Compliance with CPAP treatment in patients with obstructive sleep apneas during the COVID-19 pandemic in two hospitals in the Federal Capital

Introduction: CPAP therapy is the first line treatment for sleep apnea and its effectiveness depends on adherence. Face to face control and follow-up was limited due to the fact that our country was immersed in social isolation due to the COVID-19 pandemic as of March 2020. In order to assess whethe...

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Autores principales: Jaritos, Veronica, Blanco, Magalí, Nogueira, Facundo, Giovini, Vanina, Borsini, Eduardo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
sleep apnea syndromes
adherence
COVID-19
pandemic
apnea obstructiva del sueño
adherencia
pandemia
apneia obstrutiva do sono
adesao
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/37719
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-37719
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic sleep apnea syndromes
adherence
COVID-19
pandemic
apnea obstructiva del sueño
adherencia
COVID-19
pandemia
apneia obstrutiva do sono
adesao
COVID-19
pandemia
spellingShingle sleep apnea syndromes
adherence
COVID-19
pandemic
apnea obstructiva del sueño
adherencia
COVID-19
pandemia
apneia obstrutiva do sono
adesao
COVID-19
pandemia
Jaritos, Veronica
Blanco, Magalí
Nogueira, Facundo
Giovini, Vanina
Borsini, Eduardo
Compliance with CPAP treatment in patients with obstructive sleep apneas during the COVID-19 pandemic in two hospitals in the Federal Capital
topic_facet sleep apnea syndromes
adherence
COVID-19
pandemic
apnea obstructiva del sueño
adherencia
COVID-19
pandemia
apneia obstrutiva do sono
adesao
COVID-19
pandemia
author Jaritos, Veronica
Blanco, Magalí
Nogueira, Facundo
Giovini, Vanina
Borsini, Eduardo
author_facet Jaritos, Veronica
Blanco, Magalí
Nogueira, Facundo
Giovini, Vanina
Borsini, Eduardo
author_sort Jaritos, Veronica
title Compliance with CPAP treatment in patients with obstructive sleep apneas during the COVID-19 pandemic in two hospitals in the Federal Capital
title_short Compliance with CPAP treatment in patients with obstructive sleep apneas during the COVID-19 pandemic in two hospitals in the Federal Capital
title_full Compliance with CPAP treatment in patients with obstructive sleep apneas during the COVID-19 pandemic in two hospitals in the Federal Capital
title_fullStr Compliance with CPAP treatment in patients with obstructive sleep apneas during the COVID-19 pandemic in two hospitals in the Federal Capital
title_full_unstemmed Compliance with CPAP treatment in patients with obstructive sleep apneas during the COVID-19 pandemic in two hospitals in the Federal Capital
title_sort compliance with cpap treatment in patients with obstructive sleep apneas during the covid-19 pandemic in two hospitals in the federal capital
description Introduction: CPAP therapy is the first line treatment for sleep apnea and its effectiveness depends on adherence. Face to face control and follow-up was limited due to the fact that our country was immersed in social isolation due to the COVID-19 pandemic as of March 2020. In order to assess whether CPAP adherence was maintained in patients with obstructive sleep apnea (OSA), in two hospitals during the COVID-19 pandemic and compare it with the pre-pandemic situation on a historical control basis in the city of Buenos Aires. Methods: Observational and retrospective study based on systematic data collection of adherence to CPAP and residual apnea-hypopnea index (AHI). For comparison, a historical control corresponding to the specular period (May to December of each year between 2016 and 2019) was used as a reference. Patients over 18 years ago with OSA on CPAP therapy more than 30 days of treatment were included. Patients with other chronic respiratory diseases requiring ventilation therapy (Bi-level, servo