2003 OPEN FORUM Abstracts
DOES PROACTIVE INTERVENTION INFLUENCE QUALITY OF LIFE DATA IN PATIENTS WITH OBSTRUCTIVE SLEEP APNOEA (OSA)?
Lowe S1, Scammels C2, Marshall MJ2
1Info. Systems & Services Dept, University Hospital, Aintree. UK;
2Profile Respiratory Systems, Bognor Regis. UK
Introduction: Quality of Life data (QoL) is a subjective measure which is routinely monitored whilst on Auto-adjusting Positive Airway Pressure (APAP) treatment. MOSTâ (Management of Sleep Therapy) - a new proactive internet-based patient and clinical support service for CPAP therapy, provided by Profile Respiratory Systems, utilises the Functional Outcomes of Sleep Questionnaire (FOSQ) to measure functional status outcomes for excessive sleepiness as one of these measures.
Aim: The aim of our study was to evaluate the QoL data of APAP users enrolled on MOST compared with QoL data received on traditional APAP management practices to see if proactive intervention has any influence in subjects perceived QoL scores.
Methods: QoL data from 26 APAP subjects, with a confirmed diagnosis of Obstructive Sleep Apnoea (OSA), was recorded using an Encore Proâ Smartcard on a Respironicsâ REMstarâ Auto device. The group was split evenly; half were enrolled on MOST (Mean age: 52.1±12.6 years, Mean Body Mass Index (BMI) 38±6.4 kg/m2) the remainder (Mean age: 50.5±10.5 years, Mean BMI 37.7±8.4 kg/m2) received traditional CPAP management. Data was retrieved at day 7, 30 and 90 from all subjects. The MOST subject data was analysed and evaluated by Profile sleep personnel and troubleshooting procedures were implemented according to need. The data from the traditionally managed patient group was available for clinical interpretation by the Sleep centres and standard practices were applied.
RESULTS: are as shown in the table.
Conclusions: The number of proactive contact episodes during the first 90 days of APAP therapy between patient and service provider on MOST was, on average, seven times greater when compared to traditional management of APAP therapy.
Supporting subjects on MOST using proactive intervention has shown to improve Quality of Life scores in this group when compared to traditional management.