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Author Notes:

Correspondence should be addressed to Romy Hoque; romy.hoque@gmail.com

This study was approved by the Internal Review Board at the Louisiana State University School of Medicine.

The authors declare that there is no conflict of interests regarding the publication of this paper.


Research Funding:

This work was supported by a 2013 Humanitarian Grant from the American Sleep Medicine Foundation (ASMF).

Continuous Positive Airway Pressure Device Time to Procurement in a Disadvantaged Population.


Journal Title:

Sleep Disorders


Volume 2015


, Pages 747906-747906

Type of Work:

Article | Final Publisher PDF


Introduction. The management of obstructive sleep apnea (OSA) in patients who cannot afford a continuous positive airway pressure (CPAP) device is challenging. In this study we compare time to CPAP procurement in three groups of patients diagnosed with OSA: uninsured subsidized by a humanitarian grant (Group 1), uninsured unsubsidized (Group 2), and those with Medicare or Medicaid (Group 3). We evaluate follow-up and adherence in Group 1. We hypothesize that additional factors, rather than just the ability to obtain CPAP, may uniquely affect follow-up and adherence in uninsured patients. Methods. 30 patients were in Groups 1 and 2, respectively. 12 patients were in Group 3. Time of CPAP procurement from OSA diagnosis to CPAP initiation was assessed in all groups. CPAP adherence data was collected for Group 1 patients at 1, 3, 6, and 9 months. Results. There were no significant differences between groups in gender, age, body mass index, or apnea hypopnea index. The mean time to procurement in Group 1 was shorter compared to Group 2 but not significant. Compared to both Group 1 and Group 2, Group 3 patients had significantly shorter times to device procurement. Conclusion. Time to procurement of CPAP was significantly shorter in those with Medicaid/Medicare insurance compared to the uninsured.

Copyright information:

© 2015 Lourdes M. DelRosso et al.

This is an Open Access work distributed under the terms of the Creative Commons Attribution 3.0 Unported License (http://creativecommons.org/licenses/by/3.0/).

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