What is it about?
We investigated the relationship between continuous positive airway pressure (CPAP) adherence and rhinomanometry values in 260 patients with obstructive sleep apnea. CPAP adherence was negatively correlated with nasal resistance. Rhinomanometry values before CPAP introduction were worse in the poor adherence group. On the other hand, when comparing patients with high pre-CPAP introduction rhinomanometry values that improved or did not improve, regarding changes in CPAP data, the CPAP usage time was significantly longer in the group with improved rhinomanometry values at 1 and 3 months after CPAP introduction.
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Why is it important?
CPAP treatment for patients with OSA is highly effective whenever adherence is good, and adherence information obtained from CPAP devices is clinically useful. The rhinomanometry values of the CPAP adherence group were significantly better, suggesting that assessing nasal resistance by rhinomanometry is useful for predicting future CPAP adherence, and that, if nasal air permeability can be improved, may contribute to extending the duration of CPAP use. To improve CPAP adherence we believe that close cooperation with the otolaryngology department is required, in order to monitor both CPAP treatment effects and adherence.
Perspectives
We hope that this article will contribute to improving CPAP adherence and improve the prognosis of OSA patients as much as possible.
Yasuyoshi Ohshima
Read the Original
This page is a summary of: The relationship between adherence to continuous positive airway pressure and nasal resistance measured by rhinomanometry in patients with obstructive sleep apnea syndrome, PLoS ONE, March 2023, PLOS,
DOI: 10.1371/journal.pone.0283070.
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