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Sunkonkit K, Selvadurai S, Voutsas G, et al. The impact of the COVID-19 pandemic on positive airway pressure usage in children with sleep-disordered breathing. Sleep Breath. 2021;doi: 10.1007/s11325-021-02409-w.
Sunkonkit, K., Selvadurai, S., Voutsas, G., Benzon, D., Baker, A., Trinh, M., & Narang, I. (2021). The impact of the COVID-19 pandemic on positive airway pressure usage in children with sleep-disordered breathing. Sleep & breathing = Schlaf & Atmung, . https://doi.org/10.1007/s11325-021-02409-w
Sunkonkit, Kanokkarn, et al. "The impact of the COVID-19 pandemic on positive airway pressure usage in children with sleep-disordered breathing." Sleep & breathing = Schlaf & Atmung vol. (2021). doi: https://doi.org/10.1007/s11325-021-02409-w
Sunkonkit K, Selvadurai S, Voutsas G, Benzon D, Baker A, Trinh M, Narang I. The impact of the COVID-19 pandemic on positive airway pressure usage in children with sleep-disordered breathing. Sleep Breath. 2021 Jun 09; doi: 10.1007/s11325-021-02409-w. Epub 2021 Jun 09. PMID: 34105105; PMCID: PMC8187134.
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Sleep Breath. 2021 Jun 09; doi: 10.1007/s11325-021-02409-w. Epub 2021 Jun 09.

The impact of the COVID-19 pandemic on positive airway pressure usage in children with sleep-disordered breathing.

Sleep & breathing = Schlaf & Atmung

Kanokkarn Sunkonkit, Sarah Selvadurai, Giorge Voutsas, David Benzon, Adele Baker, Melissa Trinh, Indra Narang

Affiliations

  1. Division of Respiratory Medicine, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
  2. Division of Pulmonary and Critical Care, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
  3. University of Toronto, Toronto, Canada.
  4. Translational Medicine, Research Institute, The Hospital for Sick Children, Toronto, Canada.
  5. Division of Respiratory Medicine, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada. [email protected].
  6. University of Toronto, Toronto, Canada. [email protected].
  7. Translational Medicine, Research Institute, The Hospital for Sick Children, Toronto, Canada. [email protected].

PMID: 34105105 PMCID: PMC8187134 DOI: 10.1007/s11325-021-02409-w

Abstract

PURPOSE: To evaluate the impact of the COVID-19 pandemic on non-invasive positive airway pressure (PAP) usage among children with sleep-disordered breathing (SDB).

METHODS: PAP usage data in children with SDB aged 1 to 18 years old at The Hospital for Sick Children, Canada, were analyzed. The PAP usage data were recorded for 3 months prior to and 3 months following the COVID-19 lockdown in Ontario, Canada. The primary outcomes of interest were (i) percentage of days that PAP was used for ≥ 4 h and (ii) average daily usage of PAP based on days when PAP was used.

RESULTS: A total of 151 children were included. The mean (± SD) age and BMI were 12.6 ± 4.1 years and 28.7 ± 12.4 kg/m

CONCLUSIONS: COVID-19 pandemic has provided opportunities for increased PAP usage in a significant number of children with SDB. A subset of children with prior evidence for suboptimal PAP usage showed further decreases in PAP usage during the pandemic. This information is critical for clinicians to provide anticipatory guidance to encourage PAP usage both during the pandemic and beyond.

Keywords: Adherence; Coronavirus disease 2019 (COVID-19) pandemic; Pediatrics; Positive airway pressure therapy; Sleep-disordered breathing

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