Intensiveversusstandard follow-up to improve continuous positive airway pressure compliance
| Autor: | Stylianos Michelakis, Katerina Giannadaki, Nikolaos M. Siafakas, Izolde Bouloukaki, Sophia E. Schiza, Charalampos Mermigkis, Violeta Moniaki, Nikolaos Tzanakis, Eleni Mauroudi |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Polysomnography medicine.medical_treatment law.invention Randomized controlled trial Quality of life law Surveys and Questionnaires medicine Humans Prospective Studies Continuous positive airway pressure Aged Sleep Apnea Obstructive Continuous Positive Airway Pressure medicine.diagnostic_test business.industry Mortality rate Epworth Sleepiness Scale Beck Depression Inventory Sleep apnea Health Care Costs Middle Aged medicine.disease respiratory tract diseases Hospitalization Quality of Life Physical therapy Patient Compliance Female business Follow-Up Studies |
| Zdroj: | European Respiratory Journal. 44:1262-1274 |
| ISSN: | 1399-3003 0903-1936 |
| DOI: | 10.1183/09031936.00021314 |
| Popis: | We aimed to compare the effect of intensiveversusstandard interventions on continuous positive airway pressure (CPAP) adherence 2 years after CPAP initiation, as well as on sleepiness, quality of life, depression, hospitalisation and death rate due to cardiovascular disease (CVD).3100 patients with newly diagnosed sleep apnoea were randomised into the standard group, with usual follow-up care, or the intensive group, with additional visits, telephone calls and education. Subjective daytime sleepiness (Epworth Sleepiness Scale; ESS), quality of life (36-item Short Form Health Survey; SF-36) and the patient’s level of depression (Beck Depression Inventory; BDI) were recorded before and 2 years after CPAP initiation, together with CVD hospitalisations and death rate.2 years after CPAP initiation, the intensive group used CPAP significantly more than the standard group (6.9versus5.2 h per night; pCPAP usage can be improved by both intensive and standard patient support. However, the patients who received intensive CPAP support had significantly better ESS, BDI and SF-36 scores, and lower cardiovascular morbidity and mortality, suggesting that an intensive programme could be worthwhile. |
| Databáze: | OpenAIRE |
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