Adherence to Positive Airway Pressure Therapy in Obesity Hypoventilation Syndrome

Adherence to Positive Airway Pressure Therapy in Obesity Hypoventilation Syndrome

Because of the prevalence of extreme obesity in the United States, there has been an increase in prevalence of obesity hypoventilation syndrome (OHS). There is limited information on the characteristics and pattern of positive airway pressure (PAP) adherence in patients with OHS compared with eucapn...

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Bibliographic Details
Published in:Sleep medicine clinics Vol. 16; no. 1; pp. 43 - 59
Main Authors: Wearn, Jeremy, Akpa, Bimaje, Mokhlesi, Babak
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-03-2021
Subjects:
Compliance
CPAP
Hypercapnia
Hypercarbia
Noninvasive ventilation
Pickwickian
Pressure support
Sleep apnea
Hypercarbia
Hypercapnia
Pressure support
CPAP
Compliance
Pickwickian
Sleep apnea
Noninvasive ventilation
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Summary:Because of the prevalence of extreme obesity in the United States, there has been an increase in prevalence of obesity hypoventilation syndrome (OHS). There is limited information on the characteristics and pattern of positive airway pressure (PAP) adherence in patients with OHS compared with eucapnic patients with obstructive sleep apnea (OSA). This article discusses in detail the impact of PAP therapy on outcomes in patients with OHS, compares adherence between continuous PAP and noninvasive ventilation in OHS, and compares PAP adherence in patients with OHS to patients with moderate to severe OSA enrolled in clinical trials designed to improve CPAP adherence.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:1556-407X
1556-4088
DOI:10.1016/j.jsmc.2020.10.009