Detail publikace

Patients Compliance: Ten Years History Data Analysis

MEZINA, A. GENZOR, S. BURGET, R. MIZERA, J. MYŠKA, V. ŠTÝBNAR, M.

Originální název

Patients Compliance: Ten Years History Data Analysis

Typ

článek ve sborníku mimo WoS a Scopus

Jazyk

angličtina

Originální abstrakt

Introduction: Continuous positive airway pressure (CPAP) remains to be the most effective therapy for obstructive sleep apnoea syndrome (OSAS). Long-term adherence is extremely important. The aim of this study was to assess ten-year adherence to CPAP and to define factors influencing it. Methods: All subjects involved were consecutive patients of Sleep Laboratory of Department of Respiratory Diseases, Olomouc. Anthropometric data, night sleep testing and detailed history have been completed. The data about CPAP adherence have been obtained through device memory. Subjects who completely refused the therapy have been assigned to the group A, and subjects with good CPAP adherence (with 4 or more hours use per night in average) were assigned to group B and followed-up for 10 years. Patients who died during the follow-up and those with CPAP usage less than 4 hours per night have been excluded. To analyse data, we used standard statistical tools and predictive machine learning tools. Statistical significance has been evaluated with alpha level 0.05. Results: Group A consisted of 106 individuals and group B of 166 subjects. Factors with impact on CPAP adherence were age, sleepiness, microsleep, fibrosis, smoking, AHI (apnea-hypopnea index) and mean night saturation. In total seven predictive machine learning algorithms have been examined together with its statistical evaluation. Several interesting frequent patterns were identified, e.g., people of age ≥68 and AHI ≥37.8 cm typically have good adherence. Conclusion: Good adherence to CPAP therapy in OSAS patients is essential. According to our results, higher age and OSAS severity predicts higher CPAP usage. Obesity, CAD and fibrosis predicts poor CPAP usage. Machine learging may help to found new predictors of CPAP adherence.

Klíčová slova

Comorbidities and complications of sleep disordered breathing; Obstructive sleep apnoea; Other therapies and interventions;

Autoři

MEZINA, A.; GENZOR, S.; BURGET, R.; MIZERA, J.; MYŠKA, V.; ŠTÝBNAR, M.

Vydáno

20. 4. 2023

Nakladatel

European Respiratory Society

Místo

Prague

ISSN

2312-0541

Periodikum

ERJ Open Research

Ročník

9

Číslo

11

Stát

Spojené království Velké Británie a Severního Irska

Strany počet

1

URL

https://openres.ersjournals.com/content/9/suppl_11/10.abstract

BibTex

@inproceedings{BUT184307,
  author="Anzhelika {Mezina} and Samuel {Genzor} and Radim {Burget} and Jan {Mizera} and Vojtěch {Myška} and Michal {Štýbnar}",
  title="Patients Compliance: Ten Years History Data Analysis",
  year="2023",
  journal="ERJ Open Research",
  volume="9",
  number="11",
  pages="1",
  publisher="European Respiratory Society",
  address="Prague",
  doi="10.1183/23120541.sleepandbreathing-2023.10",
  issn="2312-0541",
  url="https://openres.ersjournals.com/content/9/suppl_11/10.abstract"
}