Effect of nCPAP on work performance (WP) in patients with obstructive sleep apnea (OSA)

A. Devolder, A. Weerts, O. M. Vanderveken, P. H. Van de Heyning, W. A. De Backer, J. A. Verbraecken (Edegem, Belgium)

Source: Annual Congress 2005 - CPAP therapy
Session: CPAP therapy
Session type: Poster Discussion
Number: 4616
Disease area: Sleep and breathing disorders

Congress or journal article abstract

Abstract

INTRODUCTION: Previous studies have reported difficulties at work and reduction in work capacity and efficiency in OSA patients. We wondered whether WP, evaluated by a validated, self-administered questionnaire, can be improved with nCPAP.
METHODS: WP, assessed by the Work Limitations Questionnaire (WLQ) (Lerner, D. et al. Med Care 2001; 39(1):72-85), was measured before and after 6 M nCPAP. The trial was performed in 42 professionally active patients (93% males, age 49±7 y, BMI 31±8 kg/m2), all with severe OSA (AHI 46±25).
RESULTS: After 6 M nCPAP, the four dimensions of the WLQ significantly improved.

WLQBaselineFollow-upp-value
Limitations handling time demands25 ± 2113 ± 14< 0.01
Physical job demands16 ± 1612 ± 16< 0.05
Mental-interpersonal demands25 ± 1917 ± 16< 0.01
Output demands26 ± 2117 ± 18< 0.01


CONCLUSION: nCPAP therapy improves subjective WP in OSA patients. Therefore occupational medicine physicians should focus more on OSA as a potential cause of impaired work performance.


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A. Devolder, A. Weerts, O. M. Vanderveken, P. H. Van de Heyning, W. A. De Backer, J. A. Verbraecken (Edegem, Belgium). Effect of nCPAP on work performance (WP) in patients with obstructive sleep apnea (OSA). Eur Respir J 2005; 26: Suppl. 49, 4616

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