Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueño

Background: The use of CPAP is the conventional therapy for the Obstructive Sleep Apnea Syndrome (OSAS). Aim To establish the proportion of OSAS patients with CPAP indication who use it in the long-term and to determine predictive factors of adherence. Patients and Methods: Structured survey through...

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Autores principales:	Santín M,Julia, Jorquera A,Jorge, Jordán,Javiera, Bajut,Fawsia, Masalán A,Patricia, Mesa L,Tomás, Kuester F,Gisela, Godoy F,Jaime
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	CPAP ventilation Sleep apnea, obstructive therapeutics
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000700005
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spelling	oai:scielo:S0034-988720070007000052007-09-06Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueñoSantín M,JuliaJorquera A,JorgeJordán,JavieraBajut,FawsiaMasalán A,PatriciaMesa L,TomásKuester F,GiselaGodoy F,Jaime CPAP ventilation Sleep apnea, obstructive therapeutics Background: The use of CPAP is the conventional therapy for the Obstructive Sleep Apnea Syndrome (OSAS). Aim To establish the proportion of OSAS patients with CPAP indication who use it in the long-term and to determine predictive factors of adherence. Patients and Methods: Structured survey through personal interview or phone call, applied to all patients who had polisomnographically documented OSAS and CPAP titration at the Pontificia Universidad Católica de Chile Sleep Disorders Center between January 1998 and November 2001. Patients were divided in "Permanent Users" (Group I) and "Non Users" (Group II). Results: Of 440 patients that fulfilled inclusion criteria, 162 (32.8%) answered the survey. Seventy percent (114/162) of these patients had used CPAP and 86% (98/114) continued to use it at the time of the interview, with a mean follow-up of 12.3 months (Group I 60.5% of the interviewed population). Group II included 64 patients (39.5% of the interviewed patients). Among the latter, 25% (16/64) stopped using CPAP due to intolerance, 25% (16/64) could not use it because of economical restrictions, 20.5% (13/64) preferred other therapies and 29.5% (15/64) merely refused treatment. Predictors of long-term use of CPAP were number of respiratory events (p <0.01), hypersomnolence (p <0.01) and age (p =0.03). Conclusions: Approximately two thirds of patients with OSAS, with an indication for CPAP, continue to use this therapy in the long term in a Chilean population. This figure is similar to other reports from abroad. It is also possible to identify predictive factors for CPAP discontinuation in this populationinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.7 20072007-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000700005es10.4067/S0034-98872007000700005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	CPAP ventilation Sleep apnea, obstructive therapeutics
spellingShingle	CPAP ventilation Sleep apnea, obstructive therapeutics Santín M,Julia Jorquera A,Jorge Jordán,Javiera Bajut,Fawsia Masalán A,Patricia Mesa L,Tomás Kuester F,Gisela Godoy F,Jaime Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueño
description	Background: The use of CPAP is the conventional therapy for the Obstructive Sleep Apnea Syndrome (OSAS). Aim To establish the proportion of OSAS patients with CPAP indication who use it in the long-term and to determine predictive factors of adherence. Patients and Methods: Structured survey through personal interview or phone call, applied to all patients who had polisomnographically documented OSAS and CPAP titration at the Pontificia Universidad Católica de Chile Sleep Disorders Center between January 1998 and November 2001. Patients were divided in "Permanent Users" (Group I) and "Non Users" (Group II). Results: Of 440 patients that fulfilled inclusion criteria, 162 (32.8%) answered the survey. Seventy percent (114/162) of these patients had used CPAP and 86% (98/114) continued to use it at the time of the interview, with a mean follow-up of 12.3 months (Group I 60.5% of the interviewed population). Group II included 64 patients (39.5% of the interviewed patients). Among the latter, 25% (16/64) stopped using CPAP due to intolerance, 25% (16/64) could not use it because of economical restrictions, 20.5% (13/64) preferred other therapies and 29.5% (15/64) merely refused treatment. Predictors of long-term use of CPAP were number of respiratory events (p <0.01), hypersomnolence (p <0.01) and age (p =0.03). Conclusions: Approximately two thirds of patients with OSAS, with an indication for CPAP, continue to use this therapy in the long term in a Chilean population. This figure is similar to other reports from abroad. It is also possible to identify predictive factors for CPAP discontinuation in this population
author	Santín M,Julia Jorquera A,Jorge Jordán,Javiera Bajut,Fawsia Masalán A,Patricia Mesa L,Tomás Kuester F,Gisela Godoy F,Jaime
author_facet	Santín M,Julia Jorquera A,Jorge Jordán,Javiera Bajut,Fawsia Masalán A,Patricia Mesa L,Tomás Kuester F,Gisela Godoy F,Jaime
author_sort	Santín M,Julia
title	Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueño
title_short	Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueño
title_full	Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueño
title_fullStr	Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueño
title_full_unstemmed	Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueño
title_sort	uso de cpap nasal en el largo plazo en síndrome de apnea-hipopnea del sueño
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000700005
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Uso de CPAP nasal en el largo plazo en síndrome de apnea-hipopnea del sueño

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