ventilation, volume-assured ventilation) were excluded. Results: 151 pre-pandemic patients and 127 from the pandemic period, respectively, were evaluated. Men 98 (65%) vs. 50 (60.3%) p: 0.9, age: 65.4 ± 11.9 vs. 63.6 ± 12.6 p: 0.22, body mass index 31.5 ± 5.0 vs. 31.2 ± 5.3 kg/m2 p: 0.6, respectively. In both centers, the most used treatment was fixed CPAP; 90 (59.6%) vs. 96 (75.6%) p: 0.005. There was an increase in compliance with it compared to the pre-pandemic period in minutes/night [341.4 95% CI 292.4 - 340.6 vs. 274.3 95% CI 208.5 - 267.4, p: 0.001] and residual AHI reduction [3.3 IC 95% 2.0 - 3.05 vs. 6.3 IC 95% 2.6 - 4.3 p: 0.006]. Conclusions: In the period of the COVID-19 pandemic, greater adherence to CPAP treatment was observed in patients with sleep apnea.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/37719
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spelling I10-R327-article-377192023-07-27T15:29:17Z Compliance with CPAP treatment in patients with obstructive sleep apneas during the COVID-19 pandemic in two hospitals in the Federal Capital Cumplimiento del tratamiento con CPAP en pacientes con apneas obstructivas del sueño durante la pandemia COVID-19 en dos hospitales de Capital Federal Adesao ao tratamento CPAP em pacientes com apneia obstrutiva do sono durante a pandemia COVID-19 em dois hospitais da Capital Federal Jaritos, Veronica Blanco, Magalí Nogueira, Facundo Giovini, Vanina Borsini, Eduardo sleep apnea syndromes adherence COVID-19 pandemic apnea obstructiva del sueño adherencia COVID-19 pandemia apneia obstrutiva do sono adesao COVID-19 pandemia Introduction: CPAP therapy is the first line treatment for sleep apnea and its effectiveness depends on adherence. Face to face control and follow-up was limited due to the fact that our country was immersed in social isolation due to the COVID-19 pandemic as of March 2020. In order to assess whether CPAP adherence was maintained in patients with obstructive sleep apnea (OSA), in two hospitals during the COVID-19 pandemic and compare it with the pre-pandemic situation on a historical control basis in the city of Buenos Aires. Methods: Observational and retrospective study based on systematic data collection of adherence to CPAP and residual apnea-hypopnea index (AHI). For comparison, a historical control corresponding to the specular period (May to December of each year between 2016 and 2019) was used as a reference. Patients over 18 years ago with OSA on CPAP therapy more than 30 days of treatment were included. Patients with other chronic respiratory diseases requiring ventilation therapy (Bi-level, servo ventilation, volume-assured ventilation) were excluded. Results: 151 pre-pandemic patients and 127 from the pandemic period, respectively, were evaluated. Men 98 (65%) vs. 50 (60.3%) p: 0.9, age: 65.4 ± 11.9 vs. 63.6 ± 12.6 p: 0.22, body mass index 31.5 ± 5.0 vs. 31.2 ± 5.3 kg/m2 p: 0.6, respectively. In both centers, the most used treatment was fixed CPAP; 90 (59.6%) vs. 96 (75.6%) p: 0.005. There was an increase in compliance with it compared to the pre-pandemic period in minutes/night [341.4 95% CI 292.4 - 340.6 vs. 274.3 95% CI 208.5 - 267.4, p: 0.001] and residual AHI reduction [3.3 IC 95% 2.0 - 3.05 vs. 6.3 IC 95% 2.6 - 4.3 p: 0.006]. Conclusions: In the period of the COVID-19 pandemic, greater adherence to CPAP treatment was observed in patients with sleep apnea. Introducción: La terapia con CPAP es el tratamiento de primera línea para la apnea del sueño y su eficacia depende de la adherencia. El control y seguimiento de forma presencial fue limitado debido a que nuestro país se vio inmerso en aislamiento social debido a la pandemia por COVID-19 a partir de marzo del 2020. Con el objeto de evaluar si se mantuvo la adherencia de la CPAP en pacientes con apnea obstructiva del sueño (AOS), en dos hospitales durante la pandemia COVID-19 y compararlo con la situación prepandemia sobre una base de control histórico de la ciudad de Buenos Aires.  