Purpose: CPAP is the standard treatment for obstructive sleep apnea (OSA), but as many as 50% of patients discontinue its use, within three years. The PROTEUS project aims to enhance CPAP adherence through telemonitoring.

Patients And Methods: OSA patients undergoing CPAP treatment since July 2018, had an in-person reassessment after three months, followed by quarterly telemonitoring by providers, who intervened in cases of poor adherence (less than 4 h·night or less than 70% of days), excessive mask leakage, or elevated residual apnea-hypopnea index (rAHI).

Results: A total of 486 (~87%) out of 558 patients analyzed remained adherent to CPAP after five years. The average rAHI was 3.95 ± 5.25 events·h, the average CPAP usage was 6.35 ± 1.72 hours. Elevated mask leakage occurred in 25% of patients. No significant differences were found between sexes.

Conclusion: The PROTEUS project showed promising results in supporting long-term CPAP adherence. However, further research is needed to validate its long-term impact and wider applicability in OSA management.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874751PMC
http://dx.doi.org/10.2147/NSS.S501341DOI Listing

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