Telemonitoring in continuous positive airway pressure-treated patients improves delay to first intervention and early compliance: a randomized trial

Hoet, F; Libert, Walter W.; Sanida, C.; Broecke, Sandra Van Den; Bruyneel, Anne-Violette; Bruyneel, Marie

doi:10.1016/j.sleep.2017.08.016

Cited by 63 publications

(61 citation statements)

References 23 publications

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“…Improved adherence has been shown in four out of seven studies [38,44,48,49]. When assessed, patient acceptance of telemonitoring and satisfaction rates were also positive.…”

Section: Managing Cpap Treated Patients With Tmmentioning

confidence: 80%

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Telemedicine in the diagnosis and treatment of sleep apnoea

Bruyneel

2019

Eur Respir Rev

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@ERSpublicationsUsing telemedicine in obstructive sleep apnoea patients under continuous positive airway pressure therapy leads to reductions in nursing workload, early identification of problematic patients, and at least similar treatment adherence.ABSTRACT Telemedicine (TM) is a current tool in the landscape of medicine. It helps to address public health challenges such as increases in chronic disease in an ageing society and the associated burden in healthcare costs. Sleep TM refers to patient data exchange with the purpose of enhancing disease management. Obstructive sleep apnoea (OSA) syndrome is a chronic disorder associated with a significant morbidity, mainly cardiometabolic, and mortality. Obtaining adequate compliance to continuous positive airway pressure (CPAP) remains the greatest challenge related to OSA treatment, and the adoption of TM to support OSA management makes sense. In addition, the prevalence of OSA is growing and OSA is associated with increased healthcare costs that could be streamlined by the application of TM. In OSA, multiple modalities of TM are utilised, such as telediagnostics, teleconsultation, teletherapy and telemonitoring of patients being treated with CPAP. In the present article, I aim to provide an overview of current practice and the recent developments in TM for OSA management. Concerns related to TM use will also be addressed.

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“…Improved adherence has been shown in four out of seven studies [38,44,48,49]. When assessed, patient acceptance of telemonitoring and satisfaction rates were also positive.…”

Section: Managing Cpap Treated Patients With Tmmentioning

confidence: 80%

“…Indeed, in an RCT from HOET et al [49], telemonitoring was applied to CPAP treated patients with the goal of assessing the impact of telemonitoring on the delay to the first technical intervention after CPAP initiation. 46 patients were randomised to usual care or telemonitoring.…”

Section: Managing Cpap Treated Patients With Tmmentioning

confidence: 99%

Telemedicine in the diagnosis and treatment of sleep apnoea

Bruyneel

2019

Eur Respir Rev

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“…The first weeks after the initiation of NIV are crucial for long‐term adherence, thus the set‐up must be rapidly optimized. Early alerts to the prescribing physician with daily telemonitoring of compliance, leakage and residual AHI may allow prompt intervention and avoid rejection of the therapy by the patient as demonstrated with CPAP …”

Section: Use Of Niv Data In Different Clinical Situationsmentioning

confidence: 99%

“…Early alerts to the prescribing physician with daily telemonitoring of compliance, leakage and residual AHI may allow prompt intervention and avoid rejection of the therapy by the patient as demonstrated with CPAP. 26 Are NIV data useful for clinical follow-up?…”

Section: Connectivity Via External Plugin §mentioning

confidence: 99%

Technological advances in home non‐invasive ventilation monitoring: Reliability of data and effect on patient outcomes

2019

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Home non‐invasive mechanical ventilation (NIV) has become a well‐established treatment for patients with chronic hypercapnic respiratory failure. NIV monitoring has been developed to evaluate the effectiveness of mechanical ventilation on patient outcomes, with built‐in systems providing data on compliance, leaks and respiratory parameters. Although these data seem intuitively useful, two main concerns have been raised in the literature: (i) are they reliable and (ii) to what extent does their use improve patient outcomes. These two concerns are currently relevant since the very recent development of telemonitoring provides the possibility of adjusting ventilator settings remotely, based on the longitudinal assessment of NIV parameters and respiratory variables provided by the system. This may influence the future management strategies of health organizations for patients under home NIV. This narrative review describes technological advances in patient monitoring using home mechanical ventilation with a main focus on data provided by built‐in NIV monitoring systems. The use of these systems is discussed, including their advantages and limitations in different clinical situations, and perspectives for long‐term patient monitoring are discussed.

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“…Self‐management is one of the pillars of the P4 approach to personalized medicine, and newer CPAP monitoring technologies appear to be useful in promoting this . While wireless connectivity is making it increasingly easier for clinicians to monitor CPAP adherence and troubleshoot problems rapidly, it is not clear if usage or outcomes are improved over standard care alone . In contrast, web‐based technology encouraging patient engagement in care appears to be promising …”

Section: Sleepmentioning

confidence: 99%