Comparative Study on CPAP Compliance: PAP-NAP Followed by CPAP Trial vs. CPAP Trial Alone.

IF 1.8 Q4 CLINICAL NEUROLOGY

Sleep Science Pub Date : 2025-06-12 eCollection Date: 2025-09-01 DOI:10.1055/s-0045-1806955

Liang Chye Goh, Nesha Rajendram, Bryan Way Wern Lim, Jeyanthi Kulasegarah, Revadi Govindaraju, Chun Ian Soo, Chee Kuan Wong

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Abstract

Objective: To assess the effectiveness of allocating positive airway pressure nap (PAP-NAP) prior to continuous positive airway pressure (CPAP) trial compared with CPAP trial alone in improving CPAP therapy adherence among individuals diagnosed with obstructive sleep apnea (OSA) in our Southeast Asian cohort.

Materials and methods: A total of 133 adults with OSA were divided into 2 groups: 1 received PAP-NAP before a CPAP trial, and the other underwent a CPAP trial alone. The correlation between CPAP adherence and polysomnographic data was investigated.

Results: The PAP-NAP group showed better CPAP compliance (above 90%) and adherence (66.64% ± 31.96%) compared with the CPAP-only group (57.90% ± 34.86%). Both groups experienced reductions in apnea hypopnea index (AHI), with the PAP-NAP group having lower residual AHI. Compliance was defined as usage of CPAP > 4H in 14 days.

Conclusion: Positive airway pressure naps prior to a CPAP trial increases short-term CPAP adherence and influences mask selection. Personalized CPAP approaches like PAP-NAP can enhance patient acceptance and motivation. Further research is recommended to investigate long-term adherence.

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CPAP依从性的比较研究：PAP-NAP合并CPAP试验与单独CPAP试验。

目的：评估在持续气道正压（CPAP）试验前分配气道正压小睡（PAP-NAP）与单独CPAP试验相比，在改善诊断为阻塞性睡眠呼吸暂停（OSA）患者的CPAP治疗依从性方面的有效性。材料与方法：将133例OSA成人患者分为两组，一组在CPAP试验前接受PAP-NAP治疗，另一组单独进行CPAP试验。研究了CPAP依从性与多导睡眠图数据的相关性。结果：PAP-NAP组CPAP依从性（≥90%）和依从性（66.64%±31.96%）优于单纯CPAP组（57.90%±34.86%）。两组呼吸暂停低通气指数（AHI）均有所降低，PAP-NAP组的残余AHI较低。依从性定义为在14天内使用CPAP 4H。结论：CPAP试验前的气道正压小睡增加了短期CPAP依从性并影响面罩的选择。个性化的CPAP方法如PAP-NAP可以提高患者的接受度和动力。建议进一步研究长期依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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