Effect of telemetric monitoring in the first 30 days of continuous positive airway pressure adaptation for obstructive sleep apnoea syndrome - a controlled pilot study

J Telemed Telecare. 2016 Jun;22(4):209-14. doi: 10.1177/1357633X15598053. Epub 2015 Aug 6.

Abstract

Obstructive sleep apnoea syndrome (OSAS) is characterised by repetitive collapse of the upper airway during sleep. Continuous positive airway pressure (CPAP) applied via a mask is the standard treatment for OSAS. CPAP adherence is crucial in therapy to prevent the deleterious consequences of OSAS. We hypothesised that a combination of supervision by telemetry together with targeted telephone support in the first month of CPAP would increase CPAP adherence and treatment success. A total of 113 OSAS patients followed by telemetry-triggered interventions used the device for 5.3 h/night on 28/30 nights, significantly more than the 110 OSAS patients in the control group with 4.6 h/night and 27/30 nights. Telemetry-triggered interventions have a significant impact on adherence rate in early CPAP treatment. These results can be reached with an acceptable additional effort.

Keywords: Telemetry; continuous positive airway pressure; obstructive sleep apnoea syndrome; telemetric monitoring; telemetry-triggered interventions.

Publication types

  • Clinical Trial

MeSH terms

  • Continuous Positive Airway Pressure / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance
  • Pilot Projects
  • Sleep Apnea, Obstructive / therapy*
  • Telemedicine / methods*
  • Telemetry / methods