A prospective observational study to evaluate the effect of social and personality factors on continuous positive airway pressure (CPAP) compliance in obstructive sleep apnoea syndrome

Compliance with CPAP treatment for OSAS is not reliably predicted by the severity of symptoms or physiological variables. We examined a range of factors which could be measured before CPAP initiation to look for predictors of compliance. This was a prospective cohort-study of CPAP treatment for OSAS...

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Bibliographic Details
Published in:BMC pulmonary medicine 2017-03, Vol.17 (1), p.56-56, Article 56
Main Authors: Gulati, Atul, Ali, Masood, Davies, Mike, Quinnell, Tim, Smith, Ian
Format: Article
Language:English
Subjects:
Accidents
Adult
Anxiety
Anxiety - epidemiology
Apnea
Asthma
Cardiovascular disease
Cardiovascular diseases
Chest
Classification
Compliance
Continuous Positive Airway Pressure
Daytime
Depression - epidemiology
Emotions
Female
Hoof
Humans
Hypoxemia
Inventories
Male
Mental depression
Middle Aged
Minority & ethnic groups
Mood
Observational studies
Patient Compliance - statistics & numerical data
Patients
Personality
Pressure
Prospective Studies
Psychiatric Status Rating Scales
Pulmonology
Quality of life
Respiration
Respiratory tract
ROC Curve
Side effects
Sleep
Sleep apnea
Sleep Apnea, Obstructive - therapy
Social Class
Socioeconomic factors
Statistical analysis
Studies
Unemployment
United Kingdom
Visual perception
Withdrawal
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Description
Summary:Compliance with CPAP treatment for OSAS is not reliably predicted by the severity of symptoms or physiological variables. We examined a range of factors which could be measured before CPAP initiation to look for predictors of compliance. This was a prospective cohort-study of CPAP treatment for OSAS, recording; socio-economic status, education, type D personality and clinician's prediction of compliance. We recruited 265 subjects, of whom 221 were still using CPAP at 6 months; median age 53 years, M: F, 3.4:1, ESS 15 and pre-treatment ODI 21/h. Median compliance at 6 months was 5.6 (3.4- 7.1) hours/night with 73.3% of subjects using CPAP ≥4 h/night. No association was found between compliance and different socio-economic classes for people in work, type D personality, education level, sex, age, baseline ESS or ODI. The clinician's initial impression could separate groups of good and poor compliers but had little predictive value for individual patients. Compared to subjects who were working, those who were long term unemployed had a lower CPAP usage and were more likely to use CPAP 
ISSN:1471-2466
1471-2466
DOI:10.1186/s12890-017-0393-7