What is it about?
Treatment of obstructive sleep apnea with CPAP in patients with stroke may improve neurological recovery. However, adherence to the main treatment of sleep apnea, continuous positive airway pressure, is poor. We show that physiological traits that cause sleep apnea in each individual, also predict adherence to continuous positive airway pressure among patients with stroke. Studies are needed to determine if physiologic traits can be used to personalize prediction of and improve adherence to treatment.
Featured Image
Why is it important?
Treatment adherence is a major problem for patients with sleep apnea and has been difficulty to improve. This study shows that certain physiological characteristics of sleep apnea can help predict who will have a hard time adhering to its first line treatment (continuous positive airway pressure, CPAP). This may help identify which patients to focus on to improve adherence and also provide avenues to improve it.
Perspectives
It is known that adherence to treatment (i.e. CPAP) for sleep apnea patients is related to knowledge about the disorder, patients psychological characteristics and social surroundings. Sleep providers have been focusing on these areas to improve adherence. This study shows that in a specific population, patients with stroke, there are also physiological features of sleep apnea that may be important. This may help personalize prediction who is at risk of poor adherence and because physiological features can be modified, may lead to personalized treatments to improve adherence.
andrey zinchuk
Yale University
Read the Original
This page is a summary of: Physiological Traits and Adherence to Obstructive Sleep Apnea Treatment in Patients with Stroke, American Review of Respiratory Disease, February 2020, American Thoracic Society,
DOI: 10.1164/rccm.201911-2203le.
You can read the full text:
Contributors
The following have contributed to this page
