CPAP adherence after ambulatory and in-hospital management in patients aged 65 years and older.
(2023) Acta Clinica Belgica — Vol. 78, n° 6, p. 467-477 (2023)
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- The aims of this study are to evaluate the early adherence to CPAP treatment in patients aged 65 years and older and to compare ambulatory (ACPAP) and in-hospital (HCPAP) management in starting CPAP treatment. Adherence to CPAP therapy at 3 months was retrospectively studied in patients on whom CPAP therapy was initiated between 1 January 2020 and 31 December 2021. Patients in the ACPAP group were selected based on the current Belgian reimbursement criteria (OAHI ≥30/h and few comorbidities). 146 patients were studied (median OAHI 43.35/h [32.02; 57.40]; median age 69 [67.0; 73.0]): 116 (79.5%) patients in the HCPAP and 30 (20.5%) in the ACPAP group. Based on an adherence threshold of average CPAP use of ≥ 4 hours per day, 120 (82%) patients were adherent to the treatment; 94 (81%) patients in the HCPAP and 26 (86.7%) in the ACPAP group. The median CPAP use for the total population was 6.4 h/day [4.89; 7.34], reaching 6.3 h/d [4.79; 7.15] for the HCPAP group and 6.8 h/d [6.21; 8.06] for the ACPAP group ( = 0.019). Insomnia was a significant risk factor for non-adherence (OR 5.16 [1.64; 16.08], = 0.0043) but the ACPAP method was not (OR 0.66 [0.18; 1.91], = 0.4748). Early CPAP adherence in patients ≥ 65 years old was good in terms of average use per day and proportion of adherent patients. ACPAP method was not a risk factor for lower CPAP adherence in patients presenting severe OSAS (OAHI ≥30/h) and few comorbidities.
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Collard, C., Regnier, M., & Maury, G. (2023). CPAP adherence after ambulatory and in-hospital management in patients aged 65 years and older. Acta Clinica Belgica, 78(6), 467-477. https://doi.org/10.1080/17843286.2023.2260137 (Original work published 2023)