Restarting CPAP Therapy for Sleep Apnea After a Previous Failure

Avellan-Hietanen, Heidi; Maasilta, Paula; Bachour, Adel

doi:10.4187/respcare.07766

Cited by 8 publications

(6 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…com/ stati stics/ 521152/ popul ation-of-finla nd-by-age/]. CPAP adherence in the community is generally poor, with rates ranging from 65 to 88% [6][7][8]. CPAP daily use in senior patients was reported by McMillan [2] to be very low at 1 year, with a median usage of 2 h and 22 min per night.…”

Section: Introductionmentioning

confidence: 99%

“…The proportion of senior individuals among the general population is increasing in developed countries [ https://www.statista.com/statistics/521152/population-of-finland-by-age/ ]. CPAP adherence in the community is generally poor, with rates ranging from 65 to 88% [ 6 – 8 ]. CPAP daily use in senior patients was reported by McMillan [ 2 ] to be very low at 1 year, with a median usage of 2 h and 22 min per night.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adherence to CPAP therapy for sleep apnea in patients aged over 70 years old

et al. 2021

Self Cite

View full text Add to dashboard Cite

Purpose Adherence to continuous positive airway pressure (CPAP) for obstructive sleep apnea (OSA) syndrome has not been established in patients over 70 years of age, whereas several studies have reported adherence below that age. This trial was designed to address this evidence gap. Methods Consecutive senior (> 70 years) patients with OSA, mean respiratory event index (REI) 34/h, body mass index (BMI) 31 kg/m2, and junior (< 50 years) patients (REI 37/h, BMI 31 kg/m2) were included. Results At year follow-up among 72 senior patients (35 women) and 71 junior patients (17 women), there was no difference in the percentage of patients abandoning CPAP (senior 47% vs. junior 43%) or in CPAP daily use (4:53 ± 2:44 hh:min vs. 4:23 ± 3:00 hh:min). Conclusions CPAP adherence in senior patients with OSA was not poorer than that of a younger group of OSA patients. Advanced age should not be an obstacle to CPAP initiation.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adherence to CPAP therapy for sleep apnea in patients aged over 70 years old

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…To our knowledge, only one previous analysis has investigated resumption of CPAP therapy [ 14 ]. The results of this single-centre study conducted in Finland (n=224) showed that 52% of subjects referred for re-initiation of CPAP were still using the device 1 year later [ 14 ], a lower rate than the 65% observed in the current study. One consistent finding in both studies was that continuation of CPAP therapy after resumption was significantly more common in men than in women.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, there is a near absence of data on persistence with, and outcomes after, a new CPAP trial after a first CPAP therapy termination. Data from one single-centre study showed that over half of all patients restarting CPAP remained on therapy at 1-year follow-up [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

CPAP resumption after a first termination and impact on all-cause mortality in France

Pépin,

Tamisier,

Benjafield

et al. 2023

Eur Respir J

View full text Add to dashboard Cite

Continuation of continuous positive airway pressure (CPAP) therapy after initial prescription has been shown to reduce all-cause mortalityversustherapy termination. However, there is a lack of data on the rates and impact of resuming CPAP in patients with obstructive sleep apnea (OSA). This analysis determined the prevalence of CPAP resumption in the year after termination, characterized determinants of CPAP resumption, and examined the impact of CPAP resumption on all-cause mortality.French national health insurance reimbursement system data for adults aged ≥18 years were used. CPAP prescription was identified by specific treatment codes. Patients who resumed CPAP after first therapy termination and continued to use CPAP for 1 year were matched with those who resumed CPAP then terminated therapy for a second time.Of 103 091 individuals with a first CPAP termination, 26% resumed CPAP over the next 12 months, and 65% of these were still using CPAP 1 year later. Significant predictors of CPAP continuation after resumption included male sex, hypertension and CPAP prescription by a pulmonologist. In the matched population, the risk of all-cause death was 38% lower in individuals who continued using CPAP after therapy resumptionversusthose who had a second therapy discontinuation (hazard ratio 0.62, 95% confidence interval 0.48–0.79; p=0.0001).These data suggest that individuals with OSA who fail initial therapy with CPAP should be offered a second trial with the device to ensure that effective therapy is not withheld from those who might benefit.

show abstract

“… 11 CPAP adherence in Finland is approximately 57% to 67%. 30 , 31 Traditionally, CPAP treatment was followed regularly according to local practices by nurses or doctors in secondary or primary care in Finland. In recent years, routine follow up is performed increasingly via remote access by nurses according to local practice.…”

Section: Discussionmentioning

confidence: 99%