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Abstract

Objectives

Studies on positive airway pressure (PAP) compliance typically focus only on patients who returned for follow-up. In this study, we examined patients who failed to follow-up after their initial polysomnogram (PSG) and PAP titration to determine their treatment status in terms of PAP usage.

Study Design

On retrospective chart review, we identified 57 patients who, based on PSG findings and symptoms, required the use of PAP but failed to follow-up after titration. Twenty-five of these patients were successfully contacted and agreed to an interview.

Results

Only 7 (28%) patients were using PAP on a regular basis. The remaining 18 (72%) patients were noncompliant.

Conclusions

A significant proportion (24%) of OSA patients who required treatment with PAP were lost to follow-up after polysomnography. This group of patients has previously been ignored in the literature. We showed in this study that majority (72%) of these patients were not being treated adequately for OSA.

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References

Marin

Carrizo

Vicente

. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 2005;365:1046–53

Kryger

Zorich

. Mortality and apnea index in obstructive sleep apnea: experience in 385 male patients. Chest 1988;94:9–14

Young

Palta

Dempsey

. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328:1230–5

Kribbs

Pack

Kline

. Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis 1993;147:887–95

McArdle

Devereux

Heidarnejad

. Long-term use of CPAP therapy for sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 1999;159:1108–14

Pepin

Leger

Veale

. Side effects of nasal continuous positive airway pressure in sleep apnea syndrome: study of 193 patients in two French sleep centers. Chest 1995;107:375–81

Engleman

Wild

. Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SAHS). Sleep Medicine Reviews 2003;7:81–99

Treatment compliance in patients lost to follow-up after polysomnography