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Adherence to Continuous Positive Airway Pressure Therapy in Pediatric Patients with Obstructive Sleep Apnea: A

Bundit Sawunyavisuth1, Chetta Ngamjarus2, Kittisak Sawanyawisuth3

  • 1Department of Marketing, Faculty of Business Administration and Accountancy, Khon Kaen University, Khon Kaen, Thailand.

Therapeutics and Clinical Risk Management
|February 10, 2023
PubMed

Insights

Children with obstructive sleep apnea (OSA) show a 46.56% adherence rate to continuous positive airway pressure (CPAP) therapy. Factors like younger age, lower BMI, and higher apnea-hypopnea index (AHI) are linked to better CPAP adherence.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Public Health

Background:

  • Obstructive sleep apnea (OSA) is a significant health concern in children.
  • Continuous positive airway pressure (CPAP) is an effective treatment for pediatric OSA.
  • CPAP adherence rates in children are highly variable.

Purpose of the Study:

  • To systematically review and evaluate CPAP adherence rates in children with OSA.
  • To identify factors associated with CPAP adherence in pediatric OSA patients.

Main Methods:

  • Systematic review of observational studies using objective CPAP adherence evaluation.
  • Literature search across four major databases.
  • Meta-analysis employing a fixed-effect model.

Main Results:

  • Included 34 studies with 21,737 pediatric patients.
  • Average CPAP adherence rate was 46.56%.
  • Younger age, lower body mass index (BMI), and higher apnea-hypopnea index (AHI) were associated with better adherence.

Conclusions:

  • Pediatric OSA patients exhibit a 46.56% CPAP adherence rate.
  • Younger age, lower BMI, and higher AHI are key predictors of acceptable CPAP adherence.
  • Understanding these factors can help improve treatment outcomes for children with OSA.
Abstract

Keywords:
ageapnea-hypopnea indexbody mass index

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