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Non-invasive ventialtion (NIV) - Our experience of telemonitoring in a remote and rural service

Phyllis Murphie, Robin Paton, Stuart Little
European Respiratory Journal 2016 48: PA3710; DOI: 10.1183/13993003.congress-2016.PA3710
Phyllis Murphie
1Respiratory Medicine, NHS Dumfries and Galloway, Dumfries, Dumfries and GallowayUnited Kingdom
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Robin Paton
1Respiratory Medicine, NHS Dumfries and Galloway, Dumfries, Dumfries and GallowayUnited Kingdom
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Stuart Little
1Respiratory Medicine, NHS Dumfries and Galloway, Dumfries, Dumfries and GallowayUnited Kingdom
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Abstract

We manage patients on NIV with a diagnosis of obstructive sleep apnoea hypopnoea syndrome (OSAHS), obesity hypoventilation syndrome (OHS), and neuromuscular disorders (ND's). In 2015 we initiated telemonitoring with NIV devices that facilitate efficacy data transfer to a secure website for those commenced on NIV for the first 30 days following initiation with the option for long term telemonitoring where this is thought to be appropriate.

Aim: Explore potential benefits of telemonitoring in NIV users.

Methods: Assess the impact of telemonitoring on service delivery and review the telemetry data in terms of adherence to therapy, mask fit and efficacy of NIV therapy.

Results: 18 patients now commenced on NIV with telemetry data available. 6 have a diagnosis of ND's; 3 with adherence of 5.5-9.5 hours/night and 3 with adherence of < 2 hours per night. 12 with a diagnosis of severe OSAHS/OHS have an average adherence of 4.8 hours/night and an average apnoea hypopnoea index (AHI) of 6 with only 3 having significant mask leak. The data transmission has been unproblematic and NIV adherence/efficacy data can be viewed on a daily basis or as needed.

Conclusion: Where poor NIV adherence/high mask leaks are seen this prompts early telephone/clinic follow up. Our experience to date of those commenced on NIV telemonitoring is positive (with no adverse outcomes reported) and allows us to monitor the adherence/ efficacy data remotely and intervene where necessary. Our expereince of remote telemonitoring in NIV users so far is positive and propose that it may be advantageous for patients/clinicians and we are now planning a pilot randomised controlled trial in 2017 to explore this further.

  • Non-invasive ventilation - long-term
  • Telemedicine
  • E-health
  • Copyright ©the authors 2016
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Non-invasive ventialtion (NIV) - Our experience of telemonitoring in a remote and rural service
Phyllis Murphie, Robin Paton, Stuart Little
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3710; DOI: 10.1183/13993003.congress-2016.PA3710

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Non-invasive ventialtion (NIV) - Our experience of telemonitoring in a remote and rural service
Phyllis Murphie, Robin Paton, Stuart Little
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3710; DOI: 10.1183/13993003.congress-2016.PA3710
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