Acceptance of NCPAP in a sample of patients admitted for geriatric rehabilitation

Sleep apnea syndrome (SAS) is common in older people. Nasal continuous airway pressure (NCPAP) therapy is the treatment of choice for sleep apnea, but is not always accepted by patients. The rate of successful initiation of NCPAP is unknown in geriatric patients. All patients admitted for geriatric...

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Bibliographic Details
Published in:European journal of medical research 2009-12, Vol.14 Suppl 4 (Suppl 4), p.82-85
Main Authors: Frohnhofen, H, Hoeltmann, B, Orth, G
Format: Article
Language:English
Subjects:
acceptance of NCPAP
Activities of daily living
Aged
Aged, 80 and over
Analysis
Care and treatment
Continuous Positive Airway Pressure
elderly
Elderly patients
Female
Geriatric Assessment
geriatric rehabilitation
Humans
Logistic Models
Male
Medical research
Middle Aged
Patient Acceptance of Health Care
Sleep
Sleep apnea
sleep apnea syndrome
Sleep Apnea Syndromes - therapy
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Summary:Sleep apnea syndrome (SAS) is common in older people. Nasal continuous airway pressure (NCPAP) therapy is the treatment of choice for sleep apnea, but is not always accepted by patients. The rate of successful initiation of NCPAP is unknown in geriatric patients. All patients admitted for geriatric rehabilitation were considered for sleep studies. Sleep apnea was assessed using an Edentrace (Nellcor, Hayward, CA) multi-channel recording system. SAS was defined as an apnea-hypopnea-index (AHI) of more than five events per hour plus excessive daytime sleepiness, or an AHI of more than fifteen events per hour regardless of reported sleepiness. Disability was assessed using the Barthel Index of Activities of Daily Living. Two hundred sixty nine of 322 consecutive patients (84%) had adequate sleep studies and gave informed consent. SAS was found in 169 subjects (68%). There was no gender difference in the prevalence of SAS. Six subjects (4%) accepted NCPAP therapy. Individuals who accepted NCPAP were younger and less disabled (p
ISSN:0949-2321
2047-783X
2047-783X
DOI:10.1186/2047-783X-14-S4-82