Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study
Patients with sleep apnea are usually treated with continuous positive airway pressure (CPAP). This therapy is very effective if the patient′s adherence is satisfactory. However, although CPAP adherence is usually acceptable during the first months of therapy, it progressively decreases, with a cons...
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doaj-7217524611ac416d90aec5493aff919c2021-09-26T00:28:12ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-01104123412310.3390/jcm10184123Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot StudyOnintza Garmendia0Ramon Farré1Concepción Ruiz2Monique Suarez-Girón3Marta Torres4Raisa Cebrian5Laura Saura6Carmen Monasterio7Miguel A. Negrín8Josep M. Montserrat9Sleep Unit, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainUnitat de Biofisica i Bioenginyeria, Facultat de Medicina i Ciencies de la Salut, Universitat de Barcelona, 08036 Barcelona, SpainSleep Unit, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainSleep Unit, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainCIBER de Enfermedades Respiratorias, 28029 Madrid, SpainEsteve Teijin, 08029 Barcelona, SpainEsteve Teijin, 08029 Barcelona, SpainMultidisciplinary Sleep Unit, Department of Respiratory Medicine, Hospital Universitari de Bellvitge, 08907 L’Hospitalet de Llobregat, SpainQuantitative Methods Department, TiDES Institute, Las Palmas de Gran Canaria University, 35001 Las Palmas de Gran Canaria, SpainSleep Unit, Hospital Clínic-Universitat de Barcelona, 08036 Barcelona, SpainPatients with sleep apnea are usually treated with continuous positive airway pressure (CPAP). This therapy is very effective if the patient′s adherence is satisfactory. However, although CPAP adherence is usually acceptable during the first months of therapy, it progressively decreases, with a considerable number of patients accepting average treatment duration below the effectiveness threshold (4 h/night). Herein, our aim was to describe and evaluate a novel telemedicine strategy for rescuing CPAP treatment in patients with low adherence after several months/years of treatment. This two-week intervention includes (1) patient support using a smartphone application, phone and voice recorder messages to be answered by a nurse, and (2) daily transmission and analysis of signals from the CPAP device and potential variation of nasal pressure if required. On average, at the end of the intervention, median CPAP adherence considerably increased by 2.17 h/night (from 3.07 to 5.24 h/night). Interestingly, the procedure was able to markedly rescue CPAP adherence: the number of patients with poor adherence (<4 h/night) was considerably reduced from 38 to 7. After one month, adherence improvement was maintained (median 5.09 h/night), and only 13 patients had poor adherence (<4 h/night). This telemedicine intervention (103€ per included patient) is a cost-effective tool for substantially increasing the number of patients with CPAP adherence above the minimum threshold for achieving positive therapeutic effects.https://www.mdpi.com/2077-0383/10/18/4123obstructive sleep apneasleep breathing disordersnasal pressurepatient adherencecompliancetelemedicine interventions |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Onintza Garmendia Ramon Farré Concepción Ruiz Monique Suarez-Girón Marta Torres Raisa Cebrian Laura Saura Carmen Monasterio Miguel A. Negrín Josep M. Montserrat |
spellingShingle |
Onintza Garmendia Ramon Farré Concepción Ruiz Monique Suarez-Girón Marta Torres Raisa Cebrian Laura Saura Carmen Monasterio Miguel A. Negrín Josep M. Montserrat Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study Journal of Clinical Medicine obstructive sleep apnea sleep breathing disorders nasal pressure patient adherence compliance telemedicine interventions |
author_facet |
Onintza Garmendia Ramon Farré Concepción Ruiz Monique Suarez-Girón Marta Torres Raisa Cebrian Laura Saura Carmen Monasterio Miguel A. Negrín Josep M. Montserrat |
author_sort |
Onintza Garmendia |
title |
Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study |
title_short |
Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study |
title_full |
Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study |
title_fullStr |
Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study |
title_full_unstemmed |
Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study |
title_sort |
telemedicine strategy to rescue cpap therapy in sleep apnea patients with low treatment adherence: a pilot study |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-09-01 |
description |
Patients with sleep apnea are usually treated with continuous positive airway pressure (CPAP). This therapy is very effective if the patient′s adherence is satisfactory. However, although CPAP adherence is usually acceptable during the first months of therapy, it progressively decreases, with a considerable number of patients accepting average treatment duration below the effectiveness threshold (4 h/night). Herein, our aim was to describe and evaluate a novel telemedicine strategy for rescuing CPAP treatment in patients with low adherence after several months/years of treatment. This two-week intervention includes (1) patient support using a smartphone application, phone and voice recorder messages to be answered by a nurse, and (2) daily transmission and analysis of signals from the CPAP device and potential variation of nasal pressure if required. On average, at the end of the intervention, median CPAP adherence considerably increased by 2.17 h/night (from 3.07 to 5.24 h/night). Interestingly, the procedure was able to markedly rescue CPAP adherence: the number of patients with poor adherence (<4 h/night) was considerably reduced from 38 to 7. After one month, adherence improvement was maintained (median 5.09 h/night), and only 13 patients had poor adherence (<4 h/night). This telemedicine intervention (103€ per included patient) is a cost-effective tool for substantially increasing the number of patients with CPAP adherence above the minimum threshold for achieving positive therapeutic effects. |
topic |
obstructive sleep apnea sleep breathing disorders nasal pressure patient adherence compliance telemedicine interventions |
url |
https://www.mdpi.com/2077-0383/10/18/4123 |
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