Comparison among three different follow-up models for obstructive sleep apnea syndrome patients: focus on the physiotherapist’s role Article Swipe
Carla Simonelli
,
Michele Vitacca
,
Beatrice Salvi
,
Manuela Saleri
,
Mara Paneroni
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.4081/monaldi.2023.2673
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.4081/monaldi.2023.2673
In obstructive sleep apnea syndrome (OSAS) subjects different follow-up modalities have been proposed to improve adherence to the continuous positive airway pressure (CPAP) device. This retrospective study compares three different health professional approaches dedicated to caring OSAS patients in three consecutive follow-up periods of 15 months each. The three different follow-up models are: i) physician-oriented follow-up (P-F); ii) physiotherapist-oriented follow-up (PT-F); and iii) tele-titration plus PT-oriented follow-up (TT-PT-F). Health personal visits and actions delivered, patients' adherence, CPAP efficacy, and problems under CPAP use were considered for comparison. Data from 122 OSAS patients with a new prescription of CPAP were analyzed: 39 (32.0%) in the P-F, 38 (31.1%) in the PT-F, and 45 (36.9%) in the TT-PT-F period. We found a reduction over time (from 40.9% in P-F to 8.2% in TT-PT-F, p<0.001) in patients missing the 1-year follow-up visit. The PT-F and TT-PT-F lead to a reduction in physician visits in comparison to P-F (5.2% and 8.9% vs 100%, p<0.001) with no differences in time to the first follow-up visit, CPAP efficacy, and patients’ adherence among the three periods. More device-related problems were found in the PT-F (57.8%), compared with the PF (25.6%) period (p<0.001); the most common troubles were mask problems evaluated in 26.2% of cases. In conclusion, different follow-up models offer similar efficacy and short-term adherence for CPAP leading to a significant reduction in physician visits under the PT-F with or without tele-titration, being mask problems as the most commonly treated. Further analysis should be useful to define the best cost-efficacy follow-up intervention.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4081/monaldi.2023.2673
- https://www.monaldi-archives.org/index.php/macd/article/download/2673/1779
- OA Status
- diamond
- References
- 28
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4387461397
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4387461397Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.4081/monaldi.2023.2673Digital Object Identifier
- Title
-
Comparison among three different follow-up models for obstructive sleep apnea syndrome patients: focus on the physiotherapist’s roleWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-10-04Full publication date if available
- Authors
-
Carla Simonelli, Michele Vitacca, Beatrice Salvi, Manuela Saleri, Mara PaneroniList of authors in order
- Landing page
-
https://doi.org/10.4081/monaldi.2023.2673Publisher landing page
- PDF URL
-
https://www.monaldi-archives.org/index.php/macd/article/download/2673/1779Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://www.monaldi-archives.org/index.php/macd/article/download/2673/1779Direct OA link when available
- Concepts
-
Medicine, Obstructive sleep apnea, Continuous positive airway pressure, Medical prescription, Sleep apnea, Apnea, Pediatrics, Internal medicine, Physical therapy, NursingTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
-
28Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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