The Future of Telemedicine for Obstructive Sleep Apnea Treatment: A Narrative Review
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(9), С. 2700 - 2700
Опубликована: Май 4, 2024
Obstructive
sleep
apnea
is
a
common
type
of
sleep-disordered
breathing
associated
with
multiple
comorbidities.
Nearly
billion
people
are
estimated
to
have
obstructive
apnea,
which
carries
substantial
economic
burden,
but
under-diagnosis
still
problem.
Continuous
positive
airway
pressure
(CPAP)
the
first-line
treatment
for
OSAS.
Telemedicine-based
interventions
(TM)
been
evaluated
improve
access
diagnosis,
increase
CPAP
adherence,
and
contribute
easing
follow-up
process,
allowing
healthcare
facilities
provide
patient-centered
care.
This
narrative
review
summarizes
evidence
available
regarding
potential
future
telemedicine
in
management
pathway
OSA.
The
home
studies
OSA
diagnosis
importance
remote
monitoring
tracking
adherence
failure
developing
patient
engagement
tools
will
be
presented.
Further
needed
explore
impact
shifting
from
teleconsultations
collaborative
care
models
where
patients
placed
at
center
their
Язык: Английский
Long-term night-to-night variability of sleep-disordered breathing using a radar-based home sleep apnea test: a prospective cohort study
Journal of Clinical Sleep Medicine,
Год журнала:
2024,
Номер
20(7), С. 1079 - 1086
Опубликована: Фев. 28, 2024
Night-to-night
variability
of
sleep-disordered
breathing
limits
the
diagnostic
accuracy
a
single
measurement.
Multiple
recordings
using
reliable,
affordable
method
could
reduce
uncertainty
and
avoid
misdiagnosis,
which
be
possible
with
radar-based
home
sleep
apnea
testing
(HSAT).
Язык: Английский
Telemedicine in the Management of Patients with Obstructive Sleep Apnea: Evidence from the Literature and Practical Issues. A Consensus Document from the Task Force for Telemedicine in Respiratory Diseases, Part of the Italian Society of Telemedicine
Telemedicine Journal and e-Health,
Год журнала:
2025,
Номер
unknown
Опубликована: Май 30, 2025
Obstructive
sleep
apnea
(OSA)
is
a
high
prevalent
condition
associated
with
relevant
cardiovascular
morbidity
and
mortality,
determining
the
consume
of
great
amount
health
care
resources.
Diagnosis
treatment
OSA
are
generally
performed
in
Units
(OUs).
However,
although
large
expansion
OUs
western
countries,
these
still
fail
to
cope
increasing
number
patients
requiring
care.
Since
long
time,
well
before
COVID-19
pandemic,
telemedicine
(TM)
has
been
explored
as
tool
monitor
both
physiological
parameters
during
outcomes.
Recently,
availability
wireless
data
transmission
technology
new
TM
solutions
given
an
impetus
spread
services.
Nowadays,
find
application
throughout
diagnosis,
follow-up
management
recognized
most
promising
among
chronic
disorders.
A
Task
Force
experts
respiratory
diseases,
within
Italian
Society
Telemedicine,
recently
produced
document
on
distance
OSA.
Here,
we
present
revision
literature
discussed
by
TF
focusing
how
integrate
services
into
traditional
routine
Язык: Английский
Enhancing artificial intelligence‐driven sleep apnea diagnosis: The critical importance of input signal proficiency with a focus on mandibular jaw movements
Journal of Prosthodontics,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 15, 2024
This
review
aims
to
highlight
the
pivotal
role
of
mandibular
jaw
movement
(MJM)
signal
in
advancing
artificial
intelligence
(AI)-powered
technologies
for
diagnosing
obstructive
sleep
apnea
(OSA).
Язык: Английский
Analysis of mandibular jaw movements to assess ventilatory support management of children with obstructive sleep apnea syndrome treated with positive airway pressure therapies
Pediatric Pulmonology,
Год журнала:
2024,
Номер
59(7), С. 1905 - 1911
Опубликована: Апрель 9, 2024
Abstract
Background
The
polysomnography
(PSG)
is
the
gold‐standard
for
obstructive
sleep
apnea
(OSA)
syndrome
diagnosis
and
assessment
under
positive
airway
pressure
(PAP)
therapies
in
children.
