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Electronic health record–derived outcomes in obstructive sleep apnea managed with positive airway pressure tracking systems
- Source :
- J Clin Sleep Med
- Publication Year :
- 2022
- Publisher :
- American Academy of Sleep Medicine (AASM), 2022.
-
Abstract
- STUDY OBJECTIVES: To assess the effectiveness of continuous positive airway pressure (CPAP) management guided by CPAP machine downloads in newly diagnosed patients with obstructive sleep apnea (OSA) using electronic health record–derived health care utilization, biometric variables, and laboratory data. METHODS: Electronic health record data of patients seen at the University of Utah Sleep Program from 2012–2015 were reviewed to identify patients with new diagnosis of OSA in whom CPAP adherence and residual apnea-hypopnea index as measured by a positive airway pressure adherence tracking device data for ≥ 1 year were available. Biometric data, laboratory data, and system-wide charges were compared in the 1 year before and after CPAP therapy. Subgroups were divided by whether patients met tracking criteria, mean nightly usage, and OSA severity. RESULTS: 976 consecutive, newly diagnosed participants with OSA (median age 55 years, 56.6% male) met inclusion criteria. There was a mean decrease of systolic blood pressure (BP) of 1.2 mm Hg and diastolic BP of 1.0 mm Hg within a year of initiation of CPAP therapy. BP improvements in the subgroup meeting CPAP tracking targets were 1.36 mmHg (systolic) and 1.37 mmHg (diastolic). No significant change was noted in body mass index, glycated hemoglobin, or serum creatinine values within a year of starting CPAP therapy, and health care utilization increased (mean acute care visits 0.22 per year to 0.53 per year; mean charges of $3,997 per year to $8,986 per year). CONCLUSIONS: An improvement in BP was noted within a year of CPAP therapy in newly diagnosed patients with OSA, with no difference in the magnitude of improvement between those meeting tracking system adherence targets. CITATION: Locke BW, Neill SE, Howe HE, Crotty MC, Kim J, Sundar KM. Electronic health record–derived outcomes in obstructive sleep apnea managed with positive airway pressure tracking systems. J Clin Sleep Med. 2022;18(3):885–894.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
business.industry
medicine.medical_treatment
Treatment outcome
Newly diagnosed
medicine.disease
Scientific Investigations
nervous system diseases
respiratory tract diseases
Obstructive sleep apnea
Neurology
Electronic health record
Emergency medicine
Health care
Positive airway pressure
medicine
Electronic Health Records
Humans
Patient Care
Neurology (clinical)
Continuous positive airway pressure
business
therapeutics
circulatory and respiratory physiology
Subjects
Details
- ISSN :
- 15509397 and 15509389
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Sleep Medicine
- Accession number :
- edsair.doi.dedup.....e1fd160627cb3c0c23eb554377c8007d