Remote Monitoring of Positive Airway Pressure Data

Bottaz-Bosson, Guillaume; Midelet, Alphanie; Mendelson, Monique; Borel, Jean-Christian; Martinot, Jean-Benoît; Hy, Ronan Le; Schaeffer, Marie-Caroline; Samson, Adeline; Hamon, Agnès; Tamisier, Renaud; Malhotra, Atul; Pépin, Jean‐Louis; Bailly, Sébastien

doi:10.1016/j.chest.2022.11.034

Cited by 8 publications

(3 citation statements)

References 43 publications

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“…Remote monitoring platforms also offer a valuable means of detecting potential failures in positive airway pressure (PAP) treatment and facilitating timely interventions. Initially, these platforms can help pinpoint instances of elevated or fluctuating residual apnea-hypopnea index (AHI) levels under PAP therapy, as highlighted in a study by Midelet et al [50,51]. Additionally, through telemedicine, healthcare providers can effectively identify cases of high residual AHI attributed to specific issues with PAP equipment.…”

Section: Remote Monitoring Treatment Adherence and Treatment Failuresmentioning

confidence: 99%

“…Telemonitoring has been shown to be as effective as in-person care for improving PAP adherence [65,70] and does not imply increased costs [69]. Telemonitoring is transforming patient follow-up by being implanted in dedicated virtual platforms [50]. Enhancing patients' participation in care through remote management pathways could facilitate the advancement of shared decision-making in the realm of OSA management [71].…”

Section: From Teleconsultations To Collaborative Care Modelsmentioning

confidence: 99%

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The Future of Telemedicine for Obstructive Sleep Apnea Treatment: A Narrative Review

Bailly,

Mendelson,

Baillieul

et al. 2024

JCM

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Obstructive sleep apnea is a common type of sleep-disordered breathing associated with multiple comorbidities. Nearly a billion people are estimated to have obstructive sleep apnea, which carries a substantial economic burden, but under-diagnosis is still a problem. Continuous positive airway pressure (CPAP) is the first-line treatment for OSAS. Telemedicine-based interventions (TM) have been evaluated to improve access to diagnosis, increase CPAP adherence, and contribute to easing the follow-up process, allowing healthcare facilities to provide patient-centered care. This narrative review summarizes the evidence available regarding the potential future of telemedicine in the management pathway of OSA. The potential of home sleep studies to improve OSA diagnosis and the importance of remote monitoring for tracking treatment adherence and failure and to contribute to developing patient engagement tools will be presented. Further studies are needed to explore the impact of shifting from teleconsultations to collaborative care models where patients are placed at the center of their care.

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Section: Remote Monitoring Treatment Adherence and Treatment Failuresmentioning

confidence: 99%

Section: From Teleconsultations To Collaborative Care Modelsmentioning

confidence: 99%

The Future of Telemedicine for Obstructive Sleep Apnea Treatment: A Narrative Review

Bailly,

Mendelson,

Baillieul

et al. 2024

JCM

Self Cite

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“… 7–9 CPAP use can be tracked using telemonitoring, which provides prescribers, home healthcare providers, and patients with daily feedback on adherence, efficacy, and technical problems. 10 …”

Section: Introductionmentioning

confidence: 99%

Sociological determinants of adherence to continuous positive airway pressure in the management of sleep apnoea syndrome: protocol for a transdisciplinary, prospective observational study

Bailly,

Foote,

Mendelson

et al. 2024

BMJ Open

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IntroductionObstructive sleep apnoea syndrome (OSAS) is a chronic multiorgan pathology that has a negative impact on quality of life. Continuous positive airway pressure (CPAP) is the first-line treatment for OSAS. However, CPAP termination rates remain very high, and adherence to therapy is a major issue. To date, studies targeting predictive factors of CPAP adherence by OSAS patients mainly include clinical data. The social, socioeconomic, psychological, and home environment aspects have been far less studied and largely underestimated. This study aims to obtain solid quantitative results examining the relationship between the determinants of refusal, non-adherence, or termination of CPAP treatment, and in particular the pivotal role played by health literacy.Methods and analysisThis is a prospective, multicentre, observational study recruiting patients attending the sleep clinic of the Grenoble Alpes University Hospital, France. Consecutive adults (>18 years) recently diagnosed with OSAS and prescribed CPAP treatment with telemonitoring will be enrolled in the present study. They will benefit from home visits by a CPAP technician or nurse at CPAP initiation. Patients will then be followed up for 6 months through the telemonitoring platform of a home-care provider. The primary objective is to evaluate the impact of health literacy (health literacy, measured by the European Health Literacy Survey questionnaire (HLS-EU-16) on the refusal, non-adherence or termination of CPAP treatment in newly diagnosed OSAS patients, during the first 6 months after diagnosis. The target sample size is 250 participants.Ethics and disseminationThe study protocol, patient information, and the non-opposition form were approved by the French national ethics committee (CPP 2021-92, January 2022). All patients are required to have signed a written informed consent form permitting their anonymised personal and medical data to be used for clinical research purposes. We will publish the results in a peer-reviewed medical journal and on our institutional websites.Trial registration numberNCT05385302.

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Telemedicine strategies to improve PAP adherence

Cao,

Sahni

2025

Principles and Practice of Sleep Telemedicine

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Remote Monitoring of Positive Airway Pressure Data

Cited by 8 publications

References 43 publications

The Future of Telemedicine for Obstructive Sleep Apnea Treatment: A Narrative Review

The Future of Telemedicine for Obstructive Sleep Apnea Treatment: A Narrative Review

Sociological determinants of adherence to continuous positive airway pressure in the management of sleep apnoea syndrome: protocol for a transdisciplinary, prospective observational study

Telemedicine strategies to improve PAP adherence

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