Short term Continuous Positive Airway Pressure (CPAP) compliance among Obstructive Sleep Apnea (OSA) patient in respiratory clinic UiTM and its associated factors / Syahrinnaquiah Samsuddin

Methods: This cross-sectional study of OSA patients treated with CP AP aged over 18 years in the Respiratory Outpatient Clinic UiTM was conducted from June 2022 to November 2022. Baseline demographic data, medical records data, and a questionnaire on compliance were collected.
Results: 80 OSA patients on CP AP treatment were recruited in this study. The mean age was 54 ±1.4 years old, and the mean AH1 at diagnosis was 44.77±20.70/hour. The prevalence ofCPAP treatment adherence was 48.8% (n=39). Patients with MSS class IlVIV had more than five times increased odds of compliance (p=0.033). Factors that were found to have reduced the odds of compliance were nasal pillow mask type (OR= 0.01, p=0.015), mask loose fit (OR=0.07, p=0.042), inability to breathe easily (OR=0.07, p=0.032) and presence ofnasal blockage (OR= 0.03, p=0.002). Sociodemographic background, OSA severity, and types of machines were not associated with CP AP compliance.
Conclusions: CP AP adherence in our population remains poor, and factors such as identification of the severity of MSS, presence of nasal congestion, MRS Es (mask fit and ability to breathe while on CP AP), and the correct mask interface should be addressed to improve CPAP compliance in our patients.
Short title: CP AP compliance in OSA patients.