Recently,
an
innovative
digital
medicine
solution,
including
a
mandibular
jaw
movement
(MJM)
sensor
coupled
with
automated
analysis,
has
been
validated
as
alternative
to
PSG
pediatric
application.
Objective
This
study
aimed
assess
reliability
of
MJM
analysis
residual
apnea/hypopnea
events
during
children
OSA
treated
noninvasive
ventilation
(NIV)
or
continuous
PAP
(CPAP).
Methods
In
this
open‐label
prospective
non‐randomized
multicentric
trial,
we
included
aged
from
5
18
years
severe
OSA.
underwent
in‐laboratory
simultaneous
monitoring
at‐home
recording
3
months
later.
Agreement
between
measuring
apnea‐hypopnea
index
(AHI)
was
evaluated
by
Bland−Altman
method.
treatment
effect
on
AHI
estimated
both
analysis.
Results
Fifteen
(60%
males)
were
median
age
12
[interquartile
range
8−15].
Two
(17%)
ventilated
NIV
13
(83%)
CPAP.
There
good
agreement
MJM‐AHI
PSG‐AHI
bias
−0.25
(95%
CI:
−3.40
+2.04)
events/h.
reduction
consistently
significant
across
three
measurement
methods:
recordings
laboratory
at
home.
Conclusion
Automated
highly
reliable
method
small
population
therapies.
Язык: Английский
Les multiples enjeux de la sémiologie du syndrome d’apnées obstructives du sommeil chez l’adulte
Médecine du Sommeil,
Год журнала:
2024,
Номер
21(4), С. 175 - 197
Опубликована: Июль 14, 2024
Clinique digitale du sommeil : Une alternative pour le diagnostic et la prise en charge du syndrome d’apnées du sommeil
Médecine du Sommeil,
Год журнала:
2024,
Номер
21(3), С. 136 - 144
Опубликована: Сен. 1, 2024
Digital sleep clinic: assessing efficacy of continuous positive airway pressure through sleep staging via connected devices: a study protocol
BMC Digital Health,
Год журнала:
2024,
Номер
2(1)
Опубликована: Май 1, 2024
Abstract
Background
Obstructive
sleep
apnea
(OSA)
is
a
multisystemic
chronic
disease
with
disabling
symptoms,
cardiometabolic
comorbidities
and
reduction
in
physical
activity.
Continuous
positive
airway
pressure
(CPAP)
the
standard
treatment
for
OSA.
Only
few
studies
have
characterized
trajectories
of
parameters
upon
initiation
CPAP
these
are
limited
to
one
or
two
nights
polysomnographic
recording
laboratory.
This
due
cost
carrying
out
poor
tolerance
by
patients
multiple
recordings.
No
study
has
over
before
after
initiation,
assessing
multidimensional
efficacy
on
patient
reported
outcomes,
objective
subjective
quality,
oximetry,
glucose
control
New
digital
technologies
enable
overnight
several
patient’s
home,
reliability
characterization
equivalent
recording.
The
primary
aim
this
investigate
slow
wave
(SWS
N3)
quality
during
first
month
treatment.
Secondary
objectives
assess
changes
following
treatment:
other
stages
evolution
(W,
N1,
N2
REM),
nocturnal
oxygen
desaturations,
24-h
blood
profile,
daily
activity
(the
steps
count),
outcomes.
Methods
Seventy
prescribed
OSA
will
be
recruited
at
Grenoble
Alpes
University
Hospital
(France)
monitored
5
weeks
using
validated
innovative
wearable
connected
devices
Dreem
3
headband,
pedometer,
an
oximeter,
continuous
sensor)
enabling
them
track
their
own
physiological
home
initiation.
Discussion
By
pooling
data
from
telemonitoring
we
should
able
follow
CPAP.
us
determine
whether
associated
improvements
daytime
sleepiness,
life,
adherence,
provide
integrated
markers
allow
adapted
personalized
management
short
long-term.
Trial
registration
Clinicaltrials
(NCT05197855).
Язык: Английский