Treatment outcomes among rural and urban patients with obstructive sleep apnea: a prospective cohort study

Corrigan, Jennifer; Tsai, Willis H.; Ip-Buting, Ada; Ng, Curtise; Ogah, Imhokhai; Peller, Peter; Sharpe, Heather; Laratta, Cheryl R.; Pendharkar, Sachin R.

doi:10.5664/jcsm.9776

Cited by 8 publications

(2 citation statements)

References 36 publications

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“…Additionally, it has been reported that the effectiveness of treatment is directly related to the amount of therapy used 35 36. When considering ‘optimal’ compliance, we obtained compliance rates at 3 months with AD higher than values reported for CPAP at the same follow-up period 36 37. Other studies on PT have also used this criterion, although with lower compliance rates 24.…”

Section: Discussionmentioning

confidence: 72%

Patient compliance and satisfaction with a new forehead device for positional obstructive sleep apnoea treatment: a post hoc analysis of a randomised controlled trial

Hidalgo-Armas,

Inglés,

Vaca

et al. 2023

BMJ Open Resp Res

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BackgroundThe influence of body position in obstructive sleep apnoea patients is well known. A positional therapy device placed at the forehead has proven to be effective in reducing the severity of positional obstructive sleep apnoea (POSA) symptoms. The aim of the study was to evaluate patients’ therapy compliance and satisfaction in the short term and mid-term.MethodsA post hoc analysis of a randomised controlled trial was conducted using an inactive device (ID) or an active device (AD) for 3 months. The primary outcomes were device usage and the percentage of patients with good compliance (defined as device use for more than 4 hours per night and more than 70% of nights per week). Secondary outcomes included time spent with head in the supine position, patient satisfaction and side effects.ResultsThe median duration of using the device was 6.9 hours in the ID group and 6.7 hours in the AD group (p=0.309), and the durations were similar throughout the follow-up period and from the first day of use. The percentage of patients with good compliance was similar and greater than 60% in both groups. The median time spent with head in the supine position was significantly lower in the AD group (2.9%) than in the ID group (12.4%) since the first day of treatment. Both groups showed satisfaction scores values above 8.5 (out of 10) in all items, while side effects were scarcely reported.ConclusionHigh device compliance was achieved in POSA patients, both in terms of device usage time and percentage of days used. Patients were highly satisfied, and the device effectively reduced the time spent with the head in the supine position from the first day of use.

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Section: Discussionmentioning

confidence: 72%

Patient compliance and satisfaction with a new forehead device for positional obstructive sleep apnoea treatment: a post hoc analysis of a randomised controlled trial

Hidalgo-Armas,

Inglés,

Vaca

et al. 2023

BMJ Open Resp Res

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“…Resaltan también que, en pacientes con tratamiento a largo plazo, los efectos secundarios relacionados con fugas siguen siendo comunes, y que los cuestionarios MRSE pueden ser útiles junto con los datos de los dispositivos de CPAP para monitorear a los pacientes (49). Finalmente, https://doi.org/10.55204/scc.v2i2.e20 encuentran que la telemedicina mejora la adherencia al tratamiento en comparación con la atención convencional (50), y no encuentran una asociación significativa entre la residencia urbana o rural y la adherencia a la CPAP en su análisis de regresión multivariable (51). Tabla 3.…”

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Actualización sobre la Terapia de Presión Positiva Continua en las Vías Respiratorias como Tratamiento del Síndrome de Apnea del Sueño

Minchala León,

Encalada Torres

2023

Salud ConCienc.

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Introducción: la Apnea Obstructiva del Sueño (AOS) se caracteriza por episodios recurrentes de colapso parcial o total de las vías respiratorias superiores durante el sueño, la prevalencia en adultos entre 54 a 93 años superaba el 60%, con una AOS de moderada a grave en el 30,3% de los individuos de etnia blanca, el 32,4% de afroamericanos, 38,2% de hispanos y el 39,4% de ascendencia china. Objetivo: Describir la actualización sobre la terapia de presión positiva continua en las vías respiratorias como tratamiento del síndrome de apnea del sueño. Metodología: se realizó una revisión bibliográfica tipo narrativa, los estudios fueron recogidos de diferentes bases de datos como Medline, Lilacs, TripDataBase, Cochrane Library, Epistemonikos, Scopus, mediante identificación-cribado-elegibilidad-selección y basado en el rango de calidad de Scimago Journal Rank. Resultados: se encontraron múltiples efectos del tratamiento, se demostró mejoras significativas en la somnolencia y calidad de vida. También se observó un impacto positivo en la depresión y ligera mejora en las funciones neurocognitivas. Además, mostró beneficios en la prevención de accidentes cerebrovasculares y fibrilación auricular. La adherencia al CPAP se vio influenciada por factores socioeconómicos, psicológicos y efectos secundarios de las mascarillas. Estos hallazgos sugieren la eficacia y la relevancia del tratamiento con CPAP en pacientes con AOS, así como la importancia de considerar múltiples factores para mejorar la adherencia y los resultados del tratamiento.

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Quality of life among obstructive sleep apnoea patients: a systematic review and meta-analysis of EQ-5D studies

Shirisha,

Bagepally,

Kumar

et al. 2024

Qual Life Res

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Treatment outcomes among rural and urban patients with obstructive sleep apnea: a prospective cohort study

Cited by 8 publications

References 36 publications

Patient compliance and satisfaction with a new forehead device for positional obstructive sleep apnoea treatment: a post hoc analysis of a randomised controlled trial

Patient compliance and satisfaction with a new forehead device for positional obstructive sleep apnoea treatment: a post hoc analysis of a randomised controlled trial

Actualización sobre la Terapia de Presión Positiva Continua en las Vías Respiratorias como Tratamiento del Síndrome de Apnea del Sueño

Quality of life among obstructive sleep apnoea patients: a systematic review and meta-analysis of EQ-5D studies

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