Turnbull Chris D, Allen Martin, Appleby Jennifer, Brown Richard, Bryan Nathalie, Cooper Ann, Cooper Brendan G, Gillooly Cathie, Davidson James, Farley Hannah, Gaspar Ana, Gibbons Gillian, Gray Beverley, Hill Graham, Kendrick Adrian, Marsh Blake, McMillan Alison, Page Joseph, Pepperell Justin Charles Thane, Quinnell Tim, Rogers Chris, Sexton Jane, Sheperd Naomi, Steier Joerg, Stockley James, Stradling John, Woroszyl Asia, West Sophie, Wright Susan, Nickol Annabel
Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Thorax. 2022 May 9. doi: 10.1136/thoraxjnl-2021-218635.
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.
新冠疫情改变了持续气道正压通气（CPAP）的设置途径。我们评估了2019年（疫情前）和2020年（英国第一波疫情后）开始使用CPAP的患者。开启CPAP的面对面（F2F）设置数量从2019年的613例患者（98.9%）降至2020年的6例（1.1%）。2020年，设置方式为未开启CPAP的面对面设置（403例（71.1%））或远程设置（158例（27.9%））。疫情前首次随访时CPAP的中位使用时间为5.4（2.7 - 6.9）小时/晚，2020年下降了0.9小时/晚（95%置信区间0.5至1.2，p<0.0001）。我们发现，新冠疫情后随着设置途径的改变，CPAP的使用出现了具有临床意义的减少。
