Upper Airway Variation and Frequent Alcohol Consumption Can Affect Compliance With Continuous Positive Airway Pressure.
- Author:
Jong In JEONG
1
;
Hyo Yeol KIM
;
Sang Duk HONG
;
Gwanghui RYU
;
Su Jin KIM
;
Kyung Eun LEE
;
Hun Jong DHONG
;
Seung Kyu CHUNG
Author Information
- Publication Type:Original Article
- Keywords: Obstructive Sleep Apnea; Continuous Positive Airway Pressure; Alcohol Drinking; Cephalometry
- MeSH: Alcohol Drinking*; Cephalometry; Compliance*; Continuous Positive Airway Pressure*; Depression; Humans; Life Style; Linear Models; Nasal Obstruction; Rhinometry, Acoustic; Sleep Apnea, Obstructive; Tobacco Products
- From:Clinical and Experimental Otorhinolaryngology 2016;9(4):346-351
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVES: Compliance with continuous positive airway pressure (CPAP) treatment remains a primary concern for improving treatment outcomes of obstructive sleep apnea. There are few studies that have considered the role of upper airway anatomy on the compliance with CPAP. We hypothesized that upper airway anatomy would influence the compliance with CPAP. METHODS: One hundred out of 161 consecutive patients were enrolled in this study. The following possible determinants were tested against CPAP use: demographic and anthropometric data, minimal cross-sectional area on acoustic rhinometry, cephalometric and polysomnographic data, questionnaires of Epworth sleepiness scale and Beck depression index, and histories of previous upper airway surgery, degree of nasal obstruction, daily cigarette consumption, and weekly frequency of alcohol intake. RESULTS: Univariate analysis showed that histories of previous upper airway surgery and less frequent alcohol consumption, and longer mandibular plane-hyoid length (MP-H) on cephalometry were associated with longer average daily CPAP use. After adjustment for the confounding factors with multiple linear regression analysis, alcohol consumption and MP-H were still associated with the compliance with CPAP significantly. CONCLUSION: To improve compliance with CPAP, careful evaluations of upper airway problems and life style are important before initiating CPAP.
