Qu Xin Ru, Liu Xin, Cheng Zi Qian, Li Yi Ming, Han Teng, Zhang Xiao Lei
Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
J Family Med Prim Care. 2025 May;14(5):1702-1709. doi: 10.4103/jfmpc.jfmpc_1182_24. Epub 2025 May 31.
Telemonitoring has been found to improve the adherence of short-term positive airway pressure (PAP) adherence in random controlled trials (RCT) among patients with obstructive sleep apnea (OSA), however, the RCT results may not fully reflect the real-world situation of PAP management. The objective of this study was to assess the effect of web-based telemonitoring on PAP adherence in patients with moderate to severe OSA on real-world evidence.
PAP therapy data for patients with OSA were retrospectively examined and were divided into two groups according to the PAP machines with or without web-based telemonitoring application (TC group or SC group). The adherence data was analyzed at 1 month, 3 months, 6 months, and 12 months after initiation of PAP therapy.
A total of 126 patients, including 64 subjects in the TC group and 62 subjects in the SC group, were included for analysis. Compared with those in the SC group, the percent of nights ≥4 hours of PAP use and the mean nightly duration of PAP use were greater in the TC group in the initial 6 months. However, these adherence data were comparable at the end of 12 months. The decreased rate of adherence parameters was greater in the TC group during the 3-6 months compared with the initial 1-3 months. The uptake of telemonitoring function was found to be only associated with good PAP adherence at the initial 3-month therapy.
PAP adherence is significantly improved through telemonitoring in the first 3-6 months after PAP initiation. However, the 12-month adherence was comparable between TC and SC groups. The timing and form of interventions based on telemonitoring data that could be most effectively implemented by healthcare providers, warrants further investigation.
在阻塞性睡眠呼吸暂停（OSA）患者的随机对照试验（RCT）中，远程监测已被发现可提高短期持续气道正压通气（PAP）的依从性，然而，RCT结果可能无法完全反映PAP管理的实际情况。本研究的目的是根据真实世界证据评估基于网络的远程监测对中重度OSA患者PAP依从性的影响。
对OSA患者的PAP治疗数据进行回顾性检查，并根据是否应用基于网络的远程监测功能的PAP机器分为两组（TC组或SC组）。在开始PAP治疗后的1个月、3个月、6个月和12个月分析依从性数据。
共有126例患者纳入分析，其中TC组64例，SC组62例。与SC组相比，TC组在最初6个月内每晚使用PAP≥4小时的百分比和每晚PAP使用的平均时长更高。然而，在12个月末这些依从性数据相当。与最初的1 - 3个月相比，TC组在3 - 6个月期间依从性参数的下降率更大。发现远程监测功能的使用仅在最初3个月治疗时与良好的PAP依从性相关。
在开始PAP治疗后的前3 - 6个月，通过远程监测可显著提高PAP依从性。然而，TC组和SC组在12个月时的依从性相当。医疗保健提供者能够最有效实施的基于远程监测数据的干预时机和形式，值得进一步研究。
