Telemedicine home CPAP titration and follow-up in the COVID-19 scenario.


Journal

ERJ open research
ISSN: 2312-0541
Titre abrégé: ERJ Open Res
Pays: England
ID NLM: 101671641

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 18 02 2022
accepted: 10 06 2022
entrez: 26 10 2022
pubmed: 27 10 2022
medline: 27 10 2022
Statut: epublish

Résumé

Continuous positive airway pressure (CPAP) titration was dramatically affected by the coronavirus disease 2019 (COVID-19) pandemic due to increased biological risk. This study aimed to compare successful CPAP adaptation and compliance with home telemedicine CPAP titration with the usual method based on face-to-face visits. A prospective cohort using telemedicine home CPAP titration and follow-up during the COVID-19 pandemic (TC) was compared with a retrospective cohort receiving face-to-face pre-pandemic home titration (RC). The TC included a subgroup with a smartphone application (TC-APP). Successful CPAP adaptation and compliance at 1 month of follow-up were the main endpoints, while patient satisfaction and costs were secondary endpoints. 210 consecutive patients were evaluated (80 RC and 130 TC). 36 patients were in the TC-APP subgroup. CPAP titration was successful in 90% in RC Telemedicine in CPAP titration and early follow-up is equivalent to the usual care in terms of successful adaptation and compliance, while achieving greater patient satisfaction.

Identifiants

pubmed: 36284828
doi: 10.1183/23120541.00084-2022
pii: 00084-2022
pmc: PMC9235055
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright ©The authors 2022.

Déclaration de conflit d'intérêts

Conflict of interest: J. Bordas-Martinez participated in the development of the smartphone application. However, this research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The other authors have nothing to disclose.

Références

J Telemed Telecare. 2018 Jan;24(1):4-12
pubmed: 29320966
Sleep. 2015 Mar 01;38(3):341-9
pubmed: 25325460
Front Med (Lausanne). 2021 Apr 20;8:626361
pubmed: 33959620
J Med Internet Res. 2020 Feb 18;22(2):e16972
pubmed: 32130137
Ann Am Thorac Soc. 2019 Dec;16(12):1550-1557
pubmed: 31310575
Eur Respir J. 2021 Mar 4;57(3):
pubmed: 33214202
J Clin Med. 2021 Sep 13;10(18):
pubmed: 34575234
N Engl J Med. 2020 Apr 16;382(16):1564-1567
pubmed: 32182409
J Clin Sleep Med. 2019 Feb 15;15(2):301-334
pubmed: 30736888
Am J Respir Crit Care Med. 2020 Mar 1;201(5):607-610
pubmed: 31644880
Eur Respir J. 2020 Jun 18;55(6):
pubmed: 32366489
Sleep Breath. 2021 Dec;25(4):1761-1771
pubmed: 33694034
Ann Am Thorac Soc. 2020 Mar;17(3):329-337
pubmed: 31689141
Sleep. 2019 Oct 9;42(10):
pubmed: 31587046
Cochrane Database Syst Rev. 2020 May 21;5:CD013632
pubmed: 32441330
Am J Respir Crit Care Med. 2004 Dec 1;170(11):1218-24
pubmed: 15282204
BMC Pulm Med. 2015 Sep 14;15:102
pubmed: 26370444
Chest. 2020 Nov;158(5):2136-2145
pubmed: 32640196
ERJ Open Res. 2020 Feb 10;6(1):
pubmed: 32055630
Ther Adv Chronic Dis. 2020 Mar 06;11:2040622320901625
pubmed: 32215196
Lancet. 2020 Mar 28;395(10229):1054-1062
pubmed: 32171076
JMIR Form Res. 2021 May 11;5(5):e20779
pubmed: 33973866
Arch Bronconeumol. 2022 Jan;58(1):52-68
pubmed: 33875282
Am J Respir Crit Care Med. 2018 Jan 1;197(1):117-126
pubmed: 28858567
Arch Bronconeumol (Engl Ed). 2021 Apr;57(4):281-290
pubmed: 32646601
Multivariate Behav Res. 2015;50(1):91-108
pubmed: 26609745
J Clin Med. 2021 Mar 01;10(5):
pubmed: 33804319
JMIR Mhealth Uhealth. 2020 Apr 1;8(4):e10733
pubmed: 32234707
F1000 Med Rep. 2010 Sep 23;2:
pubmed: 20948830
J Telemed Telecare. 2017 Jan;23(1):14-18
pubmed: 26672606
Arch Bronconeumol. 2021 Apr;57:56-58
pubmed: 34629654
Thorax. 2015 Nov;70(11):1054-61
pubmed: 26310452

Auteurs

Jaume Bordas-Martinez (J)

Respiratory Department, Bellvitge University Hospital, Institut Investigacions Biomèdiques de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain.

Neus Salord (N)

Respiratory Department, Bellvitge University Hospital, Institut Investigacions Biomèdiques de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain.

Eva Fontanilles (E)

Respiratory Department, Bellvitge University Hospital, Institut Investigacions Biomèdiques de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain.

Eliseo Prado (E)

Respiratory Department, Bellvitge University Hospital, Institut Investigacions Biomèdiques de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain.

María Calvo (M)

Respiratory Department, Bellvitge University Hospital, Institut Investigacions Biomèdiques de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain.

João Carmezim (J)

Biostatistics Unit, IDIBELL, Barcelona, Spain.

Salud Santos (S)

Respiratory Department, Bellvitge University Hospital, Institut Investigacions Biomèdiques de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain.

Carmen Monasterio (C)

Respiratory Department, Bellvitge University Hospital, Institut Investigacions Biomèdiques de Bellvitge (IDIBELL), University of Barcelona, Barcelona, Spain.

Classifications MeSH