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Telemonitoring and automated messages improve CPAP adherence

(American Thoracic Society) Patients with obstructive sleep apnea (OSA) are more likely to use CPAP, or continuous positive airway pressure, when their use is telemonitored and they receive individualized, automated messages that reinforce therapy adherence, according to a randomized, controlled trial published in the American Journal of Respiratory and Critical Care Medicine.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news

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Authors: Pengo MF, Czaban M, Berry MP, Nirmalan P, Brown R, Birdseye A, Woroszyl A, Chapman J, Kent BD, Hart N, Rossi GP, Steier J Abstract Background: Continuous positive airway pressure (CPAP), the best available treatment for obstructive sleep apnea (OSA), requires long-term compliance to be effective. Behavioral interventions may be used to improve adherence to CPAP. We aimed to investigate whether positive or negative message framing impacts on CPAP compliance in patients with OSA, when compared to standard care. Methods: Consenting patients with confirmed OSA were randomly allocated to receive along with ...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
ConclusionsSRME treatment can be considered as a useful approach in children with OSAS. A further investigation of OSAS-related biomarkers and their relationship with sleep and orthodontic parameters is needed for providing easier and reliable modulatory strategies in the treatment of OSAS.
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
Conclusion: Children with PHP1A are at an increased risk for OSA compared with similarly obese peers. They also have higher rates of otitis media and adenotonsillar hypertrophy. Screening for OSA should be considered in all patients with PHP1A and possibly PHP1B though more research is needed.Horm Res Paediatr
Source: Hormone Research in Paediatrics - Category: Endocrinology Source Type: research
At the time of this article its 2018. Its hard to believe that people are still dying from some very simple diseases. While medical care has improved, the cost of providing it has skyrocketed. We must all work together and figure out ways to cure people from chronic diseases like AIDs and HIV. Through scientific research and other forms of testing we are getting closer every day to finding a real cure. This is one step in the right direction. Once this cure is found with need to be ready for a solution to take this treatment and provide to the low income and poverty stricken individuals. There are other pretty common medic...
Source: Support for International Change : HIV AIDS - Category: International Medicine & Public Health Authors: Tags: Uncategorized Source Type: news
ConclusionsAutomated analysis of overnight oximetry may be used to develop reliable as well as accurate screening tools for childhood OSAS.
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
AbstractStudy objectivesWe prospectively investigated the effects of continuous positive airway pressure (CPAP) on long-term cognitive and psychomotor performances, and excessive daytime sleepiness in severe obstructive sleep apnea (OSA) patients.MethodsA total of 40 patients were recruited and 23 patients with severe OSA fully completed the study protocol to investigate the effects of CPAP therapy on psychomotor performance at 1, 3, and 6  months and 1 year following initiation of the therapy. Psychomotor CRD-series tests measuring reaction times of light stimulus perception, solving simple arithmetic operations...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
AbstractPurposeThe purpose of this study was to investigate cough hypersensitivity and its potential mechanisms in patients with obstructive sleep apnea hypopnea syndrome (OSAHS).MethodsFifteen OSAHS patients, 12 simple snoring patients, and 15 healthy volunteers received cough sensitivity test and induced sputum cytology. Cough thresholds C2 and C5 (the minimum of capsaicin inducing ≥ 2 and ≥ 5 coughs, respectively), total cell count, cell differentials and the levels of bradykinin, histamine, prostaglandin E2, substance P, calcitonin gene-related peptide, pepsin, and interleukin-2 in the induced sputu...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
CONCLUSION: C3, serum total complement activity and superoxide dismutase were higher in moderate/severe OSAHS, while IGF-1 decreased. Elevated C3 and reduced IGF-1 in moderate/severe OSAHS may be reversed by CPAP. PMID: 29441807 [PubMed - as supplied by publisher]
Source: Future Medicine: Biomarkers in Medicine - Category: Internal Medicine Tags: Biomark Med Source Type: research
Conclusions:Recruitment/enrollment is a high-cost endeavor. Screening procedures may confer resource savings but careful evaluation prior to study implementation assures effectiveness and efficiency.Clinical Trial Registration:The secondary analysis reports data from the SCIP-PA Trial (NCT 01454830); study information available at:https://clinicaltrials.gov.Citation:Yang H, Watach A, Varrasse M, King TS, Sawyer AM. Clinical trial enrollment enrichment in resource-constrained research environments: Multivariable Apnea Prediction (MAP) index in SCIP-PA Trial.J Clin Sleep Med. 2018;14(2):173–181.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Study Objectives:The primary objective of this study was to determine if nonadherence to continuous positive airway pressure (CPAP) is associated with increased 30-day all-cause, cardiovascular-cause, and pulmonary-cause hospital readmissions.Methods:Retrospective cohort study at a Veterans Affairs hospital of patients with obstructive sleep apnea (OSA) who were hospitalized from January 1, 2007 to December 31, 2015. Odds ratio of 30-day readmission was calculated for all-cause, cardiovascular-cause, and pulmonary-cause readmissions. Logistic regression model was used to evaluate odds of nonadherent versus adherent group w...
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
More News: International Medicine & Public Health | Obstructive Sleep Apnea | Respiratory Medicine | Sleep Apnea | Sleep Disorders | Sleep Medicine