阳性气道压力远程医疗模型和长期治疗终止:医疗保健数据库分析
Holger Woehrle1, Christoph Schoebel2, Joachim H Ficker3
1Sleep and Ventilation Center Blaubeuren, Lung Center Ulm, Ulm, Germany.
ERJ open research
|February 27, 2024
概括
远程监控显著降低了长期的气道正压 (PAP) 睡眠呼吸暂停的治疗终止. 将远程监控与患者参与工具相结合,进一步降低了停药率,改善了患者的坚持.
科学领域:
- 睡眠医学 睡眠医学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 积极气道压力 (PAP) 治疗的坚持对于睡眠呼吸暂停管理至关重要.
- 远程监控干预措施对短期PAP坚持有希望.
- 远程监控对PAP治疗终止的长期影响仍未得到充分研究.
研究的目的:
- 评估远程监控指导干预措施对PAP治疗终止的长期影响.
- 将标准护理与远程监控引导的积极护理,远程监控与患者参与工具进行比较.
主要方法:
- 对德国医疗保健提供者数据 (2014-2019年) 的回顾性分析.
- 包括18-100岁的患者开始PAP治疗的可用设备/接口数据.
- 卡普兰-梅尔图表和考克斯回归分析,用于终止时间,经过对共变量进行调整.
主要成果:
- 与标准护理相比,远程监控引导的积极护理减少了治疗终止率 (20%对27%).
- 添加患者参与工具进一步降低了终止率,达到11%.
- 调整后的终止危险比为远程监控的0.76,远程监控加上参与工具与标准护理的0.41.
结论:
- 远程监控引导的积极护理有效地减少了长期的PAP治疗终止.
- 将患者参与工具与远程监测相结合,可以显著提高PAP治疗的持续性.
- 这些发现支持使用数字健康工具来改善慢性疾病管理.
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