An orientation session improves objective sleep quality and mask acceptance during positive airway pressure titration

An orientation session improves objective sleep quality and mask acceptance during positive airway pressure titration

Author Santos-Silva, Rogerio Autor UNIFESP Google Scholar
Truksinas, Viviane Autor UNIFESP Google Scholar
Mello-Fujita, Luciane de Autor UNIFESP Google Scholar
Truksinas, Eveli Autor UNIFESP Google Scholar
Zanin, Leiko Kawata Autor UNIFESP Google Scholar
Pinto, Maria Christina Ribeiro Autor UNIFESP Google Scholar
Paula, Marta Sevilha de Autor UNIFESP Google Scholar
Skomro, Robert P. Google Scholar
Bittencourt, Lia Rita Azeredo Autor UNIFESP Google Scholar
Tufik, Sergio Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Univ Saskatchewan
Abstract The aim of this study was to determine whether an orientation session led by a polysomnography (PSG) technician during the night of positive airway pressure (PAP) titration can improve objective sleep quality and acceptance of nasal mask in patients referred to a sleep laboratory. Consecutive patients (n=1,481), referred for PAP titration during PSG, were retrospectively evaluated. Patients were distributed in two groups: the control group, patients referred for PAP titration (n=699) who did not undertake an orientation session led by a PSG technician, and the oriented group, patients referred to PAP titration (n=782) who followed the orientation session. Demographic data were similar (p > 0.05) between groups (control vs oriented) for: male/female proportion (76:24 vs 75:25%), age (mean +/- SD; 53 +/- 12 vs 52 +/- 12 years), Epworth Sleepiness Scale score (12 +/- 6 vs 12 +/- 6), and body mass index (31 +/- 6 vs 31 +/- 6 kg/m(2)). PSG data were different (p < 0.05) between the groups for: total sleep time (312 +/- 81 vs 326 +/- 85 min), sleep efficiency (74 +/- 17 vs 77 +/- 14%), sleep latency (22 +/- 24 vs 18 +/- 29 min), S1 (8 +/- 8 vs 6 +/- 5%), S3 4 (19 +/- 11 vs 21 +/- 13%), rapid eye movement sleep (17 +/- 9 vs 18 +/- 9%), and wake after sleep onset (106 +/- 68 vs 93 +/- 58 min). After the orientation session, the number of patients who did not accept nasal mask during PSG recording was higher in the control group than the oriented group (80 vs 44; p=0.001). An orientation session led by a PSG technician can improve objective sleep quality and nasal mask acceptance during the night of PAP titration. Such an addition to PAP titration could be an efficient intervention to improve PAP compliance.
Keywords Sleep obstructive apnea
Continuous positive airway pressure
Titration
Polysomnography
Sleep quality
Language English
Date 2008-02-01
Published in Sleep and Breathing. Heidelberg: Springer Heidelberg, v. 12, n. 1, p. 85-89, 2008.
ISSN 1520-9512 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 85-89
Origin https://dx.doi.org/10.1007/s11325-007-0138-6
Access rights Closed access
Type Article
Web of Science ID WOS:000252302600012
URI https://repositorio.unifesp.br/handle/11600/30408

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