{
  "abstract": "Introduction Prior to the COVID-19 pandemic, the Sleep Centre Service at Charing Cross Hospital only delivered care via face-to-face appointments. Once the Sleep Centre was permitted to re-open in August 2020 following the redeployment period, we began our ‘recovery’ phase. We adopted a ‘no contact’ service wherein we began using different forms of telecommunication. After the recovery phase, these changes remained in place. In this retrospective clinical audit, we aim to examine whether there is a statistical difference in CPAP compliance within our 2019 (pre-COVID) and 2022 (post-COVID) cohorts. We also aim to identify common reasons for non-compliance and recommend ways to improve the service.Methods A total of 213 newly diagnosed patients who commenced their treatment in 2019 and 2022 respectively were vetted against the inclusion and exclusion criteria. Compliance reports from the first 2 initial follow ups, accessed via clinical notes was analysed via utilising the Mann-Whitney U test to determine whether there are statistically significant differences in CPAP compliance between the two cohorts. The primary inclusion criteria was to include ‘CPAP naïve’ patients; patients with no prior knowledge and experience to CPAP. This means patients who have previously been established on CPAP or used alternative treatment forms were not included. Patients referred as part of the Bariatric Pathway were also excluded. Common reasons for non-compliance were separated into specific categories and analysed via thematic analysis.Results and Conclusions There was a statistical difference in CPAP compliance (*P=0.0332) found during the second follow up in the 2022 cohort. There was also a 25% increase in patients contacting the sleep centre for troubleshooting between appointments. Within the 2019 cohort, the most common reason for non-compliance was related to mask fit issues however it in 2022 the leading concern became adherence. Overall, the data shows that the adaptations made to our service delivery have not impacted CPAP compliance negatively. Service improvement recommendations such as the need to consider alternative pathways for non-tolerant patients and the need to review standard operating procedure for mask fitting will be made to the clinical team.",
  "authors": [
    {
      "affiliations": [
        "Manchester Metropolitan University, Manchester, UK"
      ],
      "name": "F Jones"
    },
    {
      "affiliations": [
        "Imperial College Healthcare NHS Trust, Sutton, UK"
      ],
      "name": "Liza Kovacs"
    },
    {
      "affiliations": [
        "Imperial College Healthcare NHS Trust, Sutton, UK"
      ],
      "name": "Gillian Twigg"
    }
  ],
  "title": "P58 An evaluation of the service approach to CPAP follow up consultations pre and post COVID-19",
  "uid": "9ae14bd2-5cf4-5f90-9156-be3cb6fbd07a"
}