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Erschienen in: Sleep and Breathing 2/2019

26.01.2019 | Sleep Breathing Physiology and Disorders • Short Communication

Long-term adherence to ambulatory initiated continuous positive airway pressure in non-syndromic OSA children

verfasst von: M-P. Perriol, I. Jullian-Desayes, M. Joyeux-Faure, S. Bailly, A. Andrieux, M. Ellaffi, F. Jounieaux, J-L. Pépin, C. Lamblin

Erschienen in: Sleep and Breathing | Ausgabe 2/2019

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Abstract

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.
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Metadaten
Titel
Long-term adherence to ambulatory initiated continuous positive airway pressure in non-syndromic OSA children
verfasst von
M-P. Perriol
I. Jullian-Desayes
M. Joyeux-Faure
S. Bailly
A. Andrieux
M. Ellaffi
F. Jounieaux
J-L. Pépin
C. Lamblin
Publikationsdatum
26.01.2019
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 2/2019
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-018-01775-2

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