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Sleep Quality in CPAP/APAPTherapy links compliance, leakage,AHI and therapeutic success
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Despite good compliance and unremarkable AHI in PAP therapy, patients may still suffer from non-restorative sleep with related symptoms. Therefore in the future, devices in the prisma series will offer another criterion for the assessment of therapy success: a deep sleep indicator.
The key to success with PAP therapy
Compliance : With good compliance, CPAP therapy can reduce symptoms, pre- vent secondary cardiovascular disease and prolong life. Diverse studies have pro- ven the effectiveness of CPAP therapy in connection with compliance or with compliance of more than four hours (Palm, Midgren, Theorell-Haglöw, Janson, & Lindberg, 2017), (Antic et al., 2011), (Billings M.E. et al., 2014), (Bouloukaki I. et al., 2017), (Kasai T., Narui K. et al., 2008), (Kingshott R.N. et al., 2000), (Peker Y. et al., 2016), (Abuzaid A.S. et al., 2017), (Weaver et al., 2007). AHI/Leakage: A second decisive factor is effectiveness. Only therapeutically effective CPAP – and not sub-therapeutic treatment – improves symptoms and se- condary diseases (Siccoli M.M. et al., 2008), (Mulgrew et al., 2010), (Habukawa M. et al., 2005), (Bakker et al., 2014). Leaks at mask and mouth, which are unpleasant for the patient, impair pressure stability, event recognition and APAP regulation of the PAP devices.
Information/ Motivation
COM- PLIANCE
Noticeable recuperative effect is prerequisite for better compliance
Prerequisite for an effective SDB therapy
Affected by comorbidities, PAP, sleep hygiene, lifestyle
Mask and mouth are sealed
THERAPY SUCCESS
LOW LEAKAGE
RESTORATIVE SLEEP
Minimum requirement: elimination of respiratory events
Prerequisite for pressure build-up and event recognition
AHI
PAP effectiveness: mode, titration
Figure 1: The PAP therapy chain of effects with patient‘s therapy success at the center.
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Sleep Quality in CPAP/APAPTherapy
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