Effect of Heated Humidification on Compliance and Quality of Life in Patients With Sleep Apnea Using Nasal Continuous Positive Airway Pressure
Autor: | Dawn Pierce, M. Jeffery Mador, Mark Braun, Matthew Krauza, Adnan Pervez |
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Rok vydání: | 2005 |
Předmět: |
Male
Pulmonary and Respiratory Medicine Hot Temperature Hospitals Veterans medicine.medical_treatment New York Positive pressure Critical Care and Intensive Care Medicine Sleep Apnea Syndromes Humans Medicine Continuous positive airway pressure Mechanical ventilation Continuous Positive Airway Pressure business.industry Patient Selection Epworth Sleepiness Scale Sleep apnea Humidity Middle Aged medicine.disease respiratory tract diseases Obstructive sleep apnea Apnea–hypopnea index Anesthesia Quality of Life Patient Compliance Female Cardiology and Cardiovascular Medicine business Airway Algorithms |
Zdroj: | Chest. 128:2151-2158 |
ISSN: | 0012-3692 |
Popis: | Study objective To determine whether the addition of heated humidification at treatment initiation with nasal continuous positive airway pressure (CPAP) would lead to better CPAP compliance and improve quality of life and subjective sleepiness in patients with sleep apnea. Design Randomized controlled trial. Setting An academic sleep center located at a Veterans Affairs hospital. Patients Ninety-eight patients with obstructive sleep apnea who had not received nasal CPAP previously. Measurements and results Patients received heated humidification at CPAP initiation in the treatment group. In the control group, patients could receive heated humidification only if they had upper airway symptoms that could not be treated successfully with simpler measures. Patients were followed up at 1 month, 3 months, and 12 months. Outcome measures were compliance with nasal CPAP (mean hours per night at effective pressure), quality of life as measured by the Calgary sleep apnea quality of life index, subjective sleepiness measured with the Epworth sleepiness scale, and CPAP side effects. There was no difference in CPAP compliance between groups. Quality of life and subjective sleepiness improved in both groups with nasal CPAP therapy, but there was no difference in the extent of improvement between groups. The overall CPAP side effect score was similar in both groups, but individual symptoms of dry nose and dry mouth and throat were significantly lower in the heated humidification group. Conclusions The addition of heated humidification when nasal CPAP was instituted did not lead to better compliance, greater improvement in sleepiness, or improved quality of life, but was associated with fewer symptoms attributable to the upper airway. |
Databáze: | OpenAIRE |
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