Positive Airway Pressure Therapy Adherence for Obstructive Sleep Apnea During the COVID-19 Pandemic

Overview

Journal Sleep Breath

Publisher Springer

Date 2021 Oct 20

PMID 34668100

Citations 4

Authors

Chatkarin Tepwimonpetkun

Dittapol Muntham

Pijitra Suppasawatgul

Naricha Chirakalwasan

Affiliations

Soon will be listed here.

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.

Citing Articles

Tracking continuous positive airway pressure adherence in obstructive sleep apnea patients before, during, and after the COVID-19 lockdown.

BaHammam A, Alhuqayl F, Alzaid I, Alzammam Z, Alhuqayl F, Rajeh B Ann Thorac Med. 2025; 20(1):56-61.

PMID: 39926402 PMC: 11804958. DOI: 10.4103/atm.atm_296_23.

Quality of Life, Mental Health, and CPAP Compliance in Thai Patients with Obstructive Sleep Apnea during COVID-19 Pandemic.

Leelasittikul K, Pugongchai A, Tepwimonpetkun C, Saiphoklang N Sleep Disord. 2024; 2024:1373299.

PMID: 38695014 PMC: 11060863. DOI: 10.1155/2024/1373299.

Impact of the COVID-19 pandemic on adherence to positive airway pressure treatment in patients with obstructive sleep apnea: systematic review and meta-analysis.

Jo S, Cho J Ther Adv Respir Dis. 2023; 17:17534666231214040.

PMID: 38146255 PMC: 10752124. DOI: 10.1177/17534666231214040.

The impact of different CPAP delivery approaches on nightly adherence and discontinuation rate in patients with obstructive sleep apnea.

Stanchina M, Lincoln J, Prenda S, Holt M, Leon I, Donat W J Clin Sleep Med. 2022; 18(8):2023-2027.

PMID: 35499279 PMC: 9340606. DOI: 10.5664/jcsm.10038.

Longitudinal Analysis Evaluating Self-Reported CPAP Use for OSA during the COVID-19 Pandemic.

Teague T, Debian A, Kokonda M, Malhotra S, Arentson-Lantz E, Shaib F Brain Sci. 2022; 12(2).

PMID: 35203895 PMC: 8870344. DOI: 10.3390/brainsci12020131.

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