Potential use of telemedicine in obstructive sleep apnoea patient management

Usual pathwayTelemedicine pathway
DiagnosticAttended PSG and home PGRemotely attended PSG/PG
ConsultationFace-to-face patient–physician consultationPatient–physician teleconsultation
CPAP educationFace-to-face trainingVideo conferencing training
CPAP titrationSleep lab attended CPAP titration and home APAP titrationRemotely attended CPAP titration
CPAP follow-upFace-to-face patient–physician consultationTelemonitoring, patient–physician teleconsultation, automated teledriven feedback, web-based supporting tools

CPAP: continuous positive airway pressure; APAP: automated CPAP; PSG: polysomnography; PG: polygraphy.