COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage

Author:

Turnbull Chris DORCID,Allen Martin,Appleby Jennifer,Brown Richard,Bryan Nathalie,Cooper Ann,Cooper Brendan G,Gillooly Cathie,Davidson James,Farley Hannah,Gaspar Ana,Gibbons Gillian,Gray Beverley,Hill Graham,Kendrick Adrian,Marsh Blake,McMillan Alison,Page Joseph,Pepperell Justin Charles Thane,Quinnell Tim,Rogers Chris,Sexton Jane,Sheperd Naomi,Steier Joerg,Stockley JamesORCID,Stradling JohnORCID,Woroszyl Asia,West Sophie,Wright Susan,Nickol Annabel

Abstract

The COVID-19 pandemic changed continuous positive airway pressure (CPAP) setup pathways. We evaluated patients commenced on CPAP in 2019 (prepandemic) and 2020 (post-first UK wave). Face-to-face (F2F) setup numbers, with CPAP turned on, decreased from 613 patients (98.9%) in 2019, to 6 (1.1%) in 2020. In 2020, setups were F2F without CPAP turned on (403 (71.1%)), or remote (158 (27.9%)). Prepandemic median CPAP usage at first follow-up was 5.4 (2.7–6.9) hours/night and fell by 0.9 hours/night (95% CI 0.5 to 1.2, p<0.0001) in 2020. We found clinically relevant reductions in CPAP usage with pathway changes post-COVID-19.

Publisher

BMJ

Subject

Pulmonary and Respiratory Medicine

Reference8 articles.

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