title: Effect of telemetric monitoring in the first 30 days of continuous positive airway pressure adaptation for obstructive sleep apnoea syndrome - a controlled pilot study.
abstract: Obstructive sleep apnoea syndrome (OSAS) is characterised by repetitive collapse of the upper airway during sleep. Continuous positive airway pressure (CPAP) applied via a mask is the standard treatment for OSAS. CPAP adherence is crucial in therapy to prevent the deleterious consequences of OSAS. We hypothesised that a combination of supervision by telemetry together with targeted telephone support in the first month of CPAP would increase CPAP adherence and treatment success. A total of 113 OSAS patients followed by telemetry-triggered interventions used the device for 5.3 h/night on 28/30 nights, significantly more than the 110 OSAS patients in the control group with 4.6 h/night and 27/30 nights. Telemetry-triggered interventions have a significant impact on adherence rate in early CPAP treatment. These results can be reached with an acceptable additional effort.
authors.affiliation: Klinik für Pneumologie und Schlafmedizin, Zentrum für Schlafmedizin, Kantonsspital St Gallen, Switzerland.
authors.forename: Matthias
authors.initials: M
authors.lastname: Frasnelli
authors.affiliation: Klinik für Pneumologie und Schlafmedizin, Zentrum für Schlafmedizin, Kantonsspital St Gallen, Switzerland.
authors.forename: Florent
authors.initials: F
authors.lastname: Baty
authors.affiliation: Klinik für Pneumologie und Schlafmedizin, Zentrum für Schlafmedizin, Kantonsspital St Gallen, Switzerland.
authors.forename: Jolanda
authors.initials: J
authors.lastname: Niedermann
authors.affiliation: Klinik für Pneumologie und Schlafmedizin, Zentrum für Schlafmedizin, Kantonsspital St Gallen, Switzerland.
authors.forename: Martin H
authors.initials: MH
authors.lastname: Brutsche
authors.affiliation: Klinik für Pneumologie und Schlafmedizin, Zentrum für Schlafmedizin, Kantonsspital St Gallen, Switzerland Otto.schoch@kssg.ch.
authors.forename: Otto D
authors.initials: OD
authors.lastname: Schoch
mesh_terms: D045422:Continuous Positive Airway Pressure / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010865:Pilot Projects; D020181:Sleep Apnea, Obstructive / Q000628:therapy*; D017216:Telemedicine / Q000379:methods*; D013686:Telemetry / Q000379:methods
keywords: Telemetry; continuous positive airway pressure; obstructive sleep apnoea syndrome; telemetric monitoring; telemetry-triggered interventions