Sains Malaysiana 51(5)(2022): 1505-1510

http://doi.org/10.17576/jsm-2022-5105-19

Air Leakage and Adherence to Continuous Positive Airway Pressure Therapy in Patients with Moderate to Severe Obstruction Sleep Apnoea: A Cross Sectional Study

(Kebocoran Udara dan Pematuhan kepada Terapi Berterusan Tekanan Saluran Udara Positif Pesakit dengan Apnea Tidur Halangan Sederhana hingga Teruk: Kajian Keratan Rentas)

NADIA SYAFEERA NASERRUDIN¹, ABDULLAH SANI MOHAMED¹, MAWADDAH AZMAN¹, MAZLINDA MAHADZIR², NORAZMI MOHAMAD³ & MARINA MAT BAKI^1,*

¹Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, 6000 Kuala Lumpur, Federal Territory, Malaysia

²Department of Otorhinolaryngology, Head and Neck Surgery, 50586 Hospital Kuala Lumpur, Kuala Lumpur, Federal Territory, Malaysia

³Department of Otorhinolaryngology, Head and Neck Surgery, 40000 Hospital Shah Alam, Selangor Darul Ehsan, Malaysia

Diserahkan: 21 Jun 2020/Diterima: 8 Oktober 2021

Abstract

This multicentre study aimed to evaluate the air leakage following a palatal surgery and its effect on CPAP adherence in OSA patients. The data on air leakage and adherence were objectively obtained and evaluated from the recorded CPAP therapy data. Forty patients were divided into two groups: surgery (18 patients) and non-surgery (22 patients). The mean air leakage level was 7.62±8.14% and 12.62±13.81% and mean adherence was 51.44±35.27% and 60.03±27.04% for surgery and non-surgery, respectively. There was no significant difference in CPAP adherence (p=0.389) but for mean air leakage it was significantly higher in non-surgery (p<0.01). The occurrence of significant air leakage during CPAP therapy was not associated with surgery (p=0.436). There was no association between poor CPAP adherence and surgery (p=0.622). In terms of impact of palatal surgery, it did not cause significant leakage with no significant association to poor adherence.

Keywords: Adherence; anterior palatoplasty; continuous positive airway pressure therapy; leakage; obstructive sleep apnoea

Abstrak

Penyelidikan ini yang melibatkan beberapa institusi bertujuan untuk menilai kebocoran udara selepas pembedahan lelangit dan kesan ke atas kepatuhan pemakaian CPAP dalam kalangan pesakit OSA. Data kebocoran udara dan kepatuhan didapati dan dinilai secara objektif melalui rekod daripada terapi CPAP. Empat puluh pesakit dibahagikan kepada 2 kumpulan: surgeri (18 pesakit) dan non surgeri (22 pesakit). Tahap min kebocoran udara adalah 7.62±8.14% dan 12.62±13.81% dan min kepatuhan adalah 51.44±35.27% dan 60.03±27.04% untuk surgeri dan non surgeri. Tiada perubahan signifikan di dalam kepatuhan CPAP (p=0.389) tetapi untuk min kebocoran udara menunjukkan nilai signifikan yang lebih tinggi untuk non surgeri (p<0.01). Kejadian untuk signifikan kebocoran udara ketika penggunaan terapi CPAP adalah tiada kaitan dengan surgeri (p=0.436). Didapati tiada juga kaitan antara kepatuhan pemakaian CPAP yang teruk dan surgeri (p=0.622). Berkaitan dengan impak pembedahan lelangit, ia tidak menyebabkan kebocoran signifikan dan juga tiada kaitan signifikan terhadap keterukan kepatuhan.

Kata kunci: Apnea tidur halangan; kebocoran; kepatuhan; palatoplasti anterior; terapi berterusan tekanan saluran udara positif

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^*Pengarang untuk surat-menyurat; email: marinamatbaki@ppukm.ukm.edu.my