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Long-term adherence to ambulatory initiated continuous positive airway pressure in non-syndromic OSA children
- Source :
- Sleep and Breathing, Sleep and Breathing, 2019, 23 (2), pp.575-578. ⟨10.1007/s11325-018-01775-2⟩
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- International audience; Purpose: In children, the usual indications for continuous positive airway pressure (CPAP) are residual OSA after adenotonsillectomy and/or persistent OSA due to obesity. Data concerning adherence (hours/night) following ambulatory CPAP initiation are scarce.Methods: An observational cohort of 78 children was followed over 2 years. All exhibited sleep-disordered breathing (SDB) symptoms, were assessed by polysomnography, and prescribed CPAP. CPAP was initiated at hospital for 10 children.Results: OSA children, mean age 10.4 ± 3.2 years, were mostly males (75.6%), with a mean body mass index of 21.2 ± 7.3 kg/m2, and mean apnea+hypopnea index of 12.2 ± 10.6 events/hour. Seventy-two children were still on CPAP at 3 months, 63 at 6 months, 55 at 1 year, and 34 at 2 years. CPAP was discontinued thanks to rehabilitation programs, dento-facial orthopedics, and/or weight loss. Mean CPAP adherence at 1, 3, 6, 12, and 24 months was respectively 6.1 ± 2.8, 6.2 ± 2.6, 6.2 ± 2.8, 6.3 ± 2.8, and 7.0 ± 2.7 h/night. There was a trend towards higher CPAP adherence and younger age, primary versus middle/high school attendance, higher baseline apnea+hypopnea index, and neurocognitive disorders.Conclusion: In our population, mean CPAP adherence defined in hours per night was high and did not decrease during the 24-month follow-up. These findings support the feasibility of ambulatory CPAP initiation in non-syndromic OSA. The high CPAP adherence is expected to be associated with improvements in neurocognition, and in metabolic and cardiovascular parameters.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Adolescent
Polysomnography
[SDV]Life Sciences [q-bio]
medicine.medical_treatment
Population
Cohort Studies
OSA
03 medical and health sciences
0302 clinical medicine
Weight loss
Ambulatory
Ambulatory Care
Humans
Medicine
Continuous positive airway pressure
Child
education
Children
Sleep Apnea, Obstructive
education.field_of_study
Continuous Positive Airway Pressure
medicine.diagnostic_test
business.industry
Apnea
medicine.disease
Long-Term Care
CPAP adherence
nervous system diseases
respiratory tract diseases
[SDV] Life Sciences [q-bio]
030228 respiratory system
Otorhinolaryngology
Child, Preschool
Patient Compliance
Female
Neurology (clinical)
medicine.symptom
business
Hypopnea
Body mass index
030217 neurology & neurosurgery
Follow-Up Studies
Subjects
Details
- ISSN :
- 15221709 and 15209512
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Sleep and Breathing
- Accession number :
- edsair.doi.dedup.....bbb4af4091b30ca2e2cfb3c35b566f9c