Respiratory disorders Respiratory
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Randomised controlled trial: 1. Diagnosis of SDB (AHI >=15) confirmed with a home-based sleep study and requiring PAP therapy 2. Patients naive to domiciliary PAP therapy 3. Age >= 18 years Nested Qualitative Study: Patients participating in study 1
Exclusion criteria
Exclusion criteria: Randomised controlled trial: 1. AHI <15 2. Excessive facial hair which they are unwilling to shave 3. Age <18 years 4. Existing facial pressure ulcers 5. Unable to provide informed consent 6. Known allergy to silicone 7. Keloid scarring 8. Previous domiciliary PAP therapy Nested qualitative study: Patients who are unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Apnoea hypopnea index (AHI) measured using the limited cardio-respiratory sleep study at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Apnoea hypopnea index (AHI) measured using the limited cardio-respiratory sleep study at 3 months 2. Interface leak measured using average L/min and percentage of the intentional leak over 7 days from positive airway pressure (PAP) therapy data downloads at 3 and 6 months 3. Residual AHI measured using PAP therapy data downloads for further validation of AHI at 3 and 6 months 4. Incidence of pressure ulcers measured using the European Pressure Ulcer Advisory Panel (EPUAP) score (0 to 4) at 3 and 6 months 5. Compliance with PAP therapy, measured as hours and percentage of days PAP therapy used >4 hours/night over 28 days, measured prior to 3 and 6 months 7. Symptoms measured using the Epworth Sleepiness Score (ESS) and Sleepiness-Wakefulness Inability and Fatigue test (SWIFT) at baseline, and 3 and 6 months. 8. Comfort as measured by the S3-non-invasive ventilation (S3NIV) questionnaire and the interface questionnaire, at baseline, and 3 and 6 months. | — |
Countries
England, United Kingdom