O011 Effect of Continuous Positive Airway Pressure on Quality of Life and Treatment Burden in Children with Obstructive Sleep Apnoea

Abstract Introduction Increasing numbers of children with obstructive sleep apnoea (OSA) require treatment continuous positive airway pressure (CPAP). We aimed to assess the impact on quality life (QOL) and burden for caregivers requiring CPAP. Methods Prospective study commencing outpatient CPAP in a tertiary unit 2020-2022. Questionnaires regarding sleep-related symptoms (PROMIS Pediatric Sleep Disturbance Sleep-Related Impairment), QOL (OSA-18, QI-Disability), caregiver (Caregiver Strain Questionnaire) overall health (Glasgow Children’s Benefit Inventory) were completed by at commencement 6 weeks later. Progress Complete data available date 24 (6F; median age 12.5y, range 6-18y; OAHI 9.2/hr; BMI 30.7). OSA-related significantly improved follow-up (OSA-18 total domain scores all p<0.001). There significant improvements child general (p<0.0001), disturbance (p<0.01) impairment (p<0.001). Caregivers rated as beneficial their child’s condition (mean 30, where maximum harm -100, benefit +100). Caregiver strain reduced (p<0.001) outweighed inconvenience (p<0.0001). 3 scored higher than benefit; 1 them equally. harmful reported no effect health. Outcome results OSA, reductions strain. Perceived benefits generally treatment, but not families. Further analysis will investigate how balance relates adherence co-morbidities.