Evidence map›Paper›PMID 40366479›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Could an external Medical Center with telemonitoring help in home positive airway pressure treatment? A pilot study.

Federica Di Giorgi, Massimiliano Desideri, Vanessa Lo Nano, Piero Ingrao, Claudia Meschi, Chiara Cappiello, Eva Palano, Laura Carrozzi, Maria Rosaria Bonsignore

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Federica Di GiorgiDepartment of Surgical, Medical, Molecular and Critical Care Phatology, University of Pisa, Via Paradisa N 2, 56124, Pisa, Tuscany, Italy. fede.digiorgi96@gmail.com.ORCID 0009-0006-2965-7526
Massimiliano DesideriAzienda Ospedaliero Universitaria Pisana, Pneumology Unit, Pisa, Tuscany, Italy.
Vanessa Lo NanoSleep Disordered Breathing Clinics, PROMISE Department, University of Palermo, Palermo, Sicily, Italy.
Piero IngraoSleep Disordered Breathing Clinics, PROMISE Department, University of Palermo, Palermo, Sicily, Italy.
Claudia MeschiDepartment of Surgical, Medical, Molecular and Critical Care Phatology, University of Pisa, Via Paradisa N 2, 56124, Pisa, Tuscany, Italy.
Chiara CappielloDepartment of Surgical, Medical, Molecular and Critical Care Phatology, University of Pisa, Via Paradisa N 2, 56124, Pisa, Tuscany, Italy.
Eva PalanoVIVISOL SRL, Catania, Italy.
Laura CarrozziDepartment of Surgical, Medical, Molecular and Critical Care Phatology, University of Pisa, Via Paradisa N 2, 56124, Pisa, Tuscany, Italy.
Maria Rosaria BonsignoreSleep Disordered Breathing Clinics, PROMISE Department, University of Palermo, Palermo, Sicily, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTelemedicine is useful for home management of sleep disordered breathing (SDB). However, the number of patients with SDB is high and public resources are low. The aim of this pilot study, conducted by the Universities of Pisa and Palermo, was to assess whether an external Medical Center, based on telemonitoring, could help in the management of patients on home positive airway pressure (PAP) treatment.

methodsThe management model included the following professional figures: the sleep physician, the local home care provider performing diagnostic studies and home PAP titration, and the external Medical Center monitoring PAP therapy alerts. A dedicated App allowed patients to answer questionnaires, receive alerts and contact the external Medical Center. Data on mask leakage, hours of use and efficacy were available on a web platform. Patients were evaluated with videocalls at 1, 2 and 4 months and as needed.

resultsWe enrolled 30 subjects, 27 patients received Continuous PAP and 3 patients received Bilevel devices. Five patients withdrew during titration and 1 during follow-up. The number of interventions for technical problems requested by patients to the external