OSA, Apoplexy
Conditions
Keywords
OSA, Apoplexy, CPAP, adherence, telemonitoring
Brief summary
Apoplexy patients with OSA are often not receiving a CPAP therapy due to generally poor acceptance and adherence. There is a great potential to significantly improve the treatment and care of these patients in a time economic way by telemonitoring the therapy in home environment. This study is planned to prove that telephone consultancy and motivation in times of recorded decreasing CPAP therapy usage can improve adherence, neurological function and quality of life.
Detailed description
Eligible patients with confirmed OSA from neurological rehab department of Helios Clinic Hagen Ambrock are asked to join the study. They will be randomly assigned to one of two arms \[CPAP with Telemonitoring (MTM) or without Telemonitoring (OTM)\] for 6 months of home treatment after hospital discharge. The MTM arm will receive supporting phone calls when the monitored usage time decreases.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* s/p ACM (Arteria Cerebri Media Insult) * Diagnosed OSA AHI \>15/h * Barthel Index item 8 \> 5 points (or home assistance) * Life expectancy \>6 month * Capable of giving consent
Exclusion criteria
* Already existing ventilatory support (CPAP, NIV etc) * Central AI \>50% baseline * Central AI \>5/h under CPAP therapy * Drug abuse * Pregnant or nursing women * Participation in another clinical trial last 4 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to CPAP usage | 6 months | CPAP device usage time will be readout and compared. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | 6 months | Patients will fill the questionnaire SF-12 Health Survey before starting the therapy and after 6 months of therapy. |
Countries
Germany