Management of continuous positive airway pressure treatment compliance using telemonitoring in obstructive sleep apnoea
| Autor: | Cecilia Turino, Anabel L. Castro-Grattoni, Jordi de Batlle, Silvia Gómez, Holger Woehrle, Ferran Barbé, Mireia Dalmases, Ana Mayoral, Manuel Sánchez-de-la-Torre |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Telemedicine medicine.medical_specialty Cost-Benefit Analysis medicine.medical_treatment law.invention 03 medical and health sciences 0302 clinical medicine Patient satisfaction Quality of life Randomized controlled trial law medicine Humans Prospective Studies Continuous positive airway pressure Prospective cohort study Aged Sleep Apnea Obstructive Continuous Positive Airway Pressure business.industry Sleep apnea Middle Aged medicine.disease Quality-adjusted life year Logistic Models Treatment Outcome 030228 respiratory system Patient Satisfaction Spain Quality of Life Physical therapy Patient Compliance Female Quality-Adjusted Life Years business 030217 neurology & neurosurgery |
| Zdroj: | European Respiratory Journal. 49:1601128 |
| ISSN: | 1399-3003 0903-1936 |
| Popis: | Continuous positive airway pressure (CPAP) is an effective treatment for obstructive sleep apnoea (OSA), but treatment compliance is often unsatisfactory. This study investigated the efficacy and cost-effectiveness of telemonitoring for improving CPAP compliance.100 newly diagnosed OSA patients requiring CPAP (apnoea–hypopnoea index >15 events·h−1) were randomised to standard management or a telemonitoring programme that collected daily information about compliance, air leaks and residual respiratory events, and initiated patient contact to resolve issues. Clinical/anthropometric variables, daytime sleepiness and quality of life were recorded at baseline and after 3 months. Patient satisfaction, additional visits/calls, side-effects and total costs were assessed.There were no significant differences between the standard and telemedicine groups in terms of CPAP compliance (4.9±2.2 versus 5.1±2.1 h·night−1), symptoms, clinical variables, quality of life and unwanted effects. Telemedicine was less expensive than standard management (EUR123.65 versus EUR170.97; p=0.022) and was cost-effective (incremental cost-effectiveness ratio EUR17 358.65 per quality-adjusted life-year gained). Overall patient satisfaction was high, but significantly more patients rated satisfaction as high/very high in the standard management versus telemedicine group (96% versus 74%; p=0.034).Telemonitoring did not improve CPAP treatment compliance and was associated with lower patient satisfaction. However, it was more cost-effective than traditional follow-up. |
| Databáze: | OpenAIRE |
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