Sabil AbdelKebir, De Sanctis Alice, Ohannessian Robin, Micoulaud-Franchi Jean Arthur
Research and Development Department, Cloud Sleep Lab, Paris, France.
Centre Hospitalier de Versailles, Hôpital André Mignot, Versailles, France.
Sleep Breath. 2025 Jun 11;29(4):212. doi: 10.1007/s11325-025-03381-5.
The aim of the study was to evaluate an integrated hybrid healthcare pathway that combines a digital screening questionnaire, teleconsultations (TC) with sleep physicians and home sleep apnea testing (HSAT), for the screening and diagnosis of obstructive sleep apnea (OSA) in France.
This exploratory retrospective study was performed on data from the SleepDoctor platform collected between July 2022 to April 2024. The OSA screening pathway included a digital Berlin Questionnaire (BQ), followed by an offer of teleconsultation for patients at risk of OSA with a registered nurse, a sleep physician and a home sleep apnea test (HSAT) when needed. Demographic data and risk scores were compared between high and low-risk subjects, with or without teleconsultation and with or without HSAT.
Of 45,099 patients included (63.3% women, mean age = 43.6 ± 13.5 years and mean BMI = 28.1 ± 65 kg/m), 26,440 (58.6%) were at high risk of OSA (60.4% female, mean age = 45.1 ± 12.5 years and mean BMI = 30.3 ± 6.7 kg/m). Of these, 944 booked a TC with a sleep physician among whom 579 had a HSAT. Although more women were at high risk of OSA, they were less likely to have booked a TC (42.5%) and have had a HSAT (41.6%) than men (p < 0.0001).
These findings highlight the need for further optimization of the proposed hybrid pathway, particularly in engaging at-risk individuals to complete the full screening and diagnosis process.
本研究旨在评估一种综合混合医疗保健途径，该途径结合了数字筛查问卷、与睡眠医生的远程会诊（TC）和家庭睡眠呼吸暂停测试（HSAT），用于法国阻塞性睡眠呼吸暂停（OSA）的筛查和诊断。
本探索性回顾性研究基于2022年7月至2024年4月期间从SleepDoctor平台收集的数据进行。OSA筛查途径包括数字柏林问卷（BQ），随后为有OSA风险的患者提供与注册护士、睡眠医生的远程会诊，并在需要时进行家庭睡眠呼吸暂停测试（HSAT）。比较了高风险和低风险受试者之间的人口统计学数据和风险评分，这些受试者接受或未接受远程会诊以及接受或未接受HSAT。
纳入的45099名患者中（63.3%为女性，平均年龄 = 43.6 ± 13.5岁，平均BMI = 28.1 ± 6.5 kg/m²），26440名（58.6%）有高OSA风险（60.4%为女性，平均年龄 = 45.1 ± 12.5岁，平均BMI = 30.3 ± 6.7 kg/m²）。其中，944人预约了与睡眠医生的远程会诊，其中579人进行了HSAT。尽管更多女性有高OSA风险，但与男性相比，她们预约远程会诊（42.5%）和进行HSAT（41.6%）的可能性较小（p < 0.0001）。
这些发现凸显了进一步优化所提议的混合途径的必要性，特别是在促使有风险的个体完成全面筛查和诊断过程方面。
