Telemedicine for Sleep Apnea Patients

A Telemedicine System for the Follow-up of Patients With SAS

Objective: Set up an interoperable telemedicine system for the follow-up of patients with sleep apnea syndrome.

The medico-economics protocol will use the MAST (Methodology for Assessment of Telemedicine) criteria. 200 patients will be randomized into 2 arms (telemedicine with GPRS transmission of CPAP data from patients' home and classical follow-up) during the 3 first months of the follow-up. The main end-point is CPAP compliance with the aim of detecting a mean increase of at least 1hr in the use of CPAP.

Inclusion Criteria:

• AHI > 30/hr
• hypersomnolence
• agreement for the use of CPAP
• internet and GSM connection

Exclusion Criteria:

• central apnea >20%,
• pneumothorax,
• severe nasal obstruction,
• previous pharyngeal surgery,
• severe COPD,
• heart failure,
• previous use of CPAP,
• no social security coverage,
• unavailability,
• no GSM and internet network