CPAP compliance in a County-sponsored Program

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2020

Authors

Hayes, Amanda
Kichena, Sanketh
Al-Farra, Sherif

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Abstract

Purpose: John Peter Smith provides care for uninsured and underinsured patients in Tarrant County through JPS Connection at a cost covered by Tarrant County Hospital District. Therapy for sleep disordered breathing became a covered service for JPS Connection patients in 2018. Information about CPAP compliance is accessible through a patient portal which monitors frequency and duration of use in addition to other CPAP related parameters. This study examines CPAP compliance rates for JPS Connection patients in comparison to national averages. Methods: We selected 227 consecutive patients from the JPS Connection program. We gathered initial CPAP compliance rates (use of machine >4 hours a night at least 70% of nights) at 1 month and 3 months as well as their current use, which has been defined as use in the 30 days leading up to December 1st, 2019. Other clinical measures recorded are the initial Apnea-Hypopnea Index as well as sleep apnea associated comorbidities. Results: The full analysis of the data is pending but current analysis shows that a significant number of patients did not meet compliance standards. Conclusion: Preliminary indications are that compliance rates within this program compare similarly to the national average. The next step in this research would be to look at methods to improve compliance rates in this program. Future studies could examine a possible relationship between compliance and re-admissions as well as a link between compliance and medical comorbidities.

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