PT  - JOURNAL ARTICLE
AU  - Schoch, Otto
AU  - Benz, Gabriel
AU  - Baty, Florent
AU  - Niedermann, Jolanda
AU  - Brutsche, Martin
TI  - Telemetrically triggered interventions in the first month of cpap treatment - A prospective, randomized controlled intervention trial in patients with a new diagnosis of obstructive sleep apnea syndrome
AID  - 10.1183/13993003.congress-2016.PA3431
DP  - 2016 Sep 01
TA  - European Respiratory Journal
PG  - PA3431
VI  - 48
IP  - suppl 60
4099  - http://erj.ersjournals.com/content/48/suppl_60/PA3431.short
4100  - http://erj.ersjournals.com/content/48/suppl_60/PA3431.full
SO  - Eur Respir J2016 Sep 01; 48
AB  - Introduction: We observed improvements in 1-month CPAP adherence for new OSAS patients supported with telemetrically triggered supporting interventions in a pilot study.Methods: OSAS patients with AHI >5/h agreeing for long-term CPAP were randomized 1:1 to telemedicine (TM) or control group (non-TM). The primary endpoint was 1-month adherence. TM patients were monitored 3x per week for CPAP usage and mask leakage. Supportive phone calls were undertaken if there were 2 nights of usage <4h or excessive leakage.Results: 240 patients were randomized. 17 early absconders (11 TM, 6 non-TM) were excluded Among TM patients, 28 (26%) had no, 40 (37%) 1 or 2 and 41 (37%) 3 or more calls. Usage did not differ between groups A significant increase in usage was observed in the quartile of patients with low baseline Epworth sleepiness scale (ESS) scores.With telemedicineWithout telemedicinep-valueN109114Gender (M/F)83.5%83.3%1Age (Years)55.1 [44.1-63.9]57.3 [47-65.3]0.597BMI (kg/m2)30.8 [27.3-35.2]31 [28-34.9]0.614AHI (events/h)37 [23-68]49.9 [27-67.5]0.0891ODI (events/h)31 [18-58]36 [21.5-59.5]0.216ESS (score points)10 [6-13.5]10 [8-13]0.704Baseline characteristics of the study populationWith telemedicineWithout telemedicinep-valueN109114Daily usage5.23 [3.66-6.45]4.93 [3.69-6.56]0.868Proportion of nights with CPAP use0.967 [0.8-1]0.967 [0.8-1]0.876Prop. of nights with efficient CPAP use0.767 [0.47-0.93]0.733 [0.5-0.93]0.906Conclusion: Targeted patient support to patients with CPAP usage problems in the first month did not result in significant increase in usage.