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Upper Airway Variation and Frequent Alcohol Consumption Can Affect Compliance With Continuous Positive Airway Pressure.

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Author(s)
Jong In JeongHyo Yeol KimSang Duk HongGwanghui RyuSu Jin KimKyung Eun LeeHun-Jong DhongSeung-Kyu Chung
Keimyung Author(s)
Jeong, Jong In
Department
Dept. of Otorhinolaryngology (이비인후과학)
Journal Title
Clinical and Experimental Otorhinolaryngology
Issued Date
2016
Volume
9
Issue
4
Keyword
Obstructive Sleep ApneaContinuous Positive Airway PressureAlcohol DrinkingCephalometry
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.
Keimyung Author(s)(Kor)
정종인
Publisher
School of Medicine
Citation
Jong In Jeong et al. (2016). Upper Airway Variation and Frequent Alcohol Consumption Can Affect Compliance With Continuous Positive Airway Pressure. Clinical and Experimental Otorhinolaryngology, 9(4), 346–351. doi: 10.21053/ceo.2015.01984
Type
Article
ISSN
1976-8710
DOI
10.21053/ceo.2015.01984
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32385
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학)
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