PREDICTORS OF PAP ADHERENCE FOLLOWING BARIATRIC SURGERY IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA

Authors

Serene Ozeir, Henry Ford Health
Claire Belevender, Henry Ford HealthFollow
Seif Bugazia, Henry Ford HealthFollow
Ankita Badhwar, Henry Ford Health
Dania Shakaroun, Henry Ford HealthFollow
Arthur Carlin, Henry Ford HealthFollow
Timothy Roehrs, Henry Ford HealthFollow
Virginia Skiba, Henry Ford HealthFollow

Recommended Citation

Ozeir S, Belevender C, Bugazia S, Badhwar A, Shakaroun D, Carlin A, Roehrs T, Skiba V. PREDICTORS OF PAP ADHERENCE FOLLOWING BARIATRIC SURGERY IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA. Sleep 2025; 48:A585.

Document Type

Conference Proceeding

Publication Date

5-19-2025

Publication Title

Sleep

Abstract

Introduction: Obstructive sleep apnea (OSA) frequently coexists with obesity, and positive airway pressure (PAP) therapy remains the gold standard for its treatment. Bariatric surgery is an effec tive intervention for significant weight loss, which can alter OSA severity and PAP adherence. This study investigates predictors of PAP adherence post-surgery, focusing on pre- and post-sur gery sleep clinic visits, apnea-hypopnea index (AHI), and refer ral source. Methods: A retrospective chart review was conducted on 140 patients evaluated at the Henry Ford Bariatric Clinic and referred to the Henry Ford Sleep Disorders and Research Center for sleep testing from April 2023 to August 2023. Data analysis included pre- and post-surgery PAP usage, number of sleep clinic visits, AHI, and referral source. Statistical methods, including ANOVA and correlation analysis, assessed the relationship between these factors and PAP adherence across 3, 6, 9, and 12 months post-operatively. Results: Significant predictors of PAP adherence included the number of post-operative sleep clinic visits and referral source. Patients with higher baseline AHI were more likely to adhere to PAP therapy at month 12. In addition, more frequent sleep medi cine clinic showed evidence of increased PAP therapy adherence. Referral source significantly influenced adherence patterns, with patients referred directly from bariatric clinics exhibiting greater compliance compared to referrals from primary care providers or other sources. Conclusion: Post-operative sleep clinic visits, referral source, and AHI are significant predictors of PAP adherence following bariatric surgery. These findings underscore the importance of structured follow-up care and referral pathways in promoting PAP adherence and improving long-term outcomes in OSA management.

Volume

48

First Page

A585