The effect of a change from face-to-face to remote positive airway pressure education for patients with sleep apnoea during the coronavirus disease-2019 pandemic: a prospective cohort study

Journal of Thoracic Disease

article

Imran Johan Meurling¹  Adam Birdseye¹  Rohan Gell¹  Eliza Sany¹  Richard Brown¹  Sean Higgins¹  Rexford Muza¹  David O’Regan¹  Guy Leschziner¹  Joerg Steier¹  Ivana Rosenzweig¹  Panagis Drakatos¹ 

[1] Sleep Disorders Centre, Guy’s and St Thomas’ NHS Foundation Trust;School of Medicine, King’s College London;Plasticity Centre, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience, IoPPN, King’s College London;Department of Neurology, Guy’s and St Thomas’ NHS Foundation Trust;Faculty of Life Sciences and Medicine, King’s College London

关键词: Positive airway pressure (PAP);    obstructive sleep apnoea (OSA);    pandemic;    adherence;    remote;    face-to-face (FTF);   

DOI  :  10.21037/jtd-22-1816

学科分类：呼吸医学

来源: Pioneer Bioscience Publishing Company

【 摘 要 】

Background: The coronavirus disease-2019 (COVID-19) pandemic and national lockdowns necessitated a change in service delivery including positive airway pressure (PAP) education protocols, with no data on how this may impact subsequent PAP adherence. We aim to quantify adherence of PAP initiated during the COVID-19 pandemic and compare the effects of remote versus face-to-face (FTF) education in patients with obstructive sleep apnoea (OSA). Methods: 18 years with newly diagnosed OSA initiating PAP during the COVID-19 pandemic; 71 patients receiving standard FTF education compared to 70 patients educated on PAP remotely at the start of lockdown. Results: Adherence over a consecutive 30-day period within the first three months of PAP usage was measured, secondary outcomes included average nightly usage, usage per nights used, percentage of nights used, and percentage of nights used for ≥4 hours. In 141 patients (two-thirds male, 56% of at least 45 years of age and 48.9% sleepy at baseline), 114 patients (81%) were diagnosed with moderate or severe OSA. 54 patients (38.3%) achieved good adherence (≥70% of nights with ≥4 hours usage), with an average of 4.7 hours of PAP usage per night used. Patients receiving FTF PAP education had a comparable level of good adherence (38% versus 38.6%, P=0.915), and hours per nights used (4.7 versus 4.6 h/night, P=0.711) to remotely educated patients. More severe OSA, lower mask leak, and a nasal mask were associated with achieving good PAP adherence. Conclusions: PAP adherence of newly diagnosed individuals with OSA during the COVID-19 pandemic was modest at 38.30%, and not significantly affected by remote PAP education delivery.

【 授权许可】

Unknown