Impact of COVID-19 pandemic on adherence to noninvasive ventilation in children

Autor: Heather, Halperin, Mathieu, Chalifour, Prabhjot K, Bedi, Ella, Milne, Lauren, Dobson, Deborah L, Olmstead, Maria L, Castro-Codesal
Rok vydání: 2023
Předmět:
Zdroj: Journal of Clinical Sleep Medicine. 19:179-188
ISSN: 1550-9397
1550-9389
Popis: The aim of this study is to measure changes in adherence to non-invasive ventilation (NIV) in children during the first year of the COVID-19 pandemic.Retrospective chart review of children (0-18 years) using home NIV through the Stollery's Pediatric NIV program in Edmonton, Canada during March 2019-March 2021. Demographics, clinical characteristics, and adherence information from machine downloads were collected prior to and during the first year of the COVID-19 pandemic. Paired t-tests and Chi-square compared adherence pre-pandemic and during pandemic and repeated ANOVA tests compared adherence pre, 0-6 and 6-12months.82 children met inclusion criteria (62% male; age 8.6±4.6 years). Overall, there were no changes in NIV adherence during pandemic (average NIV minutes pre and during pandemic of 390±219 and 405±300min respectively). When separated into increased versus decreased adherence groups, adherence differences pre- compared to during pandemic became significant, with no differences across demographic/clinical variables or pre-pandemic adherence. There were no changes in NIV adherence during the initial 6 months of pandemic compared to pre-pandemic, but NIV use significantly increased by 9-57min during the following 6-12 months. BPAP users had longer NIV use than CPAP users at all time points, with an overall increasingly trend over time.Despite the significant life disruption created by COVID-19 and changes to virtual care, children using home NIV maintained adequate adherence. Qualitative research is needed to understand the nuances of using NIV during the pandemic and potential advantages of virtual care for support of these children and families.
Databáze: OpenAIRE
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