CPAP Nonadherence May Lead to Higher Cardiovascular-Related Readmissions

Share this content:
Patients with OSA had higher rates of hospital readmission when not adherent to continuous positive airway pressure therapy.
Patients with OSA had higher rates of hospital readmission when not adherent to continuous positive airway pressure therapy.

HealthDay News — Nonadherence to continuous positive airway pressure (CPAP) is tied to higher rates of hospital readmission for patients with obstructive sleep apnea (OSA), according to a study published in a recent issue of the Journal of Clinical Sleep Medicine.

Kimberly K. Truong, MD, from University of California Irvine, and colleagues retrospectively reviewed medical records of patients with OSA hospitalized at a Veterans Affairs Hospital (2007 to 2015) in order to assess the role nonadherence to CPAP plays in outcomes. Analysis included 345 patients (183 adherent and 162 non-adherent).

The researchers found that the adherent group had 215 initial admissions vs 268 index admissions in the non-adherent group. The non-adherent group had a significantly higher 30-day all-cause readmission rate (adjusted odds ratio [aOR], 3.52; 95%, 2.04-6.08; P <.001) and 30-day cardiovascular-cause readmission rate (aOR, 2.31; 95% CI, 1.11-4.78; P =.024). However, there was no significant difference in 30-day pulmonary-cause readmissions (aOR, 3.66; 95% CI, 0.41-32.76; P =.25).

"Non-adherence to CPAP is associated with increased 30-day all-cause and cardiovascular-cause readmission in patients with OSA," the authors wrote. "Ensuring CPAP adherence is crucial in addressing general and cardiovascular-related health care utilization and morbidity in patients with OSA."

Reference

Truong KK, De Jardin R, Massoudi N, Hashemzadeh M, Jafari B, Nonadherence to CPAP associated with increased 30-day hospitalization readmissions. J Clin Sleep Med. 2018;14(2):183-189.



You must be a registered member of The Cardiology Advisor to post a comment.

Sign Up for Free e-Newsletters