Table 3. Evaluation by telemonitoring.
Evaluation by telemonitoring | ACTIONS |
---|---|
Telemonitoring to verify adherence and effectiveness of PAP equipment. | |
Issue adherence and effectiveness reports, and the detailed report by a health professional duly qualified in sleep-disordered breathing. | |
Evaluate: | |
D3 and D5* | • Usage time: in the adherence and effectiveness report, analyze the average hours of use in the period, the percentage of days of use of >4h, and use of PAP for more than 4 hours per night in 70% of the nights evaluated. In the detailed report, observe whether there is sleep fragmentation during the period of night use or in other periods, for example, disguised as good hours of use; |
D7 | • Residual AHI: considering the data from the polysomnography exam, check residual AHI (>10/h), weighing the indices for all events that can be detected, such as obstructive apnea, central apnea, hypopneas, RERA and Cheyne-Stokes respiration; |
D21 | • Leakage/escape: in the reports, evaluate the total leakage value according to Table 4 of standardized maximum leakage, and check the efficiency of the mask adjustment and the residual AHI. |
D30 (1st month)# | Supervision and early contact if irregularities are observed: |
D90 (3rd month) | • Hours of inefficient use or non-use of PAP therapy; |
D180 (6th month) # | • Residual AHI>10; |
D270 (9th month) | • Excessive leakage/escape. |
D360 (12th month) # | Compare information with the previous evaluation period, if an adjustment is made. |
Remote adjustment of settings of the PAP equipment, according to the efficiency results presented in the generated reports, if necessary. Arrange face-to-face medical consultation if irregularities observed such as use for less than 70% of the total sleep time, persistent excessive leakage, the appearance of central respiratory events, or fragmentation of sleep periods. |
Strategic monitoring on days D3 and D5 to verify adherence and effectiveness, and early contact before D7 when irregularities are observed;
On D30, D180 and D360, in addition to telemonitoring, arrange face-to-face consultation