Alteration of Auto-CPAP requirements in obstructive sleep apnea patients with COVID-19 history

Fidan, Vural; Koyuncu, Handan; Akin, Okan

doi:10.1016/j.amjoto.2021.102919

Cited by 4 publications

(2 citation statements)

References 10 publications

(6 reference statements)

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“…Patient satisfaction, acceptability and CPAP adherence rates in of sleep telemedicine clinics have been favorable [ 101 , 102 ]. Recent data suggests that autoCPAP pressures may need to be adjusted higher in patients who have had COVID-19 [ 103 ], possibly due to upper airway inflammation and edema in symptomatic patients leading to further narrowing and also as a result of weight gain as a result of decreased mobility during quarantine periods. Therefore, adequate time to review compliance downloads and discuss patients' response to treatment during telemedicine visits, similar to the practice during in-person visits, is imperative.…”

Section: Introductionmentioning

confidence: 99%

Sleep disorders and COVID-19

2022

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Section: Introductionmentioning

confidence: 99%

Sleep disorders and COVID-19

2022

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“…COVID-19 may have an effect on CPAP requirements following recovery from the acute phase of the disease: in a small study of 19 Turkish OSA patients who had previously been established on auto-CPAP (APAP), the average APAP pressure required increased modestly a month following acute COVID-19 illness, from 7.5 AE 0.2 to 8.2 AE 0.2 cmH 2 O [42]. Hence, it is conceivable that COVID-19 infection, and its resultant sequelae, may have some causal relationship with the incident SDB, above and beyond the identification of previously existing undiagnosed disease.…”

Section: Long-term Outcomes and Sleep Disordered Breathing In Patient...mentioning

confidence: 99%

Sleep medicine and coronavirus disease 2019

Gill¹,

Piggott²,

Kent

2021

Current Opinion in Pulmonary Medicine

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Purpose of reviewTo evaluate the impact of the COVID-19 pandemic on the care of people with sleep disorders, to explore relationships between OSA and COVID-19, and to describe current knowledge of the effect of the pandemic on sleep globally.Recent findingsCOVID-19 has led to significant changes in the practice of sleep medicine, including the care of patients with OSA. An OSA diagnosis may portend a worse prognosis with COVID-19, whilst prior COVID-19 may have an impact on sleep breathing.SummaryThe pandemic has caused marked difficulties with access to diagnostic sleep studies and reduced capacity for CPAP initiation. Conversely, adherence to CPAP therapy may have improved, and use of remote consultations and telemonitoring has increased. An OSA diagnosis may be associated with increased risk of severe COVID-19, although any apparent relationship may be attributable to confounding factors, such as obesity and metabolic disease. Small studies have reported some increase in CPAP requirements in OSA patients following COVID-19 infection. More generally, the pandemic has been associated with a deterioration in subjective sleep quality across the population; much of this appears because of increased anxiety and stress. Finally, studies assessing putative links between COVID-19 and REM sleep issues are ongoing.

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