title: [Acceptability and compliance to long-term continuous positive pressure treatment].
abstract: BACKGROUND
  Compliance with continuous positive pressure treatment (CPAP) is a determining factor in the management of the obstructive sleep apnea syndrome (OSAS). Long-term compliance has been poorly studied.
  
  
  METHODS
  The probability of long-term continuation of CPAP was evaluated retrospectively by an analysis of survival in 252 patients treated by CPAP after a screening of 472 patients during the years 2002 and 2003.
  
  
  RESULTS
  Twenty-eight patients fulfilling the criteria for CPAP immediately refused the treatment. The mean follow-up for the 252 treated patients was 76.9±46.4 months, with 38 patients having died and 75 having discontinued treatment during the period. The 136 patients who continued treatment used CPAP for a mean of 7.4±1.6hours daily. The probability of continuing treatment was 71% at 5 years and 68% at 10 years. The severity of OSAS was a predictive factor for long-term CPAP compliance, with a 10-year compliance of 82% in patients having an apnoea/hypopnoea index >60, versus 68% with an index between 30-60 and 44% with an index <30.
  
  
  CONCLUSIONS
  Long-term CPAP treatment is globally well accepted, with a 68% probability of continuing treatment for 10 years, particularly in the most severely affected patients. Long-term daily compliance is very satisfactory.
authors.affiliation: Service de pneumologie, centre hospitalier départemental Les Oudairies, 85925 La Roche-sur-Yon cedex 9, France. Electronic address: kamel.berkani@chd-vendee.fr.
authors.forename: K
authors.initials: K
authors.lastname: Berkani
authors.affiliation: Unité de recherche clinique, centre hospitalier départemental Les Oudairies, 85925 La Roche-sur-Yon cedex 9, France.
authors.forename: J
authors.initials: J
authors.lastname: Dimet
mesh_terms: D000368:Aged; D045422:Continuous Positive Airway Pressure / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D010352:Patient Dropouts; D012189:Retrospective Studies; D020181:Sleep Apnea, Obstructive / Q000523:psychology / Q000628:therapy
keywords: Acceptation à long terme; Compliance; Continuous positive pressure; Long-term acceptance; Observance; Obstructive sleep apnea syndrome; Pression positive continue; Syndrome d’apnées du sommeil; Traitement; Treatment