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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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Autores principales: Garmendia, Onintza, Farré, Ramon, Ruiz, Concepción, Suarez-Girón, Monique, Torres, Marta, Cebrian, Raisa, Saura, Laura, Monasterio, Carmen, Negrín, Miguel A., Montserrat, Josep M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470548/
https://www.ncbi.nlm.nih.gov/pubmed/34575234
http://dx.doi.org/10.3390/jcm10184123
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author Garmendia, Onintza
Farré, Ramon
Ruiz, Concepción
Suarez-Girón, Monique
Torres, Marta
Cebrian, Raisa
Saura, Laura
Monasterio, Carmen
Negrín, Miguel A.
Montserrat, Josep M.
author_facet Garmendia, Onintza
Farré, Ramon
Ruiz, Concepción
Suarez-Girón, Monique
Torres, Marta
Cebrian, Raisa
Saura, Laura
Monasterio, Carmen
Negrín, Miguel A.
Montserrat, Josep M.
author_sort Garmendia, Onintza
collection PubMed
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.
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spelling pubmed-84705482021-09-27 Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study Garmendia, Onintza Farré, Ramon Ruiz, Concepción Suarez-Girón, Monique Torres, Marta Cebrian, Raisa Saura, Laura Monasterio, Carmen Negrín, Miguel A. Montserrat, Josep M. J Clin Med Article 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. MDPI 2021-09-13 /pmc/articles/PMC8470548/ /pubmed/34575234 http://dx.doi.org/10.3390/jcm10184123 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Garmendia, Onintza
Farré, Ramon
Ruiz, Concepción
Suarez-Girón, Monique
Torres, Marta
Cebrian, Raisa
Saura, Laura
Monasterio, Carmen
Negrín, Miguel A.
Montserrat, Josep M.
Telemedicine Strategy to Rescue CPAP Therapy in Sleep Apnea Patients with Low Treatment Adherence: A Pilot Study
title 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_short 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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470548/
https://www.ncbi.nlm.nih.gov/pubmed/34575234
http://dx.doi.org/10.3390/jcm10184123
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