Type of mask may impact on continuous positive airway pressure adherence in apneic patients.

<h4>Rationale</h4>In obstructive sleep apnea patients (OSA), continuous positive airway pressure (CPAP) adherence is crucial to improve symptoms and cardiometabolic outcomes. The choice of mask may influence CPAP adherence but this issue has never been addressed properly.<h4>Object...

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Autores principales:	Jean Christian Borel, Renaud Tamisier, Sonia Dias-Domingos, Marc Sapene, Francis Martin, Bruno Stach, Yves Grillet, Jean François Muir, Patrick Levy, Frederic Series, Jean-Louis Pepin, Scientific Council of The Sleep Registry of the French Federation of Pneumology (OSFP)
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f619999e67ed4abea0c33e22604497ca
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spelling	oai:doaj.org-article:f619999e67ed4abea0c33e22604497ca2021-11-18T07:45:35ZType of mask may impact on continuous positive airway pressure adherence in apneic patients.1932-620310.1371/journal.pone.0064382https://doaj.org/article/f619999e67ed4abea0c33e22604497ca2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23691209/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Rationale</h4>In obstructive sleep apnea patients (OSA), continuous positive airway pressure (CPAP) adherence is crucial to improve symptoms and cardiometabolic outcomes. The choice of mask may influence CPAP adherence but this issue has never been addressed properly.<h4>Objective</h4>To evaluate the impact of nasal pillows, nasal and oronasal masks on CPAP adherence in a cohort of OSA.<h4>Methods</h4>Newly CPAP treated OSA participating in "Observatoire Sommeil de la Fédération de Pneumologie", a French national prospective cohort, were included between March 2009 and December 2011. Anthropometric data, medical history, OSA severity, sleepiness, depressive status, treatment modalities (auto-CPAP versus fixed pressure, pressure level, interface type, use of humidifiers) and CPAP-related side effects were included in multivariate analysis to determine independent variables associated with CPAP adherence.<h4>Results</h4>2311 OSA (age = 57(12) years, apnea+hypopnea index = 41(21)/h, 29% female) were included. Nasal masks, oronasal masks and nasal pillows were used by 62.4, 26.2 and 11.4% of the patients, respectively. In univariate analysis, oronasal masks and nasal pillows were associated with higher risk of CPAP non-adherence. CPAP non-adherence was also associated with younger age, female gender, mild OSA, gastroesophageal reflux, depression status, low effective pressure and CPAP-related side effects. In multivariate analysis, CPAP non-adherence was associated with the use of oronasal masks (OR = 2.0; 95%CI = 1.6; 2.5), depression, low effective pressure, and side effects.<h4>Conclusion</h4>As oronasal masks negatively impact on CPAP adherence, a nasal mask should be preferred as the first option. Patients on oronasal masks should be carefully followed.Jean Christian BorelRenaud TamisierSonia Dias-DomingosMarc SapeneFrancis MartinBruno StachYves GrilletJean François MuirPatrick LevyFrederic SeriesJean-Louis PepinScientific Council of The Sleep Registry of the French Federation of Pneumology (OSFP)Public Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 5, p e64382 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jean Christian Borel Renaud Tamisier Sonia Dias-Domingos Marc Sapene Francis Martin Bruno Stach Yves Grillet Jean François Muir Patrick Levy Frederic Series Jean-Louis Pepin Scientific Council of The Sleep Registry of the French Federation of Pneumology (OSFP) Type of mask may impact on continuous positive airway pressure adherence in apneic patients.
description	<h4>Rationale</h4>In obstructive sleep apnea patients (OSA), continuous positive airway pressure (CPAP) adherence is crucial to improve symptoms and cardiometabolic outcomes. The choice of mask may influence CPAP adherence but this issue has never been addressed properly.<h4>Objective</h4>To evaluate the impact of nasal pillows, nasal and oronasal masks on CPAP adherence in a cohort of OSA.<h4>Methods</h4>Newly CPAP treated OSA participating in "Observatoire Sommeil de la Fédération de Pneumologie", a French national prospective cohort, were included between March 2009 and December 2011. Anthropometric data, medical history, OSA severity, sleepiness, depressive status, treatment modalities (auto-CPAP versus fixed pressure, pressure level, interface type, use of humidifiers) and CPAP-related side effects were included in multivariate analysis to determine independent variables associated with CPAP adherence.<h4>Results</h4>2311 OSA (age = 57(12) years, apnea+hypopnea index = 41(21)/h, 29% female) were included. Nasal masks, oronasal masks and nasal pillows were used by 62.4, 26.2 and 11.4% of the patients, respectively. In univariate analysis, oronasal masks and nasal pillows were associated with higher risk of CPAP non-adherence. CPAP non-adherence was also associated with younger age, female gender, mild OSA, gastroesophageal reflux, depression status, low effective pressure and CPAP-related side effects. In multivariate analysis, CPAP non-adherence was associated with the use of oronasal masks (OR = 2.0; 95%CI = 1.6; 2.5), depression, low effective pressure, and side effects.<h4>Conclusion</h4>As oronasal masks negatively impact on CPAP adherence, a nasal mask should be preferred as the first option. Patients on oronasal masks should be carefully followed.
format	article
author	Jean Christian Borel Renaud Tamisier Sonia Dias-Domingos Marc Sapene Francis Martin Bruno Stach Yves Grillet Jean François Muir Patrick Levy Frederic Series Jean-Louis Pepin Scientific Council of The Sleep Registry of the French Federation of Pneumology (OSFP)
author_facet	Jean Christian Borel Renaud Tamisier Sonia Dias-Domingos Marc Sapene Francis Martin Bruno Stach Yves Grillet Jean François Muir Patrick Levy Frederic Series Jean-Louis Pepin Scientific Council of The Sleep Registry of the French Federation of Pneumology (OSFP)
author_sort	Jean Christian Borel
title	Type of mask may impact on continuous positive airway pressure adherence in apneic patients.
title_short	Type of mask may impact on continuous positive airway pressure adherence in apneic patients.
title_full	Type of mask may impact on continuous positive airway pressure adherence in apneic patients.
title_fullStr	Type of mask may impact on continuous positive airway pressure adherence in apneic patients.
title_full_unstemmed	Type of mask may impact on continuous positive airway pressure adherence in apneic patients.
title_sort	type of mask may impact on continuous positive airway pressure adherence in apneic patients.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/f619999e67ed4abea0c33e22604497ca
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Type of mask may impact on continuous positive airway pressure adherence in apneic patients.

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