The Effect of the COVID-19 Pandemic on the Follow-up of the PAP Treatment in Patients with Obstructive Sleep Apnea Syndrome

Abstract

Objective:Coronavirus disease-2019 (COVID-19) pandemic mentioned some disease-specific problems related to obstructive sleep apnea syndrome (OSAS). This study determined problems faced by patients using positive airway pressure (PAP) devices due to OSAS during the COVID-19 pandemic.Materials and Methods:Patients with OSAS using PAP were retrospectively identified. The cases that were contacted by phone were invited to complete the survey. Patients who agreed to participate in the study were asked whether the pandemic process affected their daily lives, OSAS treatment and PAP device use, and their responses were recorded.Results:Fifty patients (37 men/13 women) included in this study. Eleven cases had a history of COVID-19 infection; however, the disease symptoms were not severe in any case. Half of the patients reported that daily living was moderately or severely affected during the pandemic. Eight patients experienced problems with their PAP devices, five patients started to use the PAP devices irregularly during the pandemic, and 10 cases completely stopped using them.Conclusion:A significant portion of the patients experienced serious problems with PAP devices and the daily living activities were affected in half of the them during the pandemic. However, the follow-up and treatment services for many chronic diseases, as for OSAS, have been interrupted in this period that obligate the patients to handle their condition on their own. To provide continuous and adequate health care for OSAS patients under similar conditions in the future, it may be beneficial to establish widespread remote telecommunication systems in advance.

Keywords

• covid-19
• obstructive sleep apnea syndrome
• pandemic
• positive airway pressure