Journal article
Telemedicine compared to standard face-to-face care for continuous positive airway pressure treatment: real-world Australian experience
Sleep (New York, N.Y.), Vol.45(10)
2022
PMID: 35830509
Abstract
Study Objectives
We tested a telemedicine model of care to initiate continuous positive airway pressure (CPAP) for patients with obstructive sleep apnea (OSA) living in remote Western Australia.
Methods
A prospective study comparing telemedicine for CPAP initiation in a remote population versus standard face-to-face CPAP initiation in a metropolitan population. The primary outcome was average nightly CPAP use in the final week of a CPAP trial.
Results
A total of 186 participants were allocated to either telemedicine (n = 56) or standard care (n = 130). The average distance from the study center for the telemedicine group was 979 km (±792 km) compared to 19 km (±14 km) for the standard care group. The CPAP trial duration in the standard care group was less than the telemedicine group (37.6 vs 69.9 days, p < .001). CPAP adherence in the telemedicine group was not inferior to standard care (Standard 4.7 ± 0.2 h, Telemedicine 4.7 ± 0.3 h, p = 0.86). No differences were found between groups in residual apnea-hypopnea index, symptom response, sleep specific quality of life at the end of the trial, and continued CPAP use (3–6 months). Participant satisfaction was high in both groups. Total health care costs of the telemedicine model were less than the standard model of care. An estimated A$4538 per participant in travel costs was saved within the telemedicine group by reducing the need to travel to the sleep center for in-person management.
Conclusions
In remote dwelling adults starting CPAP for the treatment of OSA, outcomes using telemedicine were comparable to in-person management in a metropolitan setting.
Details
- Title
- Telemedicine compared to standard face-to-face care for continuous positive airway pressure treatment: real-world Australian experience
- Authors/Creators
- Christopher Kosky - Sir Charles Gairdner HospitalNeill Madeira - Sir Charles Gairdner HospitalKate Boulton - Sir Charles Gairdner HospitalMarie-Therese Hunter - Sir Charles Gairdner HospitalIvan Ling - Sir Charles Gairdner HospitalAyesha Reynor - The University of Western AustraliaGavin Sturdy - Sir Charles Gairdner HospitalJennifer Walsh - Sir Charles Gairdner HospitalSatvinder Dhaliwal - Singapore University of Social SciencesBhajan Singh - Sir Charles Gairdner HospitalPeter Eastwood - Flinders UniversityNigel McArdle - Sir Charles Gairdner Hospital
- Publication Details
- Sleep (New York, N.Y.), Vol.45(10)
- Publisher
- Oxford Univ Press
- Number of pages
- 11
- Grant note
- 2017-18/013 / Sir Charles Gairdner and Osborne Park Health Group Research Advisory Committee
- Identifiers
- 991005592657207891
- Copyright
- © The Author(s) 2022
- Murdoch Affiliation
- Vice Chancellery
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.137 Sleep Science & Circadian Systems
- 1.137.382 Obstructive Sleep Apnea
- Web Of Science research areas
- Clinical Neurology
- Neurosciences
- ESI research areas
- Neuroscience & Behavior