Obstructive Sleep Apnea
Conditions
Keywords
sleep apnea, CPAP treatment, telemedicine, nursing time, patient satisfaction
Brief summary
Wireless telemonitoring is compared with regular nursing procedure in terms of patient satisfaction, adherence to continuous positive pressure (CPAP) treatment and nursing time during the habituation phase of the CPAP therapy in obstructive sleep apnea syndrome (OSAS).
Detailed description
Both patients and study nurses were unblinded for the wireless telemonitoring system (ResTraxx™Online, ResMed, Sydney, Australia). The module was attached to the S9 Elite™ (ResMed, Sydney, Australia) CPAP device, which transmitted compliance data every day automatically to the ResTraxx™ Online (ResMed, Sydney, Australia) data base. The treatment was considered successful when CPAP use was \>4 h/day, mask leak \<0.4 L/s, and AHI \<5/h during the last 6 days. Study nurses made the data check-ups daily during weekdays and if the criteria for successful CPAP therapy was not achieved during two consecutive nights the nurses adjusted the CPAP pressure remotely and called the patient to give further advice. Patients had also a control viist aftr one year.
Interventions
DEVICETelemonitoring via wireless internet-based system
Sponsors
Turku University Hospital
University of Turku
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The Ethics Committee approval was not required, since this study was part of our quality assurance procedure to revise the treatment protocol.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients with diagnosed obstructive sleep apnea
Exclusion criteria
* Not able to understand Finnish language * Unable to co-operate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nursing time | One year after the baseline | Nursing time of the TM group was estimated as follows: patient education regarding ResTraxx™ Online system (2 min), online data check-ups (0.5 min), remote changes for pressure settings (1 min), telephone guidance (5 min for the end of monitoring, 10 min for each extra call), visit at the study nurse (30- 60 min depending on type of visit), updating the patient records (2 min), and no show visits, which led to organizing a new appointment (20min). The time estimations are based on the measurements of the first 20 telemonitored patients. Nursing time in the UC Group was estimated with the same time calculations as in the TM group presented above with the exception of ttelemonitoring time which was not applicable in the UC group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hours of CPAP use | One year after baseline | Hours of CPAP use measured by the inbuilt counter of the CPAP device |
Other
| Measure | Time frame | Description |
|---|---|---|
| Residual apnea-hypopnea index (AHI) | One year after baseline | Maan AHI over 12 months according the CPAP-device |
Countries
Finland
Outcome results
None listed