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Article Open Access June 21, 2021

The rising role of age stratification in sleep and CPAP therapy adherence in elderly population

Silvia Gavliakova 1, 2 and Vladimira Bellova 2
1
Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia
2
Clinic of Pneumology and Phthisiology, University Hospital Martin, Martin, Slovakia
Publihed in: Current Research in Public Health (Volume 1, Issue 1, 2021)
Page(s): 15-27
DOI: 10.31586/ojms.2021.010103
Received
May 12, 2021
Revised
June 18, 2021
Accepted
June 20, 2021
Published
June 21, 2021
Keywords
Senior; CPAP; COMISA; Obstructive sleep apnea; Sleepiness, Geriatric sleep
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright: Copyright © The Author(s), 2021. Published by Scientific Publications
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APA Style
Gavliakova, S. , & Bellova, V. (2021). The rising role of age stratification in sleep and CPAP therapy adherence in elderly population. Current Research in Public Health, 1(1), 15-27. https://doi.org/10.31586/ojms.2021.010103
ACS Style
Gavliakova, S. ; Bellova, V. The rising role of age stratification in sleep and CPAP therapy adherence in elderly population. Current Research in Public Health 2021 1(1), 15-27. https://doi.org/10.31586/ojms.2021.010103
Chicago/Turabian Style
Gavliakova, Silvia, and Vladimira Bellova. 2021. "The rising role of age stratification in sleep and CPAP therapy adherence in elderly population". Current Research in Public Health 1, no. 1: 15-27. https://doi.org/10.31586/ojms.2021.010103
AMA Style
Gavliakova S, Bellova V. The rising role of age stratification in sleep and CPAP therapy adherence in elderly population. Current Research in Public Health. 2021; 1(1):15-27. https://doi.org/10.31586/ojms.2021.010103 
@Article{crph21,
AUTHOR = {Gavliakova, Silvia and Bellova, Vladimira},
TITLE = {The rising role of age stratification in sleep and CPAP therapy adherence in elderly population},
JOURNAL = {Current Research in Public Health},
VOLUME = {1},
YEAR = {2021},
NUMBER = {1},
PAGES = {15-27},
URL = {/10.31586/ojms-1-1-310.31586/ojms/1/1/3},
ISSN = {2831-5162},
DOI = {10.31586/ojms.2021.010103},
ABSTRACT = {Proper and effective management of obstructive sleep apnea (OSA) in elderly patients represents an important yet under-researched therapeutic target. Therefore, the main purpose of our research was to employ age stratification to analyse sleep quality and sleep fragmentation, the daily sleepiness, OSA severity and CPAP compliance in elderly. Conforming to the inclusion criteria of minimum 70 years of age at the time of polysomnography and CPAP titration night a total number of 162 elderly patients was included, median age 73,00±4 (MED±IQR). The comparison group consisted of 448 adult subjects under the age of 70 years old, median age 54,00±14,00 (MED±IQR). Sleep fragmentation in elderly was promoted to suboptimal CPAP adherence, as the probability of CPAP use ≥ 4 hours per day was less than 20%. Overall CPAP compliance hours in the elderly group achieved 3,991±3,804 hours/day with bigger variation in between the subjects versus 5,547±3,465 hours/day for the controls, (MED±IQR, p<0,001). Despite naturally occurring sleep fragmentation worsened by OSA, less than 30% of elderly patients would score ≥ 10 points on Epworth sleepiness scale. The study emphasizes acute need for standardized age-specific diagnostic tools to address different perception of daily drowsiness and sleepiness by older people. Further, it underlines the importance of early recognition of possible comorbid OSA and insomnia and suggest paying more attention to “non-obese phenotype” in the subgroup of elderly patients with suspected OSA. Elderly patients might also need development of more flexible CPAP compliance criteria; however, those must be standardized and objective.  },
}
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%A Bellova, Vladimira
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AB  - Proper and effective management of obstructive sleep apnea (OSA) in elderly patients represents an important yet under-researched therapeutic target. Therefore, the main purpose of our research was to employ age stratification to analyse sleep quality and sleep fragmentation, the daily sleepiness, OSA severity and CPAP compliance in elderly. Conforming to the inclusion criteria of minimum 70 years of age at the time of polysomnography and CPAP titration night a total number of 162 elderly patients was included, median age 73,00±4 (MED±IQR). The comparison group consisted of 448 adult subjects under the age of 70 years old, median age 54,00±14,00 (MED±IQR). Sleep fragmentation in elderly was promoted to suboptimal CPAP adherence, as the probability of CPAP use ≥ 4 hours per day was less than 20%. Overall CPAP compliance hours in the elderly group achieved 3,991±3,804 hours/day with bigger variation in between the subjects versus 5,547±3,465 hours/day for the controls, (MED±IQR, p<0,001). Despite naturally occurring sleep fragmentation worsened by OSA, less than 30% of elderly patients would score ≥ 10 points on Epworth sleepiness scale. The study emphasizes acute need for standardized age-specific diagnostic tools to address different perception of daily drowsiness and sleepiness by older people. Further, it underlines the importance of early recognition of possible comorbid OSA and insomnia and suggest paying more attention to “non-obese phenotype” in the subgroup of elderly patients with suspected OSA. Elderly patients might also need development of more flexible CPAP compliance criteria; however, those must be standardized and objective.  
DO  - The rising role of age stratification in sleep and CPAP therapy adherence in elderly population
TI  - 10.31586/ojms.2021.010103
ER  -