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Effectiveness of nasal continuous airway pressure therapy in patients with obstructive sleep apnea
Author(s) -
Kandasamy Geetha,
Almaghaslah Dalia,
Sivanandy Palanisamy,
Arumugam Somasundaram
Publication year - 2019
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.2758
Subject(s) - medicine , continuous positive airway pressure , obstructive sleep apnea , polysomnography , apnea , apnea–hypopnea index , sleep apnea , anesthesia , population , hypopnea , positive airway pressure , physical therapy , environmental health
Summary Objectives A prospective observational study was carried out with the aim of evaluating the effectiveness of nasal continuous positive airway pressure (nCPAP) therapy on the health‐related quality of life (QoL) of patients with obstructive sleep apnea (OSA). Methods The patients included in this study were those recently diagnosed with OSA (AHI > 5) and given nCPAP therapy, as well as being referred to a sleep laboratory for an assessment of their sleep disordered breathing. Prior to the start of nCPAP therapy and polysomnography evaluation, patients were asked to complete the validated Quebec sleep questionnaire (QSQ), and their baseline measurements were recorded. Results Among the study population, 14.41% (n = 31) had mild OSA with an apnea and hypopnea index of 5 to 14.9 events/h, while 26.97% (n = 58) had moderate OSA and 40% (n = 86) had severe OSA. The overall average apnea and hypopnea index of the study population was 30.24 ± 9.73 events/h; mild OSA patients had an average apnea and hypopnea index of 10.09 ± 2.65 events/h, moderate OSA patients had 21.48 ± 4.40 events/h, and severe OSA patients had 59.16 ± 22.14 events/h. A significant difference was observed between the scores before treatment and after 6 months of therapy in all domains of the QSQ QoL scores ( P < 0.0001). Conclusion Nasal continuous positive airway pressure treatment improved the QoL for patients with mild, moderate, and severe sleep apnea.