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Positive airway pressure adherence and mask interface in the setting of sinonasal symptoms
Author(s) -
Schell Amy E.,
Soose Ryan J.
Publication year - 2017
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26486
Subject(s) - airway , interface (matter) , medicine , continuous positive airway pressure , computer science , cardiology , anesthesia , operating system , obstructive sleep apnea , bubble , maximum bubble pressure method
Objectives/Hypothesis Despite reports of lower positive pressure adherence rates with oronasal masks, patients with sinonasal problems are often prescribed this interface over a nasal interface. The aim of this study was to characterize the relationship between mask type and therapy adherence in the setting of sinonasal symptoms. Study Design Retrospective case series with chart review. Methods We reviewed 328 patients who underwent positive pressure titration between January 2012 and May 2015. Follow‐up adherence data were available for 218 patients (66.5%). Multivariate analysis examined whether patients with sinonasal symptoms have improved adherence with oronasal masks compared to nasal or nasal pillow interfaces. Results At a median follow‐up of 95 days, positive pressure adherence in patients with sinonasal symptoms was highest with the nasal pillow interface. When compared with oronasal interfaces, the odds of adequate therapy adherence were >5 times greater with nasal pillow interfaces (odds ratio [OR] = 5.20, 95% confidence interval [CI] = 1.61‐16.80, P = .006) and >3 times greater with nasal interfaces (OR = 3.67, 95% CI = 1.20‐11.26, P = .02) in these symptomatic patients. Conclusions The presence of nasal problems does not predict the need for an oronasal mask. Positive pressure adherence rates are higher with nasal and nasal pillow interfaces compared to oronasal masks, even in patients with sinonasal complaints. Level of Evidence 4. Laryngoscope , 127:2418–2422, 2017