Journal of Sleep Disorders & Therapy
Open Access

The impact of nasal steroids on CPAP compliance in OSAS patients with allergic rhinitis

Annual Summit on Sleep Disorders & Medicine

August 10-12, 2015 San Francisco, USA

Vural Fidan

Yunus Emre Govt. Hospital, Turkey

Posters-Accepted Abstracts: J Sleep Disord Ther

Abstract :

Objective: Nasal continuous positive airway pressure (CPAP) is the standard therapy for sleep apnea; however, compliance rates are poor. Among the most commonly cited reasons for non-adherence is nasal obstruction. We sought to examine if nasal steroids actually increases CPAP compliance in OSAS patients with allergic rhinitis. Methods: Nasal CPAP-intolerant obstructive sleep apnea (OSA) patients, with documented allergic rhinitis, enrolled to this study. Pre and post treatment data were collected on CPAP usage per night and subjective nasal obstruction with the Nasal Obstruction Symptom Evaluation (NOSE) scale questionnaire. Results: Eleven patients met inclusion criteria and given steroid theraphy. CPAP usage increased significantly from 0.5 hours per night pre treatment to 5 hours per night post treatment (P<0.05). Subjective nasal obstruction on the NOSE Scale decreased from 16.1 pre treatment to 5.4 following treatment (P<0.05). CPAP pressure decreased from 11.9 pre treatment to 9.2 post treatment, with a trend toward significance (P=0.062). Conclusions: This study demonstrates improved CPAP compliance rates following steroid therapy in OSAS patients. Nasal steroid therapy should be offered in nasal CPAP-intolerant allergic subjects to improve CPAP compliance.

Biography :

Email: vuralf@mynet.com