0759 Patients’ Compliance Of Cpap Treatment At Home For 66 Children And Teenagers, Suffering From Severe Sleep Apnea, After 1, 3, 6 And 12 Months

Abstract

Introduction: Sleep breathing disorder (SBD) among children and teenagers is as high as 2 to 5 %. This diagnosis was discussed in case of snoring, restlessness, and troubled sleep, school or behavior problems. If severe SBD persists after surgery, adenotonsillectomy (or not, if not needed), a CPAP treatment may be offered. Main goal: describe the patient's compliance with 12 month-treatment, among children taken care of by 3 multidisciplinary regional care networks. Secondary goal: find out observance's predictive factors. Method(s): 12-month longitudinal retrospective follow up among 66 children (<18 years old), Sleep disorder breathing clinical signs and symptoms, confirmed by polysomnography, after or without adenotonsillectomy surgery. CPAP at home or day hospital started; auto or fixed pressure, with industrial masks. Medical follow up after 1, 3, 6 and 12 months to assess tolerance and compliance. Result(s): Average age 10 +/- 3 years. Initial IAH 13.2 +/- 11/h. Children compliance after 1 month: 100%, 3 months: 97%, 6 months: 95% and 12 months: 90%. Average Observation at M1: 6h40, at M3 (6h55), M6 (6h17) and M12 (6h30). Clinical signs, symptoms, polysomnographic initial criteria were not considered as predictive factors of CPAP compliance. Primary school children, obese children were significantly more compliant (p<0,05) than teenagers and non-obese children. Auto-set mode tended to be associated with a better compliance compared with a fixed mode. Similar CPAP treatment observance was found at home or in day hospital. Conclusion(s): Compliance to CPAP treatment by children, when needed, even with ambulatory initiation, is very strong and sustained, reflecting good tolerance and clinical benefits perceived by children and their family. CPAP may be offered as part of a multidisciplinary treatment, transitory and with careful close monitoring.