Management of Patients With Suspected of Sleep Apnea-hypopnea Syndrome From Primary Care
- Conditions
- Sleep Apnea Syndrome
- Interventions
- Other: Primary Care-based managementOther: Standard management
- Registration Number
- NCT02234765
- Lead Sponsor
- Sociedad Española de Neumología y Cirugía Torácica
- Brief Summary
Obstructive sleep apnea syndrome (OSA) is characterized by the manifestation of excessive sleepiness secondary to repeated obstruction of the upper airway during sleep and cognitive-behavioral, respiratory, cardiac, metabolic or inflammatory disorders. Epidemiological studies in our country have shown that OSA is a highly prevalent disease in the general population, affecting 2-4% of the adult population. The most important clinical manifestations of OSAS is a deterioration in the quality of life and an increase in cardiovascular disease. OSA is also associated with traffic accidents. Therefore, and considering the medical complications of OSA, as well as the sociolaboral impact and its negative impact on quality of life and survival; is stated that this disease is a public health problem that requires the physician to identify patients eligible to treatment. Moreover, it has been shown that undiagnosed patients, duplicate the consumption of health resources, comparing when the diagnosis and treatment has been established. Finally, we have a highly effective treatment using positive pressure in the upper airway (CPAP) that has been shown to be effective and cost-effective. The current situation in which all patients diagnosed with OSA and receiving different treatments are monitored and controlled by the Sleep Units (SU) is an oversized medicine specialist at the expense of primary care (PC). Our working hypothesis is: "By the coordination of actions at various levels including interactive training equipment AP, use the bilateral (SU-AP) of electronic medical records and the use of new technologies can be achieved in AP satisfactory management of the diagnostic and therapeutic process of patients with suspected OSA. Patients assisted in both areas have a level of clinical response, satisfaction, compliance and avoidance of complications, similar to that obtained with monitoring by SU. In addition, management by AP will be more cost-effective than in the SU."
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 280
- Men and women over 18 years old
- Suspected OSA patients (chronic snoring, apneas, excessive daytime sleepiness) or resistant hypertension
- Written informed consent signed
- Patients with impaired lung function (sd. overlap, obesity hypoventilation, and restrictive disorders)
- Severe heart failure
- Severe chronic pathology associated
- Psychiatric disorder
- Periodic leg movements
- Pregnancy
- Other dyssomnias or parasomnias
- Patients already treated with CPAP
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Primary Care Primary Care-based management Patients diagnosed and followed up in the Primary Care. Sleep Unit Standard management Patients diagnosed and followed up in the Sleep Unit.
- Primary Outcome Measures
Name Time Method Change from baseline in daytime sleepiness (ESS score) at 6 months baseline and 6 months Epworth Sleepiness Scale (ESS)
Cost-effectiveness at 6 months 6 months QUALYS
- Secondary Outcome Measures
Name Time Method Change from baseline in body mass index Baseline and 6 months Adverse events at 6 months 6 months Adverse events / secondary effects related to CPAP compliance.
Change from baseline in blood pressure Baseline and 6 months Office blood pressure
Lost of follow up / Abandons at 6 months 6 months Change from baseline in quality of life baseline and 6 months EuroQol (EQ5D)
CPAP compliance at 6 months 6 months Objective data to be downloaded from the CPAP device
Satisfaction at 6 months 6 months Visual analog scale
Trial Locations
- Locations (1)
Hospital Arnau de Vilanova-Santa María
🇪🇸Lleida, Spain