Compliance with noninvasive home ventilation in children with obstructive sleep apnoea

Anna Maria Nathan1, Jenny Poh Lin Tang, Anne Goh

  • 1Asthma, Lung, Sleep and Allergy Centre, Gleneagles Medical Centre, 6 Napier Road, Singapore 258499. jenny.tang.pl@gmail.com.

Singapore Medical Journal
|December 21, 2013
PubMed

Insights

Compliance with noninvasive home ventilation for pediatric obstructive sleep apnea is low, with only 41.2% of children adhering to treatment. Female gender and asthma diagnosis were linked to better compliance.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Respiratory Care

Background:

  • Obstructive sleep apnea (OSA) is a common condition in children.
  • Noninvasive home ventilation is a key treatment for pediatric OSA.
  • Understanding treatment compliance is crucial for effective management.

Purpose of the Study:

  • To determine compliance rates with noninvasive home ventilation in children with OSA.
  • To identify factors associated with treatment compliance in this population.

Main Methods:

  • Retrospective review of 51 children prescribed noninvasive home ventilation for OSA.
  • Compliance defined as use ≥ 4 days/week.
  • Analysis of demographic, clinical, and treatment-related factors.

Main Results:

  • Overall compliance was 41.2%.
  • Female gender, presence of asthma, genetic syndromes, bi-level ventilation use, and social work funding were associated with compliance in univariate analysis.
  • Logistic regression identified female gender and asthma as significant predictors of compliance.

Conclusions:

  • Treatment compliance with noninvasive home ventilation in children with OSA is suboptimal.
  • Female sex and asthma are positively associated with treatment adherence.
  • Further research is needed to develop strategies for improving ventilation compliance in pediatric OSA.
Abstract

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