Abstract：
BACKGROUND AND PURPOSE:Interventions to improve treatment outcomes in sleep apnoea-hypopnoea syndrome (SAHS) have had mixed success. Most have concentrated on following the use of a continuous positive airway pressure (CPAP) machines; poorer users may not return for machine readings, so any compliance study must take into account rates of attendance rates. We hypothesised that a series of additional, early support measures would improve re-attendance over a sustained period. PATIENTS AND METHODS:Prospective, single-blinded interventional study. Seventy-two consecutive patients starting CPAP for SAHS were randomised to receive standard follow-up or extra early support. Attendance rates, CPAP use, Epworth scores, side-effects scores and number of changes to equipment were compared, by intent to treat, in both groups at 1 and 12 months. RESULTS:Re-attendance rates were higher in the intervention group at 1 month (P=0.04), 6 months (P=0.07) and 12 months (P=0.12). Those who defaulted tended previously to be poor users of the CPAP machine. For those who re-attended there was no difference in machine use or other outcomes. CONCLUSIONS:Simple interventions while commencing CPAP improve re-attendance with maximal benefit early on. This could provide more opportunities for solving problems early or considering alternative treatments. By confirming that poorer CPAP users eventually have higher default rates we recommend that future studies on CPAP compliance should first account for re-attendance rates.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Lewis KE,Bartle IE,Watkins AJ,Seale L,Ebden Pdoi
10.1016/j.sleep.2005.09.007keywords:
subject
Has Abstractpub_date
2006-04-01 00:00:00pages
241-7issue
3eissn
1389-9457issn
1878-5506pii
S1389-9457(05)00227-3journal_volume
7pub_type
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