative devices like for example Bilevel or auto-CPAP respectively cannot augment CPAP compliance.
Orth
M
M
Berufsgenossenschaftliche Kliniken Bergmannsheil, Universitätsklinik, Klinikum der Ruhr-Universität Bochum, Medizinische Klinik III, Pneumologie, Allergologie, Schlaf- und Beatmungsmedizin. maritta.orth@rub.de
Kotterba
S
S
Walther
J W
JW
Rasche
K
K
Schultze-Werninghaus
G
G
Duchna
H-W
HW
D045422:Continuous Positive Airway Pressure / Q000295:instrumentation / Q000523:psychology*; D006801:Humans; D010349:Patient Compliance; D010353:Patient Education as Topic; D020181:Sleep Apnea, Obstructive / Q000628:therapy*