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P165 Use of Initiation checklist to improve compliance with BPAP & CPAP

INTRODUCTION: Studies have shown that processes used during initiation of non-invasive respiratory (NIV) therapies (including CPAP and BPAP) for children, can influence subsequent compliance with therapy. METHODS: We implemented a structured checklist as a way of standardising a number of the steps...

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Autores principales: Wood, C, Morris, L, Raths, K, Waters, K, Gray, K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109013/
http://dx.doi.org/10.1093/sleepadvances/zpab014.204
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author Wood, C
Morris, L
Raths, K
Waters, K
Gray, K
author_facet Wood, C
Morris, L
Raths, K
Waters, K
Gray, K
author_sort Wood, C
collection PubMed
description INTRODUCTION: Studies have shown that processes used during initiation of non-invasive respiratory (NIV) therapies (including CPAP and BPAP) for children, can influence subsequent compliance with therapy. METHODS: We implemented a structured checklist as a way of standardising a number of the steps during initiation of NIV in our paediatric sleep medicine service. This study retrospectively reviewed the medical records of children initiated on NIV between Nov 2018 and Dec 2020. We hypothesised that our use of a structured approach to the initiation process, with electronic documentation, would indicate areas in the initiation process that are associated with improved compliance with the therapy, in the long term. RESULTS: Initial results revealed that 220 children were commenced on therapy during the 2-year study period (51 BPAP & 169 CPAP). Total numbers with forms present 136 (62%) and complete forms 56 (41%). Forty-six (90%) children commenced on BPAP had forms present and 34 (74%) were completed. Ninety (53%) children commenced on CPAP had forms present and 22 (25%) were completed. Further analyses will evaluate whether sections of the initiation process and checklist (day (of week) of discharge, in-patient vs HITH, attendance at 1st follow-up appointment, financial assistance, severity of disease, eligibility for government-funded equipment) influence compliance when monitored by download at the first, subsequent sleep study. DISCUSSION: Use of standardised processes during initiation of NIV therapies can aid in evaluation of the factors that positively influence subsequent compliance with therapy.
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spelling pubmed-101090132023-05-15 P165 Use of Initiation checklist to improve compliance with BPAP & CPAP Wood, C Morris, L Raths, K Waters, K Gray, K Sleep Adv Poster Presentations INTRODUCTION: Studies have shown that processes used during initiation of non-invasive respiratory (NIV) therapies (including CPAP and BPAP) for children, can influence subsequent compliance with therapy. METHODS: We implemented a structured checklist as a way of standardising a number of the steps during initiation of NIV in our paediatric sleep medicine service. This study retrospectively reviewed the medical records of children initiated on NIV between Nov 2018 and Dec 2020. We hypothesised that our use of a structured approach to the initiation process, with electronic documentation, would indicate areas in the initiation process that are associated with improved compliance with the therapy, in the long term. RESULTS: Initial results revealed that 220 children were commenced on therapy during the 2-year study period (51 BPAP & 169 CPAP). Total numbers with forms present 136 (62%) and complete forms 56 (41%). Forty-six (90%) children commenced on BPAP had forms present and 34 (74%) were completed. Ninety (53%) children commenced on CPAP had forms present and 22 (25%) were completed. Further analyses will evaluate whether sections of the initiation process and checklist (day (of week) of discharge, in-patient vs HITH, attendance at 1st follow-up appointment, financial assistance, severity of disease, eligibility for government-funded equipment) influence compliance when monitored by download at the first, subsequent sleep study. DISCUSSION: Use of standardised processes during initiation of NIV therapies can aid in evaluation of the factors that positively influence subsequent compliance with therapy. Oxford University Press 2021-10-07 /pmc/articles/PMC10109013/ http://dx.doi.org/10.1093/sleepadvances/zpab014.204 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of Sleep Research Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Poster Presentations
Wood, C
Morris, L
Raths, K
Waters, K
Gray, K
P165 Use of Initiation checklist to improve compliance with BPAP & CPAP
title P165 Use of Initiation checklist to improve compliance with BPAP & CPAP
title_full P165 Use of Initiation checklist to improve compliance with BPAP & CPAP
title_fullStr P165 Use of Initiation checklist to improve compliance with BPAP & CPAP
title_full_unstemmed P165 Use of Initiation checklist to improve compliance with BPAP & CPAP
title_short P165 Use of Initiation checklist to improve compliance with BPAP & CPAP
title_sort p165 use of initiation checklist to improve compliance with bpap & cpap
topic Poster Presentations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109013/
http://dx.doi.org/10.1093/sleepadvances/zpab014.204
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