Age and Sex Disparities in Adherence to CPAP.

Chest
Sanjay R PatelS Mehdi Nouraie

Abstract

CPAP effectiveness is limited by suboptimal adherence. Prior studies of adherence have focused on middle-aged men. Does CPAP adherence vary by age and sex? Telemonitoring data from a CPAP manufacturer database were used to assess adherence in patients initiating CPAP therapy between November 2015 and October 2018. Analyses were restricted to patients in the United States aged 18 to 90 years. Across 789,260 patients initiated on CPAP (mean age, 55 ± 14 years; 58.2% male), overall adherence by US Centers of Medicare & Medicaid Services criteria was 72.6%, but it varied dramatically by age and sex, ranging from 51.3% in 18- to 30-year-old women to 80.6% in 71- to 80-year-old men. Patterns of use over the first 90 days demonstrated that younger age groups had peak CPAP use by the 2nd night, with a subsequent decay in use, including abandonment of CPAP, which was greatest among 18- to 30-year-old women. In contrast, older patients steadily increase use, taking more than a week to maximize usage, and then they have much slower decays in use over time. Younger, but not older, patients have lower use of CPAP on weekends compared with weekday nights. CPAP adherence rates vary substantially by demographics, with 18- to 30-year-old women ...Continue Reading

Citations

Oct 31, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Jennifer L MartinElizabeth M Yano
Jan 25, 2021·Sleep Medicine Clinics·Jessie P Bakker
Mar 11, 2021·American Journal of Respiratory and Critical Care Medicine·Priya V BorkerSanjay R Patel
May 14, 2021·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Ziauddin SyedFahim Khorfan
Nov 19, 2021·Clinical Cardiology·Hasthi U DissanayakeChi-Hang Lee

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