Management of continuous positive airway pressure treatment compliance using telemonitoring in obstructive sleep apnoea.

Source: Turino et al. 2017 - Pubmed ID: 28179438

Setting: Spain, Single-center, Hospital

Study design:

RCT

 

Follow up: 3 months

Patient group:

Sample size:

Total: 100(100)

IG: 52(52)

CG: 48(48)

 

Inclusion criteria:

  • Newly diagnosed obstructive sleep apnoea
  • Apnoea-hypopnoea index >15 events/hr
Type of technology:

Home monitoring

  • CPAP with modem

Webpage

  • Information
Intervention:

Intervention: CPAP with modem and telephone problem-solving was compared to normal CPAP

 

Duration: 3 months

Add on: +

 

Control group: Usual Care

Clinical effect/ Patient safety:

Clinical effect:

  • Treatment compliance→
  • Symptoms→
  • Blood Pressure→
  • Quality of Life (EQ-5D)→
  • Total cost pr. patient↓
  • QALY→

 

Patient safety:

  • Secondary effects→
  • Complications→
Patient experiences/ Staff experiences:

Patient experiences:

  • Lower satisfaction in intervention group
  • Concerns about privacy

 

Staff experiences: NA

Costs and organization:

Investment:
Equipment

  • CPAP with modem

 

Running: NA

 

Organization: NA

 

Health care utilization:

  • Hospital visits and consultations↓
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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)