J 2022

Risk of Severe COVID-19 in Non-Adherent OSA Patients

GENZOR, Samuel, Jan PRASKO, Jan MIZERA, Petr JAKUBEC, Milan SOVA et. al.

Basic information

Original name

Risk of Severe COVID-19 in Non-Adherent OSA Patients

Authors

GENZOR, Samuel (203 Czech Republic), Jan PRASKO (203 Czech Republic, guarantor), Jan MIZERA (203 Czech Republic), Petr JAKUBEC (203 Czech Republic), Milan SOVA (203 Czech Republic, belonging to the institution), Jakub VANEK (203 Czech Republic), Nikoleta SURINOVA (203 Czech Republic) and Katerina LANGOVA (203 Czech Republic)

Edition

PATIENT PREFERENCE AND ADHERENCE, AUCKLAND, DOVE MEDICAL PRESS LTD, 2022, 1177-889X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30203 Respiratory systems

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.200

RIV identification code

RIV/00216224:14110/22:00128092

Organization unit

Faculty of Medicine

UT WoS

000884754000001

Keywords in English

OSA; COVID-19; vaccination; treatment with CPAP; CPAP adherence

Tags

Tags

International impact, Reviewed
Změněno: 18/1/2023 12:58, Mgr. Tereza Miškechová

Abstract

V originále

Background: Patients with obstructive sleep apnoea (OSA) are at increased risk of severe course of COVID-19. Vaccination remains to be the most effective prevention of complicated courses of infection. The best contemporary conservative treatment of OSA is continuous positive airway pressure (CPAP) therapy.Purpose: To compare vaccination acceptance and outcomes of COVID-19 infection between OSA patients adhering to the CPAP therapy and those who rejected CPAP and surgical therapy.Patients and Methods: Subjects were divided into two groups: group A (N = 167) were individuals with sufficient CPAP adherence (more than 4 hours per night on average) over the last 10 years. Group B (N = 106) were individuals who did not use the CPAP therapy at all and had no indications to surgical therapy.Results: Three patients in group B died, and one had a severe course of COVID-19. None of the patients in group A died or experienced a severe course of COVID-19. Group A had a significantly higher proportion of males (77.8% compared to 66% in group B) and all parameters of OSA severity. The vaccination status was similar among both groups, with a complete triple dose vaccination rate of 69.5% and 67.9% in groups A and B, respectively. Conclusion: The results show that the patients with OSA adherent to CPAP therapy were less likely to experience a severe course of COVID-19 or death than the OSA patients non-compliant with therapy, despite the former group having more severe OSA. This result underlines the importance of adherence to CPAP therapy in OSA.