COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage

Chris D Turnbull; Martin Allen; Jennifer Appleby; Richard Brown; Nathalie Bryan; Ann Cooper; Brendan G Cooper; Cathie Gillooly; James Davidson; Hannah Farley; Ana Gaspar; Gillian Gibbons; Beverley Gray; Graham Hill; Adrian Kendrick; Blake Marsh; Alison McMillan; Joseph Page; Justin Charles Thane Pepperell; Tim Quinnell; Chris Rogers; Jane Sexton; Naomi Sheperd; Joerg Steier; James Stockley; John Stradling; Asia Woroszyl; Sophie West; Susan Wright; Annabel Nickol

doi:10.1136/thoraxjnl-2021-218635

COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage

Chris D Turnbull, Martin Allen, Jennifer Appleby, Richard Brown, Nathalie Bryan, Ann Cooper, Brendan G Cooper, Cathie Gillooly, James Davidson, Hannah Farley, Ana Gaspar, Gillian Gibbons, Beverley Gray, Graham Hill, Adrian Kendrick, Blake Marsh, Alison McMillan, Joseph Page, Justin Charles Thane Pepperell, Tim QuinnellChris Rogers, Jane Sexton, Naomi Sheperd, Joerg Steier, James Stockley, John Stradling, Asia Woroszyl, Sophie West, Susan Wright, Annabel Nickol

Centre for Human & Applied Physiological Sciences

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

The COVID-19 pandemic changed continuous positive airway pressure (CPAP) setup pathways. We evaluated patients commenced on CPAP in 2019 (prepandemic) and 2020 (post-first UK wave). Face-to-face (F2F) setup numbers, with CPAP turned on, decreased from 613 patients (98.9%) in 2019, to 6 (1.1%) in 2020. In 2020, setups were F2F without CPAP turned on (403 (71.1%)), or remote (158 (27.9%)). Prepandemic median CPAP usage at first follow-up was 5.4 (2.7-6.9) hours/night and fell by 0.9 hours/night (95% CI 0.5 to 1.2, p<0.0001) in 2020. We found clinically relevant reductions in CPAP usage with pathway changes post-COVID-19.

Original language	English
Pages (from-to)	839-841
Number of pages	3
Journal	Thorax
Volume	77
Issue number	8
Early online date	9 May 2022
DOIs	https://doi.org/10.1136/thoraxjnl-2021-218635
Publication status	Published - 1 Aug 2022

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Turnbull, C. D., Allen, M., Appleby, J., Brown, R., Bryan, N., Cooper, A., Cooper, B. G., Gillooly, C., Davidson, J., Farley, H., Gaspar, A., Gibbons, G., Gray, B., Hill, G., Kendrick, A., Marsh, B., McMillan, A., Page, J., Pepperell, J. C. T., ... Nickol, A. (2022). COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage. Thorax, 77(8), 839-841. https://doi.org/10.1136/thoraxjnl-2021-218635

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title = "COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage",

abstract = "The COVID-19 pandemic changed continuous positive airway pressure (CPAP) setup pathways. We evaluated patients commenced on CPAP in 2019 (prepandemic) and 2020 (post-first UK wave). Face-to-face (F2F) setup numbers, with CPAP turned on, decreased from 613 patients (98.9%) in 2019, to 6 (1.1%) in 2020. In 2020, setups were F2F without CPAP turned on (403 (71.1%)), or remote (158 (27.9%)). Prepandemic median CPAP usage at first follow-up was 5.4 (2.7-6.9) hours/night and fell by 0.9 hours/night (95% CI 0.5 to 1.2, p<0.0001) in 2020. We found clinically relevant reductions in CPAP usage with pathway changes post-COVID-19.",

author = "Turnbull, {Chris D} and Martin Allen and Jennifer Appleby and Richard Brown and Nathalie Bryan and Ann Cooper and Cooper, {Brendan G} and Cathie Gillooly and James Davidson and Hannah Farley and Ana Gaspar and Gillian Gibbons and Beverley Gray and Graham Hill and Adrian Kendrick and Blake Marsh and Alison McMillan and Joseph Page and Pepperell, {Justin Charles Thane} and Tim Quinnell and Chris Rogers and Jane Sexton and Naomi Sheperd and Joerg Steier and James Stockley and John Stradling and Asia Woroszyl and Sophie West and Susan Wright and Annabel Nickol",

note = "Funding Information: CDT declares consulting fees from Bayer, outside the scope of this work. GG declares grant funding from ResMed UK and travel expenses from Wychwood Communications Limited, both outside the scope of this work. There are no other relevant conflicts of interest. Publisher Copyright: {\textcopyright} 2022 BMJ Publishing Group. All rights reserved.",

year = "2022",

month = aug,

day = "1",

doi = "10.1136/thoraxjnl-2021-218635",

language = "English",

volume = "77",

pages = "839--841",

journal = "Thorax",

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Turnbull, CD, Allen, M, Appleby, J, Brown, R, Bryan, N, Cooper, A, Cooper, BG, Gillooly, C, Davidson, J, Farley, H, Gaspar, A, Gibbons, G, Gray, B, Hill, G, Kendrick, A, Marsh, B, McMillan, A, Page, J, Pepperell, JCT, Quinnell, T, Rogers, C, Sexton, J, Sheperd, N, Steier, J, Stockley, J, Stradling, J, Woroszyl, A, West, S, Wright, S & Nickol, A 2022, 'COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage', Thorax, vol. 77, no. 8, pp. 839-841. https://doi.org/10.1136/thoraxjnl-2021-218635

TY - JOUR

T1 - COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage

AU - Turnbull, Chris D

AU - Allen, Martin

AU - Appleby, Jennifer

AU - Brown, Richard

AU - Bryan, Nathalie

AU - Cooper, Ann

AU - Cooper, Brendan G

AU - Gillooly, Cathie

AU - Davidson, James

AU - Farley, Hannah

AU - Gaspar, Ana

AU - Gibbons, Gillian

AU - Gray, Beverley

AU - Hill, Graham

AU - Kendrick, Adrian

AU - Marsh, Blake

AU - McMillan, Alison

AU - Page, Joseph

AU - Pepperell, Justin Charles Thane

AU - Quinnell, Tim

AU - Rogers, Chris

AU - Sexton, Jane

AU - Sheperd, Naomi

AU - Steier, Joerg

AU - Stockley, James

AU - Stradling, John

AU - Woroszyl, Asia

AU - West, Sophie

AU - Wright, Susan

AU - Nickol, Annabel

N1 - Funding Information: CDT declares consulting fees from Bayer, outside the scope of this work. GG declares grant funding from ResMed UK and travel expenses from Wychwood Communications Limited, both outside the scope of this work. There are no other relevant conflicts of interest. Publisher Copyright: © 2022 BMJ Publishing Group. All rights reserved.

PY - 2022/8/1

Y1 - 2022/8/1

N2 - The COVID-19 pandemic changed continuous positive airway pressure (CPAP) setup pathways. We evaluated patients commenced on CPAP in 2019 (prepandemic) and 2020 (post-first UK wave). Face-to-face (F2F) setup numbers, with CPAP turned on, decreased from 613 patients (98.9%) in 2019, to 6 (1.1%) in 2020. In 2020, setups were F2F without CPAP turned on (403 (71.1%)), or remote (158 (27.9%)). Prepandemic median CPAP usage at first follow-up was 5.4 (2.7-6.9) hours/night and fell by 0.9 hours/night (95% CI 0.5 to 1.2, p<0.0001) in 2020. We found clinically relevant reductions in CPAP usage with pathway changes post-COVID-19.

AB - The COVID-19 pandemic changed continuous positive airway pressure (CPAP) setup pathways. We evaluated patients commenced on CPAP in 2019 (prepandemic) and 2020 (post-first UK wave). Face-to-face (F2F) setup numbers, with CPAP turned on, decreased from 613 patients (98.9%) in 2019, to 6 (1.1%) in 2020. In 2020, setups were F2F without CPAP turned on (403 (71.1%)), or remote (158 (27.9%)). Prepandemic median CPAP usage at first follow-up was 5.4 (2.7-6.9) hours/night and fell by 0.9 hours/night (95% CI 0.5 to 1.2, p<0.0001) in 2020. We found clinically relevant reductions in CPAP usage with pathway changes post-COVID-19.

UR - http://www.scopus.com/inward/record.url?scp=85135222008&partnerID=8YFLogxK

U2 - 10.1136/thoraxjnl-2021-218635

DO - 10.1136/thoraxjnl-2021-218635

M3 - Article

C2 - 35534153

SN - 0040-6376

VL - 77

SP - 839

EP - 841

JO - Thorax

JF - Thorax

IS - 8

ER -

COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage

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