Multidisciplinary Communication, Sleep Apnea, Sleep Apnea, Obstructive, Sleep Apnea Syndromes
Conditions
Brief summary
Sleep apnea is a prevalent problem and references for the evaluation of this condition often exceeds the sleep clinic's capacity thus creating important delays in the patients' care. The overall goal of this project is to assess the feasibility and the non-inferiority of integrating a clinical nurse, or supernurse, to the initial consultation team. The hypothesis is that the integration of a clinical nurse to the sleep clinic's evaluation team is non inferior in terms of patients' outcomes such as improvement of symptoms and quality of life as well as adherence to treatment. This study is supported by funding dedicated to teaching and research activities related to sleep-disordered breathing.
Interventions
OTHERClinical nurse (supernurse) evaluation
The first evaluation of the patient refered to the sleep clinic will be performed by the clinical nurse then discussed with the pulmonologist in charge.
The first evaluation of the patient refered to the sleep clinic will be performed only by the pulmonologist.
Sponsors
Laval University
Annie C Lajoie
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients referred to the ''Institut Universitaire de Cardiologie et Pneumologie de Québec'' 's sleep clinic who have undergone a cardiorespiratory polygraphy. * Body mass index (BMI) between 27-35 kg/m2; * Apnea-Hypopnea Index (ADI) equal or above 20 events per hour with less than 5 events per hour of central origin; * Oxygen Desaturaton Index (ODI) equal or above 10 events per hour; * Percentage of time spent below 90% of oxygen saturation equal or less than 10%
Exclusion criteria
: \- Patients not meeting the above inclusion criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in symptoms | Assessed at three months | Based on the Epworth Sleepiness scale (ranging from 0 to 24 points, higher values indicates increased sleepiness) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in quality of life | Assessed at three months | Based on the Quebec Sleep questionnaire |
| Positive pressure treatment adherence | Assessed at six months | Number of hours used per night according to CPAP report |
| Mandibular advancement device treatment adherence | Assessed at six months | According to the patient's usage report |
| Weight loss treatment adherence | Assessed at six months | Changes from baseline weight (kg) |
| Positional therapy | Assessed at six months | Proportion of time spent supine at baseline and at control cardio-respiratory recording |
Countries
Canada
Outcome results
None listed