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COVID-19大流行期间阻塞性睡眠呼吸暂停患者使用持续气道正压通气(PAP)设备情况及与COVID-19相关焦虑的评估

Assessment of PAP Device Usage and COVID-19 Related Anxiety in Patients with OSAS During COVID-19 Pandemics.

作者信息

Sunter Gulin, Ismayilzade Humay, Arslan Beyza, Vural Ezgi, Balcan Baran, Agan Kadriye

机构信息

Department of Neurology, Marmara University Faculty of Medicine, İstanbul, Türkiye

Department of Pulmonary Medicine, Marmara University Faculty of Medicine, İstanbul, Türkiye

出版信息

Thorac Res Pract. 2025 Apr 30;26(3):132-136. doi: 10.4274/ThoracResPract.2025.24029. Epub 2025 Jan 27.

Abstract

OBJECTIVE

In this study, we aimed to determine the positive airway pressure (PAP) device usage and pandemic-related anxiety in obstructive sleep apnea syndrome (OSAS) patients during the pandemic.

MATERIAL AND METHODS

Five hundred twenty-seven OSAS patients were recruited into the study. A questionnaire consisting of 7 questions was filled to find out their Coronavirus disease-2019 (COVID-19)-related anxiety levels and PAP device usage.

RESULTS

The mean age of the patients was 53.3 years (±11.9). One hundred forty-one 141 (27%) of the participants were female and 382 (73%) were male. Two hundred sixteen (41%) patients reported using the PAP device regularly [PAP (+) group); 307 (59%) patients reported not using it at all or using it irregularly (PAP (-) group]. Forty-nine (23%) PAP (+) patients and 91 (29%) PAP (-) patients had COVID-19. The use of a PAP device was not significantly associated with an increased risk of COVID-19 infection ( = 0.077). The most common symptom was myalgia without a between-group difference, ( = 0.967). There was no significant difference between the PAP (+) and PAP (-) groups in the hospitalization rates for COVID-19 ( = 0.252). The presence of apnea was not considered as a cause of a higher level of COVID-19-related anxiety in patients with the PAP (+) group compared to the PAP (-) group ( = 0.095).

CONCLUSION

There was no evidence that the use of PAP devices in OSAS patients influenced the risk of getting COVID-19 and the clinical course of the disease. PAP device usage did not affect the level of anxiety associated with the pandemic in patients.

摘要

目的

在本研究中,我们旨在确定疫情期间阻塞性睡眠呼吸暂停综合征(OSAS)患者的气道正压通气(PAP)设备使用情况以及与疫情相关的焦虑状况。

材料与方法

527例OSAS患者被纳入本研究。通过填写一份包含7个问题的问卷,以了解他们与2019冠状病毒病(COVID-19)相关的焦虑水平以及PAP设备使用情况。

结果

患者的平均年龄为53.3岁(±11.9)。141名(27%)参与者为女性,382名(73%)为男性。216名(41%)患者报告定期使用PAP设备[PAP(+)组];307名(59%)患者报告根本不使用或不定期使用(PAP(-)组)。49名(23%)PAP(+)患者和91名(29%)PAP(-)患者感染了COVID-19。使用PAP设备与COVID-19感染风险增加无显著相关性(P = 0.077)。最常见的症状是肌痛,组间无差异(P = 0.967)。PAP(+)组和PAP(-)组在COVID-19住院率方面无显著差异(P = 0.252)。与PAP(-)组相比,PAP(+)组患者中呼吸暂停的存在未被视为导致与COVID-19相关焦虑水平更高的原因(P = 0.095)。

结论

没有证据表明OSAS患者使用PAP设备会影响感染COVID-19的风险和疾病的临床进程。PAP设备的使用并未影响患者与疫情相关的焦虑水平。

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