Compliance with CPAP in elderly patients with OSA

James M. Parish, Philip J. Lyng, Joyce Wisbey

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background: Obstructive sleep apnea (OSA) is common in the general population and especially in the geriatric age group. Nasal continuous positive airway pressure (CPAP) is a highly effective treatment but can be difficult for some patients to use. Objective: We investigated the question if older patients were less compliant with CPAP therapy than younger patients and may not realize its benefits. Methods: We conducted a prospective, non-randomized study comparing use of CPAP in patients over age 65 with patients under age 65. One hundred and seven consecutive patients with a new diagnosis of obstructive sleep apnea were started on therapy with nasal CPAP. We obtained follow-up data on all 107 patients. Compliance with CPAP was assessed by patients subjective report of use and, in a subset of 21 patients, by objective measurement using a microchip installed in the CPAP unit that measures actual hours of use at therapeutic pressure. Results: The percentage of patients using CPAP regularly was not different in the two groups: 70% of patients in the over age 65 group used CPAP regularly vs. 72% of patients under age 65. The over 65 group used CPAP 6.5 nights per week, an average of 6.5 h of use per night. The under 65 group was not significantly different, using CPAP 6.8 nights per week, a mean of 6.7 h of use per night. Conclusion: Patients over age 65 are able to tolerate CPAP as well as patients under age 65.

Original languageEnglish (US)
Pages (from-to)209-214
Number of pages6
JournalSleep Medicine
Volume1
Issue number3
StatePublished - Jul 1 2000

Fingerprint

Continuous Positive Airway Pressure
Obstructive Sleep Apnea
Age Groups
Therapeutic Uses
Geriatrics

Keywords

  • Continuous positive airway pressure
  • Continuous positive airway pressure compliance
  • Geriatrics
  • Positive pressure therapy
  • Sleep apnea
  • Sleep disorders

ASJC Scopus subject areas

  • Ophthalmology
  • Pulmonary and Respiratory Medicine
  • Neurology
  • Dentistry(all)

Cite this

Parish, J. M., Lyng, P. J., & Wisbey, J. (2000). Compliance with CPAP in elderly patients with OSA. Sleep Medicine, 1(3), 209-214.

Compliance with CPAP in elderly patients with OSA. / Parish, James M.; Lyng, Philip J.; Wisbey, Joyce.

In: Sleep Medicine, Vol. 1, No. 3, 01.07.2000, p. 209-214.

Research output: Contribution to journalArticle

Parish, JM, Lyng, PJ & Wisbey, J 2000, 'Compliance with CPAP in elderly patients with OSA', Sleep Medicine, vol. 1, no. 3, pp. 209-214.
Parish JM, Lyng PJ, Wisbey J. Compliance with CPAP in elderly patients with OSA. Sleep Medicine. 2000 Jul 1;1(3):209-214.
Parish, James M. ; Lyng, Philip J. ; Wisbey, Joyce. / Compliance with CPAP in elderly patients with OSA. In: Sleep Medicine. 2000 ; Vol. 1, No. 3. pp. 209-214.
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