P32 The impact of continuous positive airway pressure therapy telemonitoring on compliance and the physiological benefits to the OSA patient: a systematic review
Bibliographic record
Abstract
Introduction Obstructive sleep apnoea (OSA) is a highly prevalent condition, involving collapse of the upper airway during sleep, intermittent hypoxia and micro-arousals. Continuous Positive Airway Pressure (CPAP) therapy is the gold standard treatment and recent technological advances have allowed for remote monitoring to provide support and encourage compliance. Although evidence suggests greater benefits for patients with increased CPAP compliance, the role of telemonitoring in providing improved physiological patient benefit through greater compliance is not well established. The aims of this review were to determine the impact of CPAP telemonitoring on compliance and measured physiological outcomes, as compared to traditional CPAP monitoring techniques and to identify an optimal telemonitoring period for long-term compliance and additional physiological benefits. Method A systematic review of peer-reviewed English language articles identified using a range of databases and additional resources was performed in line with standard methodology. Articles were assessed according to the following eligibility criteria: adult participants (age >18 years) with a previous diagnosis of OSA; a CPAP telemonitoring intervention in comparison to standard care; and at least one subjectively or objectively measured physiological outcome. Results A total of 50 articles were assessed, of which 10 full text articles were eligible to be included in this review (table 1).. Overall, there was a favourable effect associated with increased CPAP compliance in telemonitored groups. Telemonitoring demonstrated favourable effects on Apnoea-Hypopnoea Index (AHI) and Epworth Sleepiness Scale (ESS). The optimal CPAP telemonitoring period was calculated at >4 months. CPAP telemonitoring was also shown to significantly improve other physiological outcomes including cholesterol and the Quebec sleep questionnaire (table 2). Discussion These findings suggest CPAP telemonitoring as compared to usual care, increases compliance and provides physiological benefits including reducing AHI and ESS. Further research is required to investigate the full physiological benefits of telemonitoring.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.034 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.008 | 0.008 |
| Bibliometrics | 0.008 | 0.008 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.003 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.009 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".