Evidence map›Paper›PMID 27638725›Full record

ArticleSleep & breathing = Schlaf & Atmung2017

Factors predicting CPAP adherence in obstructive sleep apnea syndrome.

Moussa Riachy, Samer Najem, Mirella Iskandar, Jad Choucair, Ihab Ibrahim, Georges Juvelikian

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03353064 (Telemedicine as a Proposed Solution Towards Efficiency of Healthcare Delivery for Einstein Pulmonary Patients on PAP/NIPPV for Hypercapnia), which is not on this map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03353064 naterminatednot on this map

Telemedicine as a Proposed Solution Towards Efficiency of Healthcare Delivery for Einstein Pulmonary Patients on PAP/NIPPV for Hypercapnia

TypeinterventionalSponsorAlbert Einstein Healthcare NetworkRan2017 to 2018Enrolled4ConditionsHypercapnic Respiratory Failure, Chronic Obstructive Pulmonary Disease, Obesity Hypoventilation Syndrome, Sleep Disordered BreathingArmsVivify, EMS
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. The role of acetazolamide in sleep apnea at sea level: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Pooled it
  4. Article
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  6. Review
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  13. Factors influencing automatic PAP compliance: what really matters?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  14. Predictors for short-term and long-term automatic PAP compliance.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  15. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Moussa RiachyPulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon. riachy@dm.net.lb.
Samer NajemPulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.
Mirella IskandarPulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.
Jad ChoucairPulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.
Ihab IbrahimPulmonary and Critical Care Department, Hôtel-Dieu de France Hospital, Beirut, Lebanon.
Georges JuvelikianPulmonary and Critical Care Department, Saint Georges Hospital, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea (OSA) is associated with a range of neurocognitive and cardiovascular complications, leading to a compromised quality of life. Continuous positive airway pressure (CPAP) is the gold standard therapeutic intervention for this disorder, yet patient compliance remains essential to its success. This study aimed at identifying the determinants of short-term and long-term CPAP adherence in a group of Lebanese patients.

methodsThis cross-sectional study, conducted at the Sleep Center of Hôtel-Dieu de France hospital in Lebanon, included patients diagnosed with OSA and treated with CPAP for at least one night between June 2008 and January 2015. Adherence was assessed based on patients' self-report.

resultsThe study enrolled 138 patients. Adherence rate was 70.3 % at 6 months and around 50 % after 5 years. Cox models showed that use of nasal masks (HR 0.48, p = 0.048) and higher oxygen desaturation index at baseline (HR 0.98 p = 0.048) were associated with a better short-term CPAP adherence. Patients who bought their devices (HR 0.18, p < 0.001), those who were frequently contacted by the CPAP provider (HR 0.85, p 0.024), and those who reported improvement on treatment (HR 0.36, p < 0.001) were significantly more likely to remain adherent on the long term. Conversely, individuals on a diet plan tended to interrupt the treatment earlier (HR 4.85, p 0.039).

conclusionThe present findings should be further explored in order to tailor interventions to the specific needs of different patient profiles and secure an improved CPAP adherence.

Indexed as

AdultAgedAged, 80 and overContinuous Positive Airway PressureCross-Sectional StudiesFemaleFollow-Up StudiesHumansLebanonMaleMiddle AgedPatient ComplianceRisk FactorsSleep Apnea, ObstructiveTreatment OutcomeAdherenceContinuous positive airway pressureLebanonObstructive sleep apnea

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.