IF 2.1 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Annals of Thoracic Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-15 DOI:10.4103/atm.atm_296_23
Abdulaziz O BaHammam, Fawaz Alhuqayl, Ibrahim Alzaid, Ziyad Alzammam, Faisal Alhuqayl, Bader Rajeh, Galal Eldin Abbas Eltayeb, Samar Nashwan, Salih Aleissi, Ahmed Salem BaHammam
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引用次数: 0

摘要

背景:本研究旨在探讨 COVID-19 封锁对沙特阻塞性睡眠呼吸暂停(OSA)患者坚持持续气道正压(CPAP)治疗的影响。研究还试图评估人口统计学变量和合并症对坚持 CPAP 治疗的影响:沙特国王大学医疗城的大学睡眠障碍中心开展了一项前瞻性队列研究。该研究包括 67 名 OSA 患者,他们在三个不同的时间段内专门使用 CPAP 进行治疗:禁闭前、禁闭期间和禁闭后。使用 CPAP 机器的 "面罩开启时间监测 "数据对 CPAP 治疗的依从性进行了客观测量:研究发现,在封锁期间,使用 CPAP 的天数明显减少,封锁后这种情况依然存在。约有一半的患者在三个研究期间坚持使用 CPAP 治疗。封锁期间使用 CPAP 的天数减少在 50 岁以下和 65 岁以上的患者中尤为明显。合并症、体重指数和性别对坚持使用 CPAP 治疗没有明显影响:COVID-19封锁严重影响了OSA患者的CPAP治疗依从性,封锁后依从性持续下降。这凸显了在大流行等具有挑战性的时期采取干预措施支持患者坚持使用 CPAP 的必要性。要了解大流行对 CPAP 治疗依从性的长期影响,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tracking continuous positive airway pressure adherence in obstructive sleep apnea patients before, during, and after the COVID-19 lockdown.

Background: This study aimed to examine the impact of the COVID-19 lockdown on adherence to continuous positive airway pressure (CPAP) therapy among Saudi patients with obstructive sleep apnea (OSA). It also sought to assess the influence of demographic variables and comorbidities on CPAP adherence.

Methods: A prospective cohort study was conducted at the University Sleep Disorders Center at King Saud University Medical City. The study included 67 OSA patients who exclusively used CPAP for treatment across three distinct intervals: prelockdown, during lockdown, and postlockdown. Adherence to CPAP therapy was objectively measured using "mask-on on-time monitoring" data from the CPAP machines.

Results: The study found a significant decrease in the number of days with CPAP usage during the lockdown period, which persisted postlockdown. Approximately half of the patients adhered to CPAP treatment throughout the three study intervals. The decrease in CPAP usage days during lockdown was particularly noticeable among patients younger than 50 and older than 65 years of age. The presence of comorbidities, body mass index, and sex did not significantly influence CPAP treatment adherence.

Conclusion: The COVID-19 lockdown significantly impacted CPAP treatment adherence among OSA patients, with a decrease in adherence persisting postlockdown. This highlights the need for interventions to support CPAP adherence during challenging times such as a pandemic. Further research is needed to understand the long-term effects of the pandemic on CPAP therapy adherence.

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来源期刊
Annals of Thoracic Medicine
Annals of Thoracic Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-RESPIRATORY SYSTEM
CiteScore
4.10
自引率
4.30%
发文量
19
审稿时长
>12 weeks
期刊介绍: The journal will cover studies related to multidisciplinary specialties of chest medicine, such as adult and pediatrics pulmonology, thoracic surgery, critical care medicine, respiratory care, transplantation, sleep medicine, related basic medical sciences, and more. The journal also features basic science, special reports, case reports, board review , and more. Editorials and communications to the editor that explore controversial issues and encourage further discussion by physicians dealing with chest medicine.
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