Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/111888
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dc.contributor.authorGarmendia, Onintzaen_US
dc.contributor.authorFarré, Ramonen_US
dc.contributor.authorRuiz, Concepciónen_US
dc.contributor.authorSuarez-Girón, Moniqueen_US
dc.contributor.authorTorres, Martaen_US
dc.contributor.authorCebrian, Raisaen_US
dc.contributor.authorSaura, Lauraen_US
dc.contributor.authorMonasterio, Carmenen_US
dc.contributor.authorNegrín Hernández, Miguel Ángelen_US
dc.contributor.authorMontserrat, Josep M.en_US
dc.date.accessioned2021-09-23T13:46:32Z-
dc.date.available2021-09-23T13:46:32Z-
dc.date.issued2021en_US
dc.identifier.issn2077-0383en_US
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/111888-
dc.description.abstractPatients with sleep apnea are usually treated with continuous positive airway pressure (CPAP). This therapy is very effective if the patient′ s adherence is satisfactory. However, although CPAP adherence is usually acceptable during the first months of therapy, it progressively decreases, with a considerable number of patients accepting average treatment duration below the effectiveness threshold (4 h/night). Herein, our aim was to describe and evaluate a novel telemedicine strategy for rescuing CPAP treatment in patients with low adherence after several months/years of treatment. This two-week intervention includes (1) patient support using a smartphone application, phone and voice recorder messages to be answered by a nurse, and (2) daily transmission and analysis of signals from the CPAP device and potential variation of nasal pressure if required. On average, at the end of the intervention, median CPAP adherence considerably increased by 2.17 h/night (from 3.07 to 5.24 h/night). Interestingly, the procedure was able to markedly rescue CPAP adherence: the number of patients with poor adherence (<4 h/night) was considerably reduced from 38 to 7. After one month, adherence improvement was maintained (median 5.09 h/night), and only 13 patients had poor adherence (<4 h/night). This telemedicine intervention (103€ per included patient) is a cost-effective tool for substantially increasing the number of patients with CPAP adherence above the minimum threshold for achieving positive therapeutic effects.en_US
dc.languageengen_US
dc.relation.ispartofJournal of Clinical Medicineen_US
dc.sourceJournal of Clinical Medicine [EISSN 2077-0383], v. 10 (18), (Septiembre 2021)en_US
dc.subject32 Ciencias médicasen_US
dc.subject3201 Ciencias clínicasen_US
dc.subject.otherComplianceen_US
dc.subject.otherNasal Pressureen_US
dc.subject.otherObstructive Sleep Apneaen_US
dc.subject.otherPatient Adherenceen_US
dc.subject.otherSleep Breathing Disordersen_US
dc.subject.otherTelemedicine Interventionsen_US
dc.titleTelemedicine strategy to rescue cpap therapy in sleep apnea patients with low treatment adherence: a pilot studyen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.3390/jcm10184123en_US
dc.identifier.scopus85114740440-
dc.contributor.orcidNO DATA-
dc.contributor.orcidNO DATA-
dc.contributor.orcidNO DATA-
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dc.contributor.authorscopusid57192074799-
dc.contributor.authorscopusid7005762629-
dc.contributor.authorscopusid56799905600-
dc.contributor.authorscopusid57196279103-
dc.contributor.authorscopusid7402581378-
dc.contributor.authorscopusid57255862300-
dc.contributor.authorscopusid57255303200-
dc.contributor.authorscopusid6603567863-
dc.contributor.authorscopusid9249657200-
dc.contributor.authorscopusid57205303920-
dc.identifier.eissn2077-0383-
dc.identifier.issue18-
dc.relation.volume10en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.description.numberofpages10en_US
dc.utils.revisionen_US
dc.date.coverdateSeptiembre 2021en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr1,04
dc.description.jcr4,241
dc.description.sjrqQ1
dc.description.jcrqQ1
dc.description.scieSCIE
dc.description.miaricds10,5
item.grantfulltextopen-
item.fulltextCon texto completo-
crisitem.author.deptGIR Técnicas estadísticas bayesianas y de decisión en la economía y empresa-
crisitem.author.deptIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.deptDepartamento de Métodos Cuantitativos en Economía y Gestión-
crisitem.author.orcid0000-0002-7074-6268-
crisitem.author.parentorgIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.fullNameNegrín Hernández, Miguel Ángel-
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