Telemedicine in the diagnosis and treatment of sleep apnoea

Eur Respir Rev. 2019 Mar 14;28(151):180093. doi: 10.1183/16000617.0093-2018. Print 2019 Mar 31.

Abstract

Telemedicine (TM) is a current tool in the landscape of medicine. It helps to address public health challenges such as increases in chronic disease in an ageing society and the associated burden in healthcare costs. Sleep TM refers to patient data exchange with the purpose of enhancing disease management. Obstructive sleep apnoea (OSA) syndrome is a chronic disorder associated with a significant morbidity, mainly cardiometabolic, and mortality. Obtaining adequate compliance to continuous positive airway pressure (CPAP) remains the greatest challenge related to OSA treatment, and the adoption of TM to support OSA management makes sense. In addition, the prevalence of OSA is growing and OSA is associated with increased healthcare costs that could be streamlined by the application of TM. In OSA, multiple modalities of TM are utilised, such as telediagnostics, teleconsultation, teletherapy and telemonitoring of patients being treated with CPAP. In the present article, I aim to provide an overview of current practice and the recent developments in TM for OSA management. Concerns related to TM use will also be addressed.

Publication types

  • Review

MeSH terms

  • Continuous Positive Airway Pressure*
  • Delivery of Health Care, Integrated / organization & administration*
  • Humans
  • Lung / physiopathology*
  • Patient Compliance
  • Prevalence
  • Sleep Apnea, Obstructive / diagnosis*
  • Sleep Apnea, Obstructive / epidemiology
  • Sleep Apnea, Obstructive / physiopathology
  • Sleep Apnea, Obstructive / therapy*
  • Telemedicine / organization & administration*
  • Treatment Outcome
  • Workflow
  • Workload