RT期刊论文SR电子T1依从患者回家CPAP或NIV队列换气治疗：通过诊断分析，治疗的类型，和合并症JF欧洲呼吸杂志JO欧元呼吸杂志FD欧洲呼吸学会SP PA4154 DO 10.1183 / 13993003.congress188bet官网地址-2019.PA4154 VO 54 IS suppl 63 A1 Baiamonte, Pierpaolo A1 Gruttad’Auria, Claudia Irene A1 Mazzuca, Emilia A1 Algeri, Margherita A1 Arena, Cinzia A1 Linguanti, Giada A1 Principe, Stefania A1 Di Menna, Silvia A1 Gagliardo, Andrea A1 Bonsignore, Maria Rosaria YR 2019 UL //www.qdcxjkg.com/content/54/suppl_63/PA4154.abstract AB Background: Patients on home continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) show large variability in compliance to treatment.Aim: To identify predictors of poor compliance, we evaluated compliance to treatment in patients with obstructive sleep apnea (OSA), obesity hypoventilation syndrome (OHS), and OSA-chronic obstructive pulmonary disease (COPD) overlap syndrome.Methods: We analyzed clinical and compliance data provided by a single home care provider, in 602 patients (n=442 OSA, males (M) 308; 38 OHS M=15, and 122 overlap M=111) on home CPAP/NIV in the province of Agrigento, Italy, after one year of treatment. The following variables were considered: age, body mass index (BMI), sex, diagnosis, type of prescribed ventilator, and common comorbidities.Results: Mean (±SD) age and BMI were: 64.6±11.9 yrs, and 34.4±7.3 kg/m2. CPAP was prescribed in 67.1%, AutoCPAP in 12.9%, Bilevel in 9.1%, and volume assured pressure support ventilation in 10.9% of the sample. Mean compliance to treatment was 4.7±2.7 h/day, with 64.3% of the patients showing good compliance (>4 h/night). Patients overestimated CPAP/NIV use by 0.5 h/night. Compliance was not affected by age, diagnosis, severity of sleep disordered breathing, type of ventilation or occurrence of comorbidities, with the exception of depression (p=0.05). BMI was higher in poorly compliant compared to compliant patients (p=0.02). When data were split by gender, compliance was OHS>OSAS>overlap in women (p 0.007); overlap>OSAS>OHS in men (p=0.013)Conclusions: A high degree of obesity and depression were associated with poor compliance to ventilatory treatment.FootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA4154.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).