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

Turnbull, Chris
Allen, Martin
Appleby, Jennifer
Brown, Richard
Bryan, Nathalie
Cooper, Ann
Cooper, Brendan
Gillooly, Cathie
Davidson, James
Farley, Hannah
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Date
2022-05-09
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Journal Article
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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.
Citation
Turnbull, C. D., Allen, M., Appleby, J., et al. (2022). COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage. Thorax, 77(8), 839–841. https://doi.org/10.1136/thorax-2021-218254
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