Management of CPAP Follow-up by Telemonitoring in Obstructive Sleep Apnea: The PROTEUS Project
Riccardo Drigo,1 Andrea Ballarin,1 Francesco Menzella,1 Micaela Romagnoli,2 Mauro Salasnich,2 Luigi Marino,3 Paolo Lucernoni,3 Maddalena Chizzolini,4 Pasquale Tondo5 1Department of Critical Care, Unit of Pulmonology, Montebelluna Hospital, Montebelluna, Italy; 2Unit of Pulmonology, Ca’ Foncello Hosp...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-02-01
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| Series: | Nature and Science of Sleep |
| Subjects: | |
| Online Access: | https://www.dovepress.com/management-of-cpap-follow-up-by-telemonitoring-in-obstructive-sleep-ap-peer-reviewed-fulltext-article-NSS |
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| Summary: | Riccardo Drigo,1 Andrea Ballarin,1 Francesco Menzella,1 Micaela Romagnoli,2 Mauro Salasnich,2 Luigi Marino,3 Paolo Lucernoni,3 Maddalena Chizzolini,4 Pasquale Tondo5 1Department of Critical Care, Unit of Pulmonology, Montebelluna Hospital, Montebelluna, Italy; 2Unit of Pulmonology, Ca’ Foncello Hospital, Treviso, Italy; 3Unit of Pulmonology, Vittorio Veneto Hospital, Vittorio Veneto, Italy; 4Unit of Respiratory Rehabilitation, Motta Di Livenza Rehabilitation Hospital, Motta di Livenza, Italy; 5Department of Medical and Surgical Sciences, University of Foggia, Foggia, ItalyCorrespondence: Pasquale Tondo, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy, Email pasquale.tondo@unifg.itPurpose: CPAP is the standard treatment for obstructive sleep apnea (OSA), but as many as 50% of patients discontinue its use, within three years. The PROTEUS project aims to enhance CPAP adherence through telemonitoring.Patients and Methods: OSA patients undergoing CPAP treatment since July 2018, had an in-person reassessment after three months, followed by quarterly telemonitoring by providers, who intervened in cases of poor adherence (less than 4 h·night− 1 or less than 70% of days), excessive mask leakage, or elevated residual apnea-hypopnea index (rAHICPAP).Results: A total of 486 (~87%) out of 558 patients analyzed remained adherent to CPAP after five years. The average rAHICPAP was 3.95 ± 5.25 events·h− 1, the average CPAP usage was 6.35 ± 1.72 hours. Elevated mask leakage occurred in 25% of patients. No significant differences were found between sexes.Conclusion: The PROTEUS project showed promising results in supporting long-term CPAP adherence. However, further research is needed to validate its long-term impact and wider applicability in OSA management.Keywords: CPAP, management, OSA, real-life study, telemonitoring |
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| ISSN: | 1179-1608 |