@article {Turnbullthoraxjnl-2021-218635, author = {Chris D Turnbull and Martin Allen and Jennifer Appleby and Richard Brown and Nathalie Bryan and Ann Cooper and Brendan G Cooper and Cathie Gillooly and James Davidson and Hannah Farley and Ana Gaspar and Gillian Gibbons and Beverley Gray and Graham Hill and Adrian Kendrick and Blake Marsh and Alison McMillan and Joseph Page and Justin Charles Thane Pepperell and Tim Quinnell and Chris Rogers and Jane Sexton and Naomi Sheperd and Joerg Steier and James Stockley and John Stradling and Asia Woroszyl and Sophie West and Susan Wright and Annabel Nickol}, title = {COVID-19-related changes in outpatient CPAP setup pathways for OSA are linked with decreased 30-day CPAP usage}, elocation-id = {thoraxjnl-2021-218635}, year = {2022}, doi = {10.1136/thoraxjnl-2021-218635}, publisher = {BMJ Publishing Group Ltd}, abstract = {The COVID-19 pandemic changed continuous positive airway pressure (CPAP) setup pathways. We evaluated patients commenced on CPAP in 2019 (prepandemic) and 2020 (post-first UK wave). Face-to-face (F2F) setup numbers, with CPAP turned on, decreased from 613 patients (98.9\%) in 2019, to 6 (1.1\%) in 2020. In 2020, setups were F2F without CPAP turned on (403 (71.1\%)), or remote (158 (27.9\%)). Prepandemic median CPAP usage at first follow-up was 5.4 (2.7{\textendash}6.9) hours/night and fell by 0.9 hours/night (95\% CI 0.5 to 1.2, p\<0.0001) in 2020. We found clinically relevant reductions in CPAP usage with pathway changes post-COVID-19.}, issn = {0040-6376}, URL = {https://thorax.bmj.com/content/early/2022/05/08/thoraxjnl-2021-218635}, eprint = {https://thorax.bmj.com/content/early/2022/05/08/thoraxjnl-2021-218635.full.pdf}, journal = {Thorax} }