Could an external Medical Center with telemonitoring help in home positive airway pressure treatment? A pilot study.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2025-05-14 DOI:10.1007/s11325-025-03358-4

Federica Di Giorgi, Massimiliano Desideri, Vanessa Lo Nano, Piero Ingrao, Claudia Meschi, Chiara Cappiello, Eva Palano, Laura Carrozzi, Maria Rosaria Bonsignore

{"title":"Could an external Medical Center with telemonitoring help in home positive airway pressure treatment? A pilot study.","authors":"Federica Di Giorgi, Massimiliano Desideri, Vanessa Lo Nano, Piero Ingrao, Claudia Meschi, Chiara Cappiello, Eva Palano, Laura Carrozzi, Maria Rosaria Bonsignore","doi":"10.1007/s11325-025-03358-4","DOIUrl":null,"url":null,"abstract":"Purpose: Telemedicine is useful for home management of sleep disordered breathing (SDB). However, the number of patients with SDB is high and public resources are low. The aim of this pilot study, conducted by the Universities of Pisa and Palermo, was to assess whether an external Medical Center, based on telemonitoring, could help in the management of patients on home positive airway pressure (PAP) treatment.Methods: The management model included the following professional figures: the sleep physician, the local home care provider performing diagnostic studies and home PAP titration, and the external Medical Center monitoring PAP therapy alerts. A dedicated App allowed patients to answer questionnaires, receive alerts and contact the external Medical Center. Data on mask leakage, hours of use and efficacy were available on a web platform. Patients were evaluated with videocalls at 1, 2 and 4 months and as needed.Results: We enrolled 30 subjects, 27 patients received Continuous PAP and 3 patients received Bilevel devices. Five patients withdrew during titration and 1 during follow-up. The number of interventions for technical problems requested by patients to the external Medical Center was highly variable. During the titration phase the interventions required were 2.1 ± 2.0 (range 0-11), while during the 4-month follow-up they were 6.0 ± 4.5 (range 0-18). At the end of follow-up, 93% of patients were satisfied by the telemedicine protocol.Conclusion: A model of telemedicine using an external Medical Center can help in the home management of patients with SDB during both home titration and long-term treatment. FISR2020IP_02014 Project (MUR). May 2021.","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 2","pages":"183"},"PeriodicalIF":2.1000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep and Breathing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11325-025-03358-4","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: Telemedicine is useful for home management of sleep disordered breathing (SDB). However, the number of patients with SDB is high and public resources are low. The aim of this pilot study, conducted by the Universities of Pisa and Palermo, was to assess whether an external Medical Center, based on telemonitoring, could help in the management of patients on home positive airway pressure (PAP) treatment.

Methods: The management model included the following professional figures: the sleep physician, the local home care provider performing diagnostic studies and home PAP titration, and the external Medical Center monitoring PAP therapy alerts. A dedicated App allowed patients to answer questionnaires, receive alerts and contact the external Medical Center. Data on mask leakage, hours of use and efficacy were available on a web platform. Patients were evaluated with videocalls at 1, 2 and 4 months and as needed.

Results: We enrolled 30 subjects, 27 patients received Continuous PAP and 3 patients received Bilevel devices. Five patients withdrew during titration and 1 during follow-up. The number of interventions for technical problems requested by patients to the external Medical Center was highly variable. During the titration phase the interventions required were 2.1 ± 2.0 (range 0-11), while during the 4-month follow-up they were 6.0 ± 4.5 (range 0-18). At the end of follow-up, 93% of patients were satisfied by the telemedicine protocol.

Conclusion: A model of telemedicine using an external Medical Center can help in the home management of patients with SDB during both home titration and long-term treatment. FISR2020IP_02014 Project (MUR). May 2021.

查看原文本刊更多论文

有远程监控的外部医疗中心是否有助于家庭气道正压治疗？一项初步研究。

目的：远程医疗有助于睡眠呼吸障碍（SDB）的家庭管理。然而，SDB患者数量多，公共资源少。这项由比萨大学和巴勒莫大学进行的试点研究的目的是评估基于远程监测的外部医疗中心是否可以帮助管理接受家庭气道正压（PAP）治疗的患者。方法：管理模式包括以下专业人员：睡眠医生，进行诊断研究和家庭PAP滴定的当地家庭护理提供者，以及外部医疗中心监测PAP治疗警报。一个专门的应用程序允许患者回答问卷，接收警报并联系外部医疗中心。口罩泄漏、使用时间和功效的数据可在网络平台上获得。在1个月、2个月和4个月以及根据需要对患者进行视频通话评估。结果：共纳入30例受试者，27例患者接受连续PAP治疗，3例患者接受双水平PAP治疗。5例患者在滴定期间退出，1例患者在随访期间退出。患者要求外部医疗中心对技术问题进行干预的次数变化很大。在滴定阶段，干预要求为2.1±2.0（范围0-11），而在4个月的随访期间，干预要求为6.0±4.5（范围0-18）。随访结束时，93%的患者对远程医疗方案满意。结论：利用外部医疗中心的远程医疗模式有助于SDB患者在家庭滴定和长期治疗期间的家庭管理。FISR2020IP_02014项目（MUR）2021年5月。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.