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Volume 10 No. 04
Earn CME
Accepted Papers
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Scientific Investigations

Effect of Addition of Chin Strap on PAP Compliance, Nightly Duration of Use, and Other Factors

http://dx.doi.org/10.5664/jcsm.3608

Shelley R. Knowles, M.D., F.A.A.S.M.1; Daniel T. O'Brien, PA-C, MPAS, BS2; Shiling Zhang, M.A.3; Anupama Devara, M.D.3; James A. Rowley, M.D., F.A.A.S.M.4
1Sleep Section, John D. Dingell VAMC, and Wayne State University Department of Internal Medicine, Division of Pulmonary, Critical Care and Sleep, Detroit, MI; 2Sleep Section, John D. Dingell VAMC, Detroit, MI; 3Wayne State University Department of Internal Medicine, Detroit, MI; 4Wayne State University Department of Internal Medicine, Division of Pulmonary, Critical Care and Sleep, Detroit, MI

Study Objectives:

A chinstrap is potentially useful to reduce unintentional air leak by preventing mouth opening during PAP treatment. This study examines whether the addition of a chinstrap to PAP therapy has any effect on adherence, nightly duration of use, air leak, and residual AHI.

Methods:

This was a retrospective study performed at an AASM-accredited VAMC sleep center. Clinical sleep data of veterans (n = 124) prescribed PAP therapy for sleep apnea was evaluated, and the effect of chinstrap use vs non-use on the above parameters was assessed.

Results:

Chinstrap users had significantly greater PAP adherence, longer nightly duration of PAP use, lower residual AHI and lower leak compared to chinstrap non-users at first follow up visit.

Conclusions:

The addition of a chin strap to PAP therapy is a simple and inexpensive method of increasing PAP adherence.

Citation:

Knowles SR; O'Brien DT; Zhang S; Devara A; Rowley JA. Effect of addition of chin strap on PAP compliance, nightly duration of use, and other factors. J Clin Sleep Med 2014;10(4):377-383.




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