Telemedicine home CPAP titration and follow-up in the COVID-19 scenario
Jaume Bordas-Martinez, Neus Salord, Eva Fontanilles, Eliseo Prado, María Calvo, João Carmezim, Salud Santos, Carmen Monasterio
Source: ERJ Open Res, 8 (4) 00084-2022; 10.1183/23120541.00084-2022
Abstract
Introduction
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.
Methodology
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.
Results
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 versus 95% in TC and 100% in TC-APP. No compliance differences between groups were found at 1 month (4.79 h·night-1 RC, 4.33 h·night-1 TC and 4.59 h·night-1 TC-APP). Mean±sd patient satisfaction out of 10 was 7.69±2.05 in RC versus 9.02±0.64 in TC (p<0.001). 64% of the TC-APP subgroup reported that their telemedicine strategy influenced an increase in CPAP use (p=0.011). CPAP adaptation with follow-up had an estimated direct staff cost per patient of EUR 19.61±8.61 in TC with no smartphone application used versus EUR 23.79±9.94 in TC-APP (p=0.048).
Conclusions
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.
Rating:
You must login to grade this presentation.
Share or cite this content
Citations should be made in the following way:
Jaume Bordas-Martinez, Neus Salord, Eva Fontanilles, Eliseo Prado, María Calvo, João Carmezim, Salud Santos, Carmen Monasterio. Telemedicine home CPAP titration and follow-up in the COVID-19 scenario. ERJ Open Res, 8 (4) 00084-2022; 10.1183/23120541.00084-2022
You must login to share this Presentation/Article on Twitter, Facebook, LinkedIn or by email.
Member's Comments
Related content which might interest you:
|
|