Analyzing a Link Between Sleep Improvement and CPAP Adherence
The insights from ORP Sleep Architecture provide a powerful link to a patient’s sleep improvement and adherence to CPAP therapy.
Reported CPAP non-adherence is between 30-60% depending on the source. ORP Sleep Architecture profiles have been established, along with outlines of the influencing factors for each profile type and how each will respond to therapy.
Through Cerebra’s use of ORP, insights are being made into sleep quality pre and post CPAP with a potential for understanding the impact on compliance.
ORP Sleep Architecture and OSA
The ORP, when divided into ten ranges (deciles) as seen in the above slide, clearly shows the impact of OSA on sleep depth.
- The arrows indicate changes in the amount of time in each ORP decile as OSA severity progresses.
- An ORP of zero indicates the deepest sleep, while 2.5 represents full wakefulness.
- As OSA severity increases, so too does average ORP, with significantly increased sleep time in light and unstable sleep for severe patients (examples D and E), while on average, patients with no to mild OSA spend most of their sleep time in the lower deciles, where sleep is deep and more stable (A and B).
- Moderate patients (example C) on average show some change from patients with no pathology, but not as pronounced as with severe patients.
(Source for patient database: Sleep Heart Health Study)
Case Study #1: Impact of CPAP on Sleep Improvement
“Jason Smith” 44-year-old male was referred for a sleep study after his wife complained that he was snoring. Jason felt that he was getting adequate sleep and didn’t feel he was tired or suffering from lack of sleep.
The insights provided through my sleep study using the Cerebra Sleep System helped me understand that it was the quality of my sleep, not the quantity which was the problem. I learned I had sleep apnea and would likely benefit from CPAP. Since beginning treatment, my sleep has improved resulting in more energy in all areas of my life. I also noticed my concentration at work has greatly increased. – Jason Smith
Sleep Medicine Disruptors
The American Academy of Sleep Medicine 2021 Sleep Medicine Disruptors: Change Agents competition encourages sleep medicine practitioners, patients, and support staff to reconsider the management of Obstructive Sleep Apnea (OSA).