The Science Journal of the American Association for Respiratory Care

2010 OPEN FORUM Abstracts

ASSESSMENT OF PATIENT INSTRUCTION OF CONTINUOUS POSITIVE AIRWAY PRESSURE THERAPY IN THE PATIENT’S HOME VS. IN THE MEDICAL EQUIPMENT SUPPLIER’S OFFICE

Louis M. Kaufman, Chassidy Miner; Roberts Home Medical, Inc., Germantown, MD

Background: Patient instruction of continuous positive airway pressure (CPAP) therapy is offered in the patient’s home or workplace (home) or in the medical equipment supplier’s office (office). Potential advantages of office instruction include a larger selection of interfaces, an environment free of home distractions, and more therapist face-to-face time. We compared the functional outcome of CPAP therapy instruction in these environments. Method: A retrospective review of records of consecutive CPAP therapy instruction patients was conducted ninety (90) days after initial setup. Results: Fifty-four (54) home and forty-seven (47) office instruction patients were evaluated. The groups had a similar apnea-hypopnea index (AHI) (average 26.1 & 25.3); age (average 58.9 & 59.4) and prescribed therapeutic pressure (average 10.9 & 10.8). 11% of the home group required re-instruction compared to 4% of the office group. 17% of the home group required re-fitting of the interface compared to 13% of the office group. Daily use averaged 5.7 hours in the home group and 6.2 hours in the office group. Conclusions: The higher rate of re-instruction required for home setup patients may be due to fewer distractions during the office setup. Patients setup in the office are exposed to wider selection of interfaces; therefore their requests for re-fitting may be higher due to their familiarity with alternatives. Although the AHI, age and therapeutic pressure average between the two groups is similar, the fact office patients elected to travel for their instruction may indicate a higher level of motivation to succeed with CPAP therapy. The higher daily use in the office group may be attributed to higher motivation or better understanding due to the teaching environment. In this patient population providing CPAP therapy instruction at home or office provides similar and acceptable results. Sponsored Research - None