欧洲呼吸学会关于阻塞性睡眠呼吸暂停的先进远程医疗 (e-Sleep) 的声明
Johan Verbraecken1,2, Emanuele Amodio3, Ozen K Basoglu4
1Antwerp University Hospital and University of Antwerp, Edegem, Antwerp, Belgium johan.verbraecken@uza.be.
The European respiratory journal
|September 4, 2025
概括
远程医疗 (TM) 改善了阻塞性睡眠呼吸暂停 (OSA) 患者的护理和获得护理,提供与亲临诊所相似或更好的护理. 这种远程方法为慢性睡眠状况管理提供了有效的数据驱动支持.
科学领域:
- 呼吸系统医学
- 数字健康
- 睡眠科学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种需要持续治疗的慢性疾病.
- 远程医疗 (TM) 提供了远程患者与医生的互动,在呼吸系统和睡眠医学中越来越重要.
- 远程通信可以帮助OSA的诊断和治疗策略.
研究的目的:
- 总结远程医疗选择在阻塞性睡眠呼吸暂停 (OSA) 管理中的证据和有效性.
- 由一个跨学科的欧洲呼吸学会 (ERS) 工作组 (TF) 描述目前在OSA中的TM应用.
- 评估有关OSATM的科学文献.
主要方法:
- 系统的文献搜索和两步选过程 (标题/摘要和全文).
- 一个跨学科的ERS工作组对科学文献进行评估.
- 在OSA管理的各个方面分析TM应用.
主要成果:
- 远程医疗已在OSA管理的不同领域进行了研究,具有潜在的益处.
- TM可以作为一个研究工具来收集关于正气道压力 (PAP) 治疗的大量数据.
- 与传统的面对面接触相比, TM 显示出类似或改善的患者服从.
- 通过应用程序或网站进行基于TM的有针对性的故障排除和支持是可行的和有效的.
- 有证据表明,人工智能可能具有成本效益,但工作人员的时间节约并不总是得到支持.
- 潜在的好处包括改善医疗保健和治疗慢性疾病.
结论:
- 远程医疗为治疗阻塞性睡眠呼吸暂停提供了一种可行的有效方法.
- TM 可以提高患者对护理的坚持和获取,
- 虽然人工智能有望提高成本效益和改善结果,但必须对成本和潜在风险进行权衡.
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