Remote Monitoring in Obstructive Sleep Apnea
Status: | Terminated |
---|---|
Conditions: | Insomnia Sleep Studies, Pulmonary |
Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
Healthy: | No |
Age Range: | 18 - 90 |
Updated: | 5/7/2016 |
Start Date: | January 2014 |
End Date: | December 2016 |
Remote Monitoring in Obstructive Sleep Apnea Management in Military Veterans
Obstructive sleep apnea (OSA) among Veterans is a condition that imparts a great burden to
the patient in terms of serious co-morbidities and results in a great cost to the VA Health
Care System to treat the co-morbidities, which include heart disease, stroke and
neuropsychiatric disorders. Positive airway pressure (PAP) is used to treat sleep apnea and
studies have shown a poor adherence to treatment. The investigators hypothesize that using
wireless technology will lead to early detection of problems of treatment use and will
translate into early remedial action which will improve the use and effectiveness of
treatment. The investigators will compare two methods. Usual care involves downloading data
from PAP machines at designated 3-month intervals, requiring a face-to-face clinician visit.
Wireless care involved more frequent monitoring and intervention in the event of anomalies
in treatment use or effectiveness.
the patient in terms of serious co-morbidities and results in a great cost to the VA Health
Care System to treat the co-morbidities, which include heart disease, stroke and
neuropsychiatric disorders. Positive airway pressure (PAP) is used to treat sleep apnea and
studies have shown a poor adherence to treatment. The investigators hypothesize that using
wireless technology will lead to early detection of problems of treatment use and will
translate into early remedial action which will improve the use and effectiveness of
treatment. The investigators will compare two methods. Usual care involves downloading data
from PAP machines at designated 3-month intervals, requiring a face-to-face clinician visit.
Wireless care involved more frequent monitoring and intervention in the event of anomalies
in treatment use or effectiveness.
Inclusion Criteria:
- Newly diagnosed OSA patients
- AHI of 5/hour or greater
- Prescribed CPAP therapy
- Able to comply with treatment and understand treatment instructions
Exclusion Criteria:
- Not able to understand study requirements
- Significant cardiorespiratory disease (e.g. COPD, severe CHF)
- Clinical instability at time of apnea diagnosis
- Prescribed BiPap or ASV, which are other types of PAP
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