Management of CPAP Follow-up by Telemonitoring in Obstructive Sleep Apnea: The PROTEUS Project.

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-1 or less than 70% of days), excessive mask leakage, or elevated residual apnea-hypopnea index (rAHICPAP).

RESULTS

A total of 486 (~87%) out of 558 patients analyzed remained adherent to CPAP after five years. The average rAHICPAP was 3.95 ± 5.25 events·h-1, 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.