Intensive Versus Standard Follow up to Improve Continuous Positive Airway Pressure (CPAP) Compliance
Sleep Apnea
About this trial
This is an interventional treatment trial for Sleep Apnea
Eligibility Criteria
Inclusion Criteria:
- newly diagnosed obstructive sleep apnea syndrome by polysomnography according to standard criteria,
- with moderate to severe sleep apnea,
- no history of previously CPAP therapy and
- with an above-elementary school education.
Exclusion Criteria:
- refusal to participate,
- refusal to CPAP therapy,
- previous CPAP treatment,
- central sleep apnoea syndrome,
- Cheyne-stokes breathing pattern,
- obesity hypoventilation syndrome,
- restrictive ventilator syndromes,
- congestive heart failure,
- history of life-threatening arrhythmias,
- cardiomyopathy,
- long term oxygen therapy,
- family or personal history of mental illness,
- with drug or alcohol abuse,
- severe cognitive impairment,
- concurrent oncologic diseases and
- history of narcolepsy.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Standard Care
Intensive care
24 hour consultation telephone line to the sleep nurses will be open for the patients. Patients were reviewed at 1 month and at 3 month intervals during the first year and every 6 months thereafter in the CPAP clinic. Additional visits or phone calls by sleep specialist if doubts about a patient's compliance or willingness to continue with the therapy
Standard group care plus: Involvement of the patient's partner or family. Extra education on sleep apnea syndrome and CPAP by sleep specialists via a 15-min videotape. 10- to 15-min lecture from the sleep clinic's nurses. Phone calls by nurses at 2 and 7 days. Early review of patients by sleep specialists at 15 and 30 days. Home visits by sleep nurses, if there doubts about a patients adherence.