参考文献:1. Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (DGP), Deutsche Gesellschaft für Schlafforschung und Schlafmedizin (DGSM), Verband Pneumologischer Kliniken (VPK) und Bundesverband der Pneumologen (BdP) (2014) Positionspapier zur Diagnostik und Therapie schlafbezogener Atmungsst?rungen bei Erwachsenen. Pneumologie 68:15-8 CrossRef 2. Hein H, Raschke F, K?hler D et al (2001) Leitlinien der Deutschen Gesellschaft für Pneumologie in Zusammenarbeit mit der Deutschen Gesellschaft für Schlafforschung und Schlafmedizin. Leitlinie zur Diagnostik und Therapie schlafbezogener Atmungsst?rungen beim Erwachsenen. Pneumologie 55:339-42 CrossRef 3. Kassen?rztliche Bundesvereinigung (18. Februar 2005) Beschluss über eine ?nderung der Richtlinien zur Bewertung medizinischer Untersuchungs- und Behandlungsmethoden gem?? §135 Abs.?1 des Fünften Buches Sozialgesetzbuch (BUB-Richtlinien) in Anlage A ?Anerkannte Untersuchungs- und Behandlungsmethoden- Dtsch ?rztebl 102(7):A455–A456 4. Konermann M, Sanner BM, Vyleta M et al (1998) Use of conventional and self-adjusting nasal continuous positive airway pressure for treatment of severe obstructive sleep apnea syndrome. Chest 113:714-18 CrossRef 5. Krieger J, Kurtz D, Petiau C et al (1996) Long-term compliance with CPAP therapy in obstructive sleep apnea patients and in snorers. Sleep 19:136-43 6. Krieger J, Sforza E, Petiau C, Weiss T (1998) Simplified diagnostic procedure for obstructive sleep apnoea syndrome: lower subsequent compliance with CPAP. Eur Respir J 12:776-79 CrossRef 7. Kushida CA, Berry RB, Blau A et al (2011) Positive airway pressure initiation: a randomized controlled trial to assess the impact of therapy mode and titration process on efficacy, adherence, and outcomes. Sleep 34:1083-092 8. Doherty LS, Kiely JL, Swan V et al (2005) Long-term effects of nasal continuous positive airway pressure therapy on cardiovascular outcomes in sleep apnea syndrome. Chest 127:2076-084 CrossRef 9. Marin JM, Carrizo SJ, Vicente E, Agusti AGN (2005) Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365:1046-053 CrossRef 10. McArdle N, Devereux G, Heidarnejad H et al (1999) Long-term use of CPAP therapy for sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 159:1108-114 CrossRef 11. Nolan GM, Doherty LS, Mc Nicholas WT (2007) Auto-adjusting versus fixed positive pressure therapy in mild to moderate obstructive sleep apnoea. Sleep 30:189-94 12. Penzel T, Hajak G, Hoffmann RM et al (1993) Empfehlungen zur Durchführung und Auswertung polygraphischer Ableitungen im diagnostischen Schlaflabor. Z EEG-EMG 24:65-0 13. Rechtschaffen A, Kales A (1968) A manual of standardized technology techniques and scoring systems for sleep stages of human subjects. UCLA Brain Information Service, Brain Research Institute, Los Angeles 14. Rosen CL, Auckley D, Benca R et al (2012) A multisite randomized trial of portable sleep studies and positive airway pressure autotitration versus laboratory-based polysomnography for the diagnosis and treatment of obstructive sleep apnea: the HomePAP Study. Sleep 35:757-67 15. Sin DD, Mayers I, Man GC, Pawluk L (2002) Long-term compliance rates to continous positive airway pressure in obstructive sleep apnea: a population-based study. Chest 121:430-35 CrossRef 16. Young T, Finn L, Peppard PE et al (2008) Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep 31:1071-078
作者单位:Dr. S. Sch?dlich (1)
1. Klinik für Innere Medizin II, Krankenhaus Martha-Maria Halle-D?lau, R?ntgenstr. 1, 06120, Halle, Deutschland
ISSN:1439-054X
文摘
Background and objectives The compliance of CPAP therapy in patients with obstructive sleep apnea syndrome is variable. Many factors have a significant influence. The new bidding procedure of CPAP devices by insurance companies is a new factor in this area. The goal of this study was to investigate what influence this additional factor has on the compliance and drop-out rate. Patients and methods All patients who received a CPAP device in our sleep laboratory in 2009 were included in the study. Two groups were formed: patients with bidding procedure (group?A) and patients without (group?B). All patients received a questionnaire and an appointment in the sleep laboratory. Patients were compared regarding epidemiological and sleep medicine aspects while using the device. Results A total of 87 (group?A) and 93 (group?B) patients were included. The observation time required 622-66?days (mean 692.6?days). The data at the beginning of the study were comparable. The drop-out rate in group?A was higher than in group B (29.9- vs 22.6-). Statistical significance was not accomplished (p--.072). Conclusions The bidding procedure for CPAP devices might have negative effects for the drop-out rate of the therapy; however, further investigations are needed.