Abstract
Currently, the treatment of choice for OSA is nasal CPAP but the documented efficacy of CPAP may be poor because of decreased compliance. Objective is to evaluate the CPAP compliance in a group of OSA patients in the state of Kuwait. Methods: 60 patients proved to have OSA by polysomnography, (ESS) and (FOSQ) were done for all patients then follow up for 3 months were done and then patients reassessed again. Results: Only 45 patients (75%) were compliant on CPAP with a mean runtime of 5.23 ± 0.46 hour / night, CPAP significantly improved the AHI from 44.89± 10.85 to 5.93± 1.68 / hour, ESS from 12.88 ± 2.32 to 3.47 ± 1.14 and total FOSQ from 83.78 ± 1.67 to 108.39 ± 1.40(p < 0.01), on using correlation study there was significant correlation between the CPAP runtime and the baseline Body Mass Index (BMI), AHI, ESS but on using stepwise regression analysis the only 2 variables showed significant correlation were the BMI and ESS. Conclusion: in this group of patients the rate of CPAP compliance was considered good (75%) and the only factors that can predict short term CPAP compliance were the BMI and ESS.
Key words: OSA, CPAP compliance, ESS, FOSQ.
- © 2012 ERS