ArticleSleep & breathing = Schlaf & Atmung2026
Long-term CPAP adherence in elderly patients after ambulatory initiation.
Article in Sleep & breathing = Schlaf & Atmung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
purposeContinuous positive airway pressure (CPAP) is the standard treatment for obstructive sleep apnea (OSA), yet long-term adherence, especially in elderly populations remains underexplored. This study evaluated CPAP adherence at 3 months, 1 year, and 2 years in patients aged ≥ 65 years with severe OSA (apnea-hypopnea index ≥ 30/h) managed via ambulatory auto-CPAP initiation.
methodsWe conducted a retrospective monocentric study at CHU UCL Namur Godinne. 45 patients aged ≥ 65 years were included between January 2020 and December 2021. Good CPAP adherence was set at ≥ 4 h/day (h/d) of usage. Clinical and technical variables, including Epworth Sleepiness Scale (ESS) and subjective improvement, were analyzed for their association with adherence.
results45 patients (31 males), aged (median and IQR) 69.0 (66.0-72.0) years old, BMI: 31 (28-35) kg/m
conclusionsIn our elderly population with severe OSA, there was a drop of adherent patients (≥4 h/d) at two years but among patients who used the CPAP, a good mean CPAP use in h/d was achieved at two years. A good adherence at the first visit at 3 months, 1 year, a low baseline ESS and subjective benefits appear to influence long-term adherence more than initial age.
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