Métodos: Estudio observacional y retrospectivo basado en datos de recolección sistemática de adherencia a la CPAP e índice de apnea-hipopnea (IAH) residual. Para la comparación, se utilizó como referencia un control histórico correspondiente al periodo especular (mayo a diciembre de cada año entre el 2016 y 2019). Se incluyeron pacientes de más de 18 años de edad, con AOS con terapia con CPAP de más de 30 días de tratamiento. Se excluyeron pacientes con otras patologías respiratorias crónicas que requerían de terapias de ventilación (Bi-level, servo ventilación, ventilación con volumen asegurado). Resultados: Fueron evaluados 151 pacientes prepandemia y 127 del periodo pandemia respectivamente. Hombres 98 (65%) vs. 50 (60.3%) p: 0.9, edad de 65.4± 11.9 vs 63.6 ± 12.6 p: 0.22, índice de masa corporal 31.5 ± 5.0 vs. 31.2 ± 5.3 kg/m2 p: 0.6, respectivamente En ambos centros, el tratamiento más utilizado fue CPAP fijo; 90 (59.6%) vs. 96 (75.6%) p: 0.005. Existió un aumento en el cumplimiento del mismo en comparación al periodo prepandémico en minutos/noche [341.4 IC 95% 292.4 - 340.6 vs. 274.3 IC 95% 208.5 - 267.4, p: 0.001] y reducción del IAH residual [3.3 IC 95% 2.0 - 3.05 vs. 6.3 IC 95% 2.6 - 4.3 p: 0.006]. Conclusiones: En el periodo de pandemia COVID-19 se observó mayor adherencia al tratamiento con CPAP en pacientes con apneas del sueño. Introdução: A terapia com CPAP é o tratamento de primeira linha para a apneia do sono e a sua eficácia depende da adesão. O controle e acompanhamento presencial foi limitado devido ao fato de nosso país estar imerso em isolamento social devido à pandemia de COVID-19 a partir de março de 2020. Para avaliar se a adesão ao CPAP foi mantida em pacientes com apneia obstrutiva do sono (AOS), em dois hospitais durante a pandemia do COVID-19 e compará-lo com a situação pré-pandêmica em base de controle histórico na cidade de Buenos Aires. Métodos: Estudo observacional e retrospectivo baseado na coleta sistemática de dados de adesão ao CPAP e índice de apnéia-hipopnéia residual (IAH). Para comparação, foi utilizado como referência um controle histórico correspondente ao período especular (maio a dezembro de cada ano entre 2016 e 2019). Foram incluídos pacientes > 18 anos com AOS em terapia com CPAP por mais de 30 dias. Pacientes com outras doenças respiratórias crônicas que requerem terapia ventilatória (Bi-level, servoventilação, ventilação com volume garantido) foram excluídos. Resultados: foram avaliados 151 pacientes pré-pandêmicos e 127 do período pandêmico, respectivamente. Homens 98 (65%) vs. 50 (60.3%) p: 0.9, idade de 65.4 ± 11.9 vs. 63.6 ± 12.6 p: 0.22, índice de massa corporal 31.5 ± 5.0 vs. 31.2 ± 5.3 kg/m2 p: 0.6, respectivamente Em ambos os centros, o tratamento mais utilizado foi o CPAP fixo; 90 (59.6%) vs. 96 (75.6%) p: 0.005. Houve aumento da adesão em relação ao período pré-pandêmico em minutos/noite [341.4 IC 95% 292.4 – 340.6 vs. 274.3 IC 95% 208.5 – 267.4, p: 0.001] e redução residual do [3.3 IC 95% 2.0 - 3.05 vs. 6.3 IC 95% 2.6 - 4.3 p: 0.006]. Conclusões: No período da pandemia de COVID-19, observou-se maior adesão ao tratamento com CPAP em pacientes com apneia do sono. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/37719 10.31053/1853.0605.v80.n2.37719 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 2 (2023); 106-111 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 2 (2023); 106-111 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 2 (2023); 106-111 1853-0605 0014-6722 10.31053/1853.0605.v80.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/37719/41785 https://revistas.unc.edu.ar/index.php/med/article/view/37719/42121 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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