Obstructive Sleep Apnea, Telemedicine
Conditions
Keywords
Sleep Apnea, Communication Based Technology, ICT
Brief summary
This project develops a new form of management of subjects with suspected SAHS and different sleep disorders by applying Information and communications technologies (ICT).
Detailed description
Sleep apnea hypopnea syndrome (SAHS) is a prevalent disease with significant morbidity resulting in long waiting lists and high health care costs. Therefore, alternative cost-effective approaches are urgently needed. A possible procedure is telemedicine based on ICT. The design of the study is prospective, randomized, controlled, open and parallel. A ICT-based out of hospital management of SAHS is implemented to be compared with the classical in-hospital management. The main objectives were the evaluation of both groups and the analysis of efficacy and cost effectiveness of two SAHS management programs. This is a 3 month randomized, with parallel groups study. Participants will be patients with suspicion of SAHS derived to the Investigators' Sleep Unit. Patients are randomized in two groups; 1) classical in-hospital group: polysomnography or home respiratory polygraphy (HRP), CPAP titration and treatment and hospital follow-up; and 2) ICT group: 3 consecutive HRPs, automatic CPAP treatment and control by phone/video conferences and data transmission by using a custom designed platform.
Interventions
Diagnosis outside the hospital (3 Home PR) CPAP (if needed) titration at home REmote control of patient's during 3 months by video or phonoconference
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical suspicion of SAHS * Use of Smartphone and internet
Exclusion criteria
* Severe hypersomnia * Central apneas or other sleep disorder * Previous CPAP treatment * Unstable diseases * Profession of risk * Not able to complete questionnaires * No written informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the two SAHS management programs | 3 months | Quebec sleep questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cost-effectiveness of the two SAHS management programs | 3 months | Costs of visits and transport of both groups (Bayesian analysis techniques) |
Countries
Spain