Position paper on telemonitoring in sleep-related breathing disorders

被引:2
作者
Randerath W. [1 ,4 ,5 ]
Bögel M. [1 ]
Franke C. [3 ]
Hellmann A. [3 ]
Jany B. [2 ]
Nilius G. [2 ]
Penzel T. [1 ]
Voshaar T. [4 ]
Wiater A. [1 ]
机构
[1] Deutsche Gesellschaft für Schlafforschung und Schlafmedizin (DGSM), c/o Hephata-Klinik, Schimmelpfengstr. 6, Schwalmstadt-Treysa
[2] Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (DGP), Robert-Koch-Platz 9, Berlin
[3] Bundesverband der Pneumologen, Schlaf- und Beatmungsmediziner (BdP), Hainenbachstr. 25, Heidenheim
[4] Krankenhaus Bethanien, Verband pneumologischer Kliniken (VPK), Bethanienstr. 21, Moers
[5] Krankenhaus Bethanien gGmbH, Aufderhöher Str. 169–175, Solingen
来源
Somnologie | 2017年 / 21卷 / 1期
关键词
Sleep-related breathing disorders; Telemedicine; Telemonitoring;
D O I
10.1007/s11818-017-0099-3
中图分类号
学科分类号
摘要
The use of telemonitoring in the care of patients with sleep-related breathing disorders (SRBD) can enhance medical support significantly. Telemonitoring aims to help physicians detect therapy problems early and thus improve patients’ therapy adherence. Diagnostics and therapy decisions in the telemonitoring process nevertheless remain the responsibility of sleep specialists. The selection of data monitored, their evaluation and resulting consequences fall to the physician, who makes decisions and prescribes therapy in consultation with the patient. In light of professional legal and ethical requirements, it must be ensured that extensive changes to the process flow in sleep medicine are designed in a way to guarantee high-quality patient care. In this position paper, the German Sleep Society, the German Respiratory Society, the Association of Pneumological Hospitals and the Federal Association of German Pneumologists comment on important aspects for implementation of telemonitoring for SRBD and describe the basic conditions required for its use. © 2017, Springer Medizin Verlag Berlin.
引用
收藏
页码:46 / 50
页数:4
相关论文
共 19 条
[1]  
Goldstein C., Zee P.C., Obstructive sleep apnea-hypopnea and incident stroke: the sleep heart health study, Am J Respir Crit Care Med, 182, (2010)
[2]  
Levy P., Kohler M., McNicholas W.T., Et al., Obstructive sleep apnoea syndrome, Nat Rev Dis Primers, 1, (2015)
[3]  
Young T., Palta M., Dempsey J., Et al., The occurrence of sleep-disordered breathing among middle-aged adults, N Engl J Med, 328, pp. 1230-1235, (1993)
[4]  
Peppard P.E., Young T., Barnet J.H., Et al., Increased prevalence of sleep-disordered breathing in adults, Am J Epidemiol, 177, pp. 1006-1014, (2013)
[5]  
Taylor Y., Eliasson A., Andrada T., Et al., The role of telemedicine in CPAP compliance for patients with obstructive sleep apnea syndrome, Sleep Breath, 10, pp. 132-138, (2006)
[6]  
Godden D.J., King G., Rational development of telehealth to support primary care respiratory medicine: patient distribution and organisational factors, Prim Care Respir J, 20, pp. 415-420, (2011)
[7]  
Cheng C.M., Hsu Y.L., Young C.M., Et al., Development of a portable device for telemonitoring of snoring and obstructive sleep apnea syndrome symptoms, Telemed J E Health, 14, pp. 55-68, (2008)
[8]  
Nasu Y., Ashida N., Yamakawa M., Et al., Automatic identification of apnea through acoustic analysis for at-home screening, Telemed J E Health, 17, pp. 467-471, (2011)
[9]  
Bohning N., Zucchini W., Horstmeier O., Et al., Sensitivity and specificity of telemedicine-based long-term pulse-oximetry in comparison with cardiorespiratory polygraphy and polysomnography in patients with obstructive sleep apnoea syndrome, J Telemed Telecare, 17, pp. 15-19, (2011)
[10]  
Motoi K., Ogawa M., Ueno H., Et al., A fully automated health-care monitoring at home without attachment of any biological sensors and its clinical evaluation, Conf Proc IEEE Eng Med Biol Soc, 2009, pp. 4323-4326, (2009)