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

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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 & 10 more Chris Rogers, Jane Sexton, Naomi Sheperd, Joerg Steier, James Stockley, John Stradling, Asia Woroszyl, Sophie West, Susan Wright, Annabel Nickol

Original languageEnglish
E-pub ahead of print9 May 2022

Bibliographical note

© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.

King's Authors


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.

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