Positive airway pressure therapy adherence for obstructive sleep apnea during the COVID-19 pandemic.
Sleep Breath
; 26(3): 1193-1199, 2022 09.
Article
in English
| MEDLINE | ID: covidwho-1474073
ABSTRACT
PURPOSE:
Positive airway pressure (PAP) adherence is a significant issue among patients with obstructive sleep apnea (OSA). However, the data are limited regarding PAP adherence during the current COVID-19 pandemic.METHODS:
A cross-sectional study was conducted between February and October 2020 at the Excellence Center for Sleep Disorders, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. Patients with ongoing PAP-treated OSA were recruited. Data on PAP adherence before and during the COVID-19 pandemic were collected. Furthermore, pre-test and post-test questionnaires on knowledge on COVID-19, OSA, and PAP before and after tele-education were also evaluated.RESULTS:
Of a total 156 patients, the majority had severe OSA (72%). By self-report, there was no significant difference in PAP usage in hours per day before compared to during the pandemic (p = 0.45), though in a subgroup with highest educational attainment (degree higher than bachelor's), PAP usage did increase during the pandemic (mean difference 0.23 ± 0.10; 95% CI 0.02-0.40, p = 0.03). However, objective PAP usage data demonstrated a trend towards increased usage comparing before and during the pandemic (4.64 ± 1.49 vs 5.12 ± 1.41; mean difference 0.48 ± 1.33; 95% CI 0.13-10.90, p = 0.12). Basic knowledge was significantly improved after tele-education (p < 0.001).CONCLUSION:
By objective data, there was a trend towards increased PAP usage during the COVID-19 pandemic for the entire group. In a subgroup of patients with highest educational attainment, PAP adherence increased by self-report. Tele-education appeared to improve knowledge on COVID-19, OSA, and PAP usage.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Sleep Apnea, Obstructive
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Sleep Breath
Journal subject:
Neurology
/
Otolaryngology
Year:
2022
Document Type:
Article
Affiliation country:
S11325-021-02509-7
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