Did COVID-19 impact Positive Airway Pressure adherence in 2020? A cross-sectional study of 8477 patients with sleep apnea.


Journal

Respiratory research
ISSN: 1465-993X
Titre abrégé: Respir Res
Pays: England
ID NLM: 101090633

Informations de publication

Date de publication:
04 Mar 2022
Historique:
received: 16 08 2021
accepted: 22 02 2022
entrez: 5 3 2022
pubmed: 6 3 2022
medline: 22 3 2022
Statut: epublish

Résumé

Whether the COVID-19 pandemic impacts Positive Airway Pressure (PAP) adherence over the long-term is unknown and only preliminary short-term data have been reported. With the aim of describing the impact of the first and second waves of COVID-19 on PAP adherence during 2020 in France, we designed a cross-sectional study of Sleep-Apnea (SA)-patients under PAP telemonitoring. To examine PAP adherence in adult SA patients, we assessed de-identified data from a non-profit healthcare provider database during the period January 1, 2019 to December 31, 2020. Included patients met the following criteria: (i) PAP-treated for at least 4 months before January 1, 2019 and with continuous PAP during both 2019 and 2020; (ii) ≥ 360 daily PAP telemonitored data per year. For PAP adherence, data were collected using the PAP-software. 8477/10482 patients were finally included in the analysis [72.4% male, median age 70 years (IQ During the first and second lockdowns, the COVID-19 pandemic had a clinically irrelevant effect on PAP adherence for the study population. Future studies are needed to describe COVID-19 pandemic impact on PAP adherence not only for long-term PAP-treated SA patients but also for incident cases. Trial registration The COVADENE study was registered on March 1st, 2021 on ClinicalTrials.gov (Identifier: NCT04775966).

Sections du résumé

BACKGROUND BACKGROUND
Whether the COVID-19 pandemic impacts Positive Airway Pressure (PAP) adherence over the long-term is unknown and only preliminary short-term data have been reported.
METHODS METHODS
With the aim of describing the impact of the first and second waves of COVID-19 on PAP adherence during 2020 in France, we designed a cross-sectional study of Sleep-Apnea (SA)-patients under PAP telemonitoring. To examine PAP adherence in adult SA patients, we assessed de-identified data from a non-profit healthcare provider database during the period January 1, 2019 to December 31, 2020. Included patients met the following criteria: (i) PAP-treated for at least 4 months before January 1, 2019 and with continuous PAP during both 2019 and 2020; (ii) ≥ 360 daily PAP telemonitored data per year. For PAP adherence, data were collected using the PAP-software.
RESULTS RESULTS
8477/10482 patients were finally included in the analysis [72.4% male, median age 70 years (IQ
CONCLUSION CONCLUSIONS
During the first and second lockdowns, the COVID-19 pandemic had a clinically irrelevant effect on PAP adherence for the study population. Future studies are needed to describe COVID-19 pandemic impact on PAP adherence not only for long-term PAP-treated SA patients but also for incident cases. Trial registration The COVADENE study was registered on March 1st, 2021 on ClinicalTrials.gov (Identifier: NCT04775966).

Identifiants

pubmed: 35246109
doi: 10.1186/s12931-022-01969-z
pii: 10.1186/s12931-022-01969-z
pmc: PMC8894547
doi:

Banques de données

ClinicalTrials.gov
['NCT04775966']

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

46

Informations de copyright

© 2022. The Author(s).

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Auteurs

Fanny Bertelli (F)

Department of Medical Information, Montpellier University Hospital, IDESP, UMR 5149, Montpellier University, 34090, Montpellier, France.
Groupe Adène, rue de Chambert, 34080, Montpellier, France.

Carey M Suehs (CM)

Department of Medical Information, Montpellier University Hospital, IDESP, UMR 5149, Montpellier University, 34090, Montpellier, France.
Department of Respiratory Diseases, Univ Montpellier, CHU Montpellier, 371, Avenue Doyen Giraud, 34295, Montpellier Cedex 5, France.

Jean-Pierre Mallet (JP)

Department of Respiratory Diseases, Univ Montpellier, CHU Montpellier, 371, Avenue Doyen Giraud, 34295, Montpellier Cedex 5, France.
PhyMedExp, CNRS, INSERM, Univ Montpellier, CHU Montpellier, Montpellier, France.

Isabelle Court-Fortune (I)

Department of Respiratory Diseases, CHU Saint Etienne, 25, boulevard Pasteur, 42055, Saint-Étienne Cedex 2, France.

Frédéric Gagnadoux (F)

Department of Respiratory and Sleep Medicine, Angers University Hospital, INSERM U1063, SOPAM, Angers University, Angers, France.

Jean Christian Borel (JC)

Inserm U1042, HP2 (Hypoxia PhysioPathology), Laboratory Centre Hospitalier Universitaire Grenoble Alpes, Grenoble Alps, University, Grenoble, France.

Olivier Gaubert (O)

Groupe Adène, rue de Chambert, 34080, Montpellier, France.

Nicolas Molinari (N)

Department of Medical Information, Montpellier University Hospital, IDESP, UMR 5149, Montpellier University, 34090, Montpellier, France.

Arnaud Bourdin (A)

Department of Respiratory Diseases, Univ Montpellier, CHU Montpellier, 371, Avenue Doyen Giraud, 34295, Montpellier Cedex 5, France.
PhyMedExp, CNRS, INSERM, Univ Montpellier, CHU Montpellier, Montpellier, France.

Dany Jaffuel (D)

Groupe Adène, rue de Chambert, 34080, Montpellier, France. dany.jaffuel@wanadoo.fr.
Department of Respiratory Diseases, Univ Montpellier, CHU Montpellier, 371, Avenue Doyen Giraud, 34295, Montpellier Cedex 5, France. dany.jaffuel@wanadoo.fr.
PhyMedExp, CNRS, INSERM, Univ Montpellier, CHU Montpellier, Montpellier, France. dany.jaffuel@wanadoo.fr.

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