Patients' preferences and the efficacy of a hybrid model of a minimal contact nasal mask in patients with sleep apnea treated with CPAP

Abstract

ObjectivesTo evaluate patient's satisfaction, efficacy and adherence to CPAP with a hybrid nasal mask (DW) we tested patients with OSA in unattended setting under real-life conditions.Material and MethodsProspective, comparative study using DW mask 7 days against habitual mask in patients adapted to CPAP therapy.ResultsWe analyzed 52 patients: 35 men (67%) with IAH mean; 24.3±12.3 events/hour. At baseline mean compliance of 5.42±1.83 hours/night. After using DW mask, patients reported fewer marks, more comfort, greater partners acceptance, easier to use and was ranked higher to preventing leaks; p<0.05, and adherence (1 more hour per night, p>0.0042).Differences were not found in pressure 90th-95th percentile (9.6±9.2 cm of H2O, p<0.5), leaks (19.8±17 liters/min. p<0.37) or residual AHI (3.38±3.05 events/hour. p<0.93).ConclusionIn an uncontrolled non-randomized study, patients can use DW mask with similar leak level and better adherence as compared to conventional masks.

Current treatment strategies in managing side effects associated with domiciliary Positive Airway Pressure (PAP) therapy for patients with sleep disordered breathing: A systematic review and meta-analysis

“…Reviewers assessed the methodological quality of included studies and the risk of bias using the modified Newcastle-Ottawa Scale (NOS) for non-randomised studies [16] and the Cochrane Risk of Bias Tool (RoB 2) [14]. [40] compared nasal pillows to patients' "routine mask" but data were not presented in a way that could be utilised for pairwise comparison. Khanna et al [43] investigated the Oracle interface compared to nasal interfaces this study was not included in the meta-analysis.…”

“…As per Table 4, 15 studies investigated the impact of different interfaces [22,[39][40][41][42][43][44][45][46][47][48][49][50][51][52]. A pairwise comparison between interfaces was undertaken for each outcome measure.…”