0915 Comparison of In-person Versus Telehealth Positive Airway Pressure Set Up for Rural Veterans

Abstract Introduction Traditionally, positive airway pressure (PAP) therapy is initiated in a face-to-face visit. This can be barrier to accessing care for rural Veterans. The COVID-19 pandemic led the implementation of telehealth PAP set-ups at two large VA sleep centers providing an opportunity assess effectiveness versus initiation Methods We performed retrospective cohort study Veterans (defined by Rural-Urban Commuting Areas system) compare outcomes those who with in-person visits prior during pandemic. assessed days use, hours use and residual Apnea Hypopnea Index (AHI) 30-day 90-day intervals these groups. excluded individuals received replacement device, on or after June 14, 2021, due safety recall devices that may have affected use. Results data was available 93 individuals, approximately half whom were (n=46) (n=47). There no significant differences between groups terms age, BMI, AHI, which 57.23±16 vs 60.67±14 (mean±SD), 31.81±5 31.99±13, 27.52±23/hr 28.85±22/hr respectively. average number per month set-up 17.59±11 15.38±12 (p=0.36) 15.54±13 14.11±14 (p=0.60) 30-days 90-days 3.25±3 3.11±3 (p=0.82) 3.15±3 3.07±3 (p=0.90) AHI 6.61±8/hr 5.25±6/hr (p=0.37) 6.35±8/hr 7.68±11/hr Conclusion In this Veterans, there via when compared in-person. supports feasibility more widespread services treatment OSA order improve access without compromising patient outcomes. Support (if any) OCC FY21 RFA, VAGLAHS GRECC, K24HL143055