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114 Telemetrically triggered interventions in the first month of CPAP: 6-months results of a prospective, randomized controlled trial

O.D. Schoch; F. Baty; G. Benz; J. Niedermann; M.H. Brutsche
Author and Funding Information

Kantonsspital St.Gallen, Klinik für Pneumologie und Schlafmedizin, St.Gallen, Switzerland


Copyright 2017, American College of Chest Physicians and Swiss Respiratory Society SGP. All Rights Reserved.


Chest. 2017;151(5_S):A10-A11. doi:10.1016/j.chest.2017.04.011
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Introduction: CPAP is the standard treatment for OSAS. Long term adherence is relatively low, many patients abscond in the first months of treatment. In a pilot study, we observed an improvement in 1-month adherence for patients supported with telemetrically triggered interventions. Therefore, a prospectively randomized trial was conducted.

Methods: 240 symptomatic OSAS patients with an apnea-hypopnea index (AHI) of >5/h started CPAP with a structured instruction session of 1 hour, including a trial period in bed. Patients who agreed for long-term CPAP were randomized 1:1 to a telemedicine (TM) or control group (non-TM). For the TM group, CPAP usage, mask leakage and residual AHI were checked on an online data depository 3 times per week during the first month of treatment. Phone calls were undertaken if there was usage < 4h or excessive leakage for 2 consecutive nights. For all patients, data on usage and sleep and daytime quality of life (Quebec sleep Quality QSQ) was collected at 1 and 6 months of treatment.

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