Patterns of continuous positive airway pressure adherence during the first 3 months of treatment in children

Gillian Nixon, Rebecca Mihai, Nicole Verginis, Margot Davey

Research output: Contribution to journalArticleResearchpeer-review

Abstract

To determine predictors of continuous airway pressure (CPAP) adherence in children. STUDY DESIGN: Analysis of CPAP usage data for children between 2004 and 2008. RESULTS: During the study period, 32 children were prescribed CPAP; 2 failed to accept the mask, and 30 (mean +/- SD age 9.1 +/- 5.3 years) were included in further analysis. In the first 2 to 3 months of treatment, average (+/- SD) CPAP use was 4.7 +/- 2.7 hours/night. Hours of use were not affected by age, sex, baseline obstructive apnea-hypopnea index, intellectual disability, or socioeconomic status (P > .05). Of the children, 10 (33 ) used CPAP for one hour or more on more than 6 nights per week and were defined as consistent users. Consistent users treated with CPAP for significantly longer on nights of use than intermittent users (7.2 +/- 2.0 hours vs 4.7 +/- 2.4 hours, P = .008). The hours of use differed between the two groups after the second night of treatment (P <.05), and this difference persisted for the first 3 months of therapy. CONCLUSIONS: Children who attempted to use CPAP at least 6 nights a week were treated with CPAP for a longer time on the nights of use. Usage in the first week of treatment predicted longer term use over 2 to 3 months. Monitoring adherence in the first week of treatment and intervening in cases of low adherence may improve long-term CPAP use.
Original languageEnglish
Pages (from-to)802 - 807
Number of pages6
JournalJournal of Pediatrics
Volume159
Issue number5
DOIs
Publication statusPublished - 2011

Cite this

Nixon, Gillian ; Mihai, Rebecca ; Verginis, Nicole ; Davey, Margot. / Patterns of continuous positive airway pressure adherence during the first 3 months of treatment in children. In: Journal of Pediatrics. 2011 ; Vol. 159, No. 5. pp. 802 - 807.
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abstract = "To determine predictors of continuous airway pressure (CPAP) adherence in children. STUDY DESIGN: Analysis of CPAP usage data for children between 2004 and 2008. RESULTS: During the study period, 32 children were prescribed CPAP; 2 failed to accept the mask, and 30 (mean +/- SD age 9.1 +/- 5.3 years) were included in further analysis. In the first 2 to 3 months of treatment, average (+/- SD) CPAP use was 4.7 +/- 2.7 hours/night. Hours of use were not affected by age, sex, baseline obstructive apnea-hypopnea index, intellectual disability, or socioeconomic status (P > .05). Of the children, 10 (33 ) used CPAP for one hour or more on more than 6 nights per week and were defined as consistent users. Consistent users treated with CPAP for significantly longer on nights of use than intermittent users (7.2 +/- 2.0 hours vs 4.7 +/- 2.4 hours, P = .008). The hours of use differed between the two groups after the second night of treatment (P <.05), and this difference persisted for the first 3 months of therapy. CONCLUSIONS: Children who attempted to use CPAP at least 6 nights a week were treated with CPAP for a longer time on the nights of use. Usage in the first week of treatment predicted longer term use over 2 to 3 months. Monitoring adherence in the first week of treatment and intervening in cases of low adherence may improve long-term CPAP use.",
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Patterns of continuous positive airway pressure adherence during the first 3 months of treatment in children. / Nixon, Gillian; Mihai, Rebecca; Verginis, Nicole; Davey, Margot.

In: Journal of Pediatrics, Vol. 159, No. 5, 2011, p. 802 - 807.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Patterns of continuous positive airway pressure adherence during the first 3 months of treatment in children

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AU - Mihai, Rebecca

AU - Verginis, Nicole

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N2 - To determine predictors of continuous airway pressure (CPAP) adherence in children. STUDY DESIGN: Analysis of CPAP usage data for children between 2004 and 2008. RESULTS: During the study period, 32 children were prescribed CPAP; 2 failed to accept the mask, and 30 (mean +/- SD age 9.1 +/- 5.3 years) were included in further analysis. In the first 2 to 3 months of treatment, average (+/- SD) CPAP use was 4.7 +/- 2.7 hours/night. Hours of use were not affected by age, sex, baseline obstructive apnea-hypopnea index, intellectual disability, or socioeconomic status (P > .05). Of the children, 10 (33 ) used CPAP for one hour or more on more than 6 nights per week and were defined as consistent users. Consistent users treated with CPAP for significantly longer on nights of use than intermittent users (7.2 +/- 2.0 hours vs 4.7 +/- 2.4 hours, P = .008). The hours of use differed between the two groups after the second night of treatment (P <.05), and this difference persisted for the first 3 months of therapy. CONCLUSIONS: Children who attempted to use CPAP at least 6 nights a week were treated with CPAP for a longer time on the nights of use. Usage in the first week of treatment predicted longer term use over 2 to 3 months. Monitoring adherence in the first week of treatment and intervening in cases of low adherence may improve long-term CPAP use.

AB - To determine predictors of continuous airway pressure (CPAP) adherence in children. STUDY DESIGN: Analysis of CPAP usage data for children between 2004 and 2008. RESULTS: During the study period, 32 children were prescribed CPAP; 2 failed to accept the mask, and 30 (mean +/- SD age 9.1 +/- 5.3 years) were included in further analysis. In the first 2 to 3 months of treatment, average (+/- SD) CPAP use was 4.7 +/- 2.7 hours/night. Hours of use were not affected by age, sex, baseline obstructive apnea-hypopnea index, intellectual disability, or socioeconomic status (P > .05). Of the children, 10 (33 ) used CPAP for one hour or more on more than 6 nights per week and were defined as consistent users. Consistent users treated with CPAP for significantly longer on nights of use than intermittent users (7.2 +/- 2.0 hours vs 4.7 +/- 2.4 hours, P = .008). The hours of use differed between the two groups after the second night of treatment (P <.05), and this difference persisted for the first 3 months of therapy. CONCLUSIONS: Children who attempted to use CPAP at least 6 nights a week were treated with CPAP for a longer time on the nights of use. Usage in the first week of treatment predicted longer term use over 2 to 3 months. Monitoring adherence in the first week of treatment and intervening in cases of low adherence may improve long-term CPAP use.

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