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Langzeit-Compliance der CPAP-Therapie bei obstruktivem Schlafapnoe-Syndrom

Long-term compliance of CPAP therapy in obstructive sleep apnea syndrome

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Summary

CPAP (continuous positive airway pressure) is the therapy of choice for obstructive sleep apnea syndrome (OSAS). About 70 % of patients on CPAP use their device for at least 70 % of nights with an application time of at least 4 hours per night. Compared to subjective CPAP-application time, pressure monitors show that patients tend to overestimate their CPAP compliance by about one hour; nevertheless pressure monitoring has shown that more than 70 % of patients use their CPAP device for at least 4 hours per night. Even in the long-term application of CPAP it has been shown that approximately 60 % of patients use their CPAP device for more that 5 hours per night. Severity of breathing disorder and disturbance of sleep architecture, degree of daytime sleepiness and patient satisfaction with diagnostic and therapeutic procedures, respectively, are good predictors of long-term CPAP compliance. CPAP compliance can be increased by intensive patient education.

Zusammenfassung

CPAP (continuous positive airway pressure) ist die Therapie der Wahl des obstruktiven Schlafapnoe-Syndroms (OSAS). Ca. 70 % der Patienten mit eingeleiteter CPAP-Therapie nutzen das Gerat dauerhaft wahrend 70 % der Nachte für mindestens 4 Stunden pro Nacht. Im Vergleich zur objektiv über Druckmesser registrierten Nutzungsdauer wird die subjektive Anwendungsdauer vom Patienten um ca. eine Stunde pro Nacht überschatzt, dennoch betragt die objektive Nutzungsdauer mindestens 4 Stunden pro Nacht bei > 70 % der Patienten. Auch über längere Nachbeobachtungszeitraume lassen sich Nutzungsdauern von über 5 Stunden pro Nacht bei über 60 % der Patienten feststellen. Prädiktoren für eine gute CPAP-Langzeitcompliance sind der Schweregrad der Atmungsstörung bzw. der Störung der Schlafarchitektur, der Ausprägungsgrad der Tagesschläfrigkeit sowie die Patientenzufriedenheit mit dem diagnostischen und therapeutischen Procedere. Eine Steigerung der CPAP-Compliance ist durch intensive Patientenschulung zu erzielen

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Authors and Affiliations

  1. Theresienkrankenhaus und St. Hedwig Klinik GmbH, Akademisches Lehrkrankenhaus der Universität Heidelberg, Medizinische Klinik III, Pneumologie, Pneumologische Onkologie, Allergologie, Schlaf- und Beatmungsmedizin, Bassermannstraße 1, 68165, Mannheim, Germany

    Maritta Orth

  2. Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil GmbH, Medizinische Klinik III, Pneumologie, Allergologie und Schlaf- und Beatmungsmedizin, Bochum, Germany

    Maritta Orth, Hans-Werner Duchna & Gerhard Schultze-Werninghaus

  3. Neurologische Klinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil GmbH, Bochum, Germany

    Sylvia Kotterba

  4. Ammerland Klinik GmbH, Klinik für Neurologie, Westerstede, Germany

    Sylvia Kotterba

  5. Kliniken St. Antonius, Wuppertal, Germany

    Kurt Rasche

Authors
  1. Maritta Orth
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  2. Hans-Werner Duchna
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  3. Sylvia Kotterba
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  4. Gerhard Schultze-Werninghaus
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  5. Kurt Rasche
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Correspondence to Maritta Orth.

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Orth, M., Duchna, HW., Kotterba, S. et al. Langzeit-Compliance der CPAP-Therapie bei obstruktivem Schlafapnoe-Syndrom. Somnologie 12, 258–269 (2008). https://doi.org/10.1007/s11818-008-0361-9

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  • DOI: https://doi.org/10.1007/s11818-008-0361-9

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