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Continuous positive airway pressure and noninvasive ventilation adherence in children

Adriana Ramirez1, Sonia Khirani, Sabrina Aloui

  • 1ADEP ASSISTANCE, Suresnes, France; AP-HP, Hôpital Armand Trousseau, Pediatric Pulmonary Department, Paris, France.

Sleep Medicine
|October 26, 2013
PubMed

Insights

Children show high adherence to long-term home treatment with continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV). This high adherence in pediatric sleep-disordered breathing patients suggests treatment effectiveness regardless of specific settings.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Respiratory Care

Background:

  • Adherence to continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV) is critical for managing sleep-disordered breathing in children.
  • Analyzing adherence in pediatric patients receiving long-term home CPAP/NIV is essential for treatment success.

Purpose of the Study:

  • To evaluate the adherence rates of children to long-term home CPAP/NIV therapy.
  • To identify factors influencing adherence in pediatric patients with sleep-disordered breathing.

Main Methods:

  • Data from 62 children (age >2 years) on home CPAP/NIV for at least one month were analyzed.
  • Ventilator memory card data and nocturnal gas exchange were assessed during hospital follow-up.
  • Adherence was evaluated based on age, ventilatory mode, interface type, gas exchange, and treatment duration.

Main Results:

  • Mean adherence was 8:17±2:30 hours per night, with 72% using devices >8 hours nightly.
  • No significant differences in adherence were observed between CPAP and NIV.
  • Adherence was not correlated with age, disease type, interface, gas exchange, or treatment duration.

Conclusions:

  • Long-term home CPAP/NIV adherence is exceptionally high in children managed by a pediatric NIV unit.
  • High adherence may explain the observed lack of impact from interface type, gas exchange, and treatment duration on outcomes.
Abstract

Keywords:
CPAPHomecareInterfaceNon-invasive ventilationPediatricsTreatment adherence

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