The Impact of Device Modifications and Pressure Delivery on Adherence

Roo Killick; Nathaniel S Marshall

doi:10.1016/j.jsmc.2020.10.008

The Impact of Device Modifications and Pressure Delivery on Adherence

Sleep Med Clin. 2021 Mar;16(1):75-84. doi: 10.1016/j.jsmc.2020.10.008. Epub 2020 Dec 7.

Authors

Roo Killick¹, Nathaniel S Marshall²

Affiliations

¹ Woolcock Institute of Medical Research, The University of Sydney, 431 Glebe Pt Road, Glebe, Sydney, New South Wales 2037, Australia.
² Woolcock Institute of Medical Research, The University of Sydney, 431 Glebe Pt Road, Glebe, Sydney, New South Wales 2037, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia. Electronic address: nathaniel.marshall@sydney.edu.au.

PMID: 33485533
DOI: 10.1016/j.jsmc.2020.10.008

Abstract

This article reviews the evidence to date examining whether adherence to positive airway pressure (PAP) therapy is affected by any device modifications to pressure delivery. To date there is no robust evidence from systematic reviews and meta-analyses indicating that any modification to standard fixed-pressure PAP makes a clinically significant difference to patient adherence to therapy. The main modifications are reviewed in this article and whether improving pressure could drive adherence, in turn improving patient outcomes, is discussed.

Keywords: APAP; Bilevel; C-Flex; CPAP; Expiratory pressure relief; Humidification; OSA; Ramp.

Publication types

Review

MeSH terms

Continuous Positive Airway Pressure / instrumentation*
Humans
Patient Compliance / statistics & numerical data*
Randomized Controlled Trials as Topic
Sleep Apnea, Obstructive / therapy*