Evidence map›Paper›PMID 35717447›Full record

ArticleSleep & breathing = Schlaf & Atmung2023

Inpatient CPAP adherence may predict post-discharge adherence in hospitalized patients screened high risk for OSA.

Sunil Sharma, Robert Stansbury, Varun Badami, Edward Rojas, Stuart F Quan

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sunil SharmaDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Health Science Center North, West Virginia University, Room 4075A, PO Box 9166, Morgantown, WV, 26506, USA. sunil.sharma@hsc.wvu.edu.ORCID 0000-0001-6006-8240
Robert StansburyDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Health Science Center North, West Virginia University, Room 4075A, PO Box 9166, Morgantown, WV, 26506, USA.
Varun BadamiDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Health Science Center North, West Virginia University, Room 4075A, PO Box 9166, Morgantown, WV, 26506, USA.
Edward RojasDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Health Science Center North, West Virginia University, Room 4075A, PO Box 9166, Morgantown, WV, 26506, USA.
Stuart F QuanDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleDespite increased recognition of sleep disordered breathing in hospitalized patients, studies are lacking on the impact of inpatient adherence with positive airway pressure (PAP) therapy on post-discharge adherence.

objectivesTo assess the predictive value of inpatient adherence to PAP therapy on post-discharge compliance and adherence.

methodsWe reviewed data on individuals as part of a registry of a hospital-based sleep medicine program between August 2019 and December 2020. Consecutive patients identified as high risk for sleep disordered breathing based on our 2-tier screening process and initiated on Auto-PAP (APAP) therapy were included. Their adherence and post-discharge course were recorded. Primary objectives were polysomnography (PSG) compliance, sleep medicine clinic follow-up compliance, and 30-day adherence to PAP therapy if indicated by PSG.

resultsIn total, 900 individuals were screened during the study period. Of these, 281 were offered inpatient PAP therapy. Patients on bilevel PAP therapy (88 patients) were excluded due to lack of objective compliance recording. Final analysis was performed on 193 patients. Of the 193 patients placed on inpatient APAP, 140 (73%) were adherent to the therapy with average usage of 367 min per day versus 140 min per day in the non-adherent (p < 0.001). There was no significant difference in oxygen desaturation index between the adherent and non-adherent groups (32.4 ± 21.9 events per hour and 34.5 ± 21.9 events per hour consistent; p = 0.5). No demographic and anthropometric characteristics or comorbid conditions were noted. Those who were adherent to PAP therapy in-hospital 47/140 (34%) underwent ambulatory PSG post-discharge compared to 7/53 (13%) of those non-adherent in-hospital (p = 0.002). The adherent group also had significantly higher likelihood for post-discharge clinic follow-up (p = 0.01) and adherence to outpatient PAP therapy (p = 0.01).

conclusionsHospitalized patients identified as high risk for sleep disordered breathing have high adherence to PAP therapy during hospitalization and inpatient adherence predicts outpatient follow-up (both PSG testing and sleep clinic) and home PAP adherence.

Indexed as

Sleep Apnea, ObstructiveSleep Apnea SyndromesAftercareContinuous Positive Airway PressureHumansInpatientsPatient CompliancePatient DischargeAdherence to therapyHospitalized patientsPAP therapySleep disordered breathing

Identifiers

PMID35717447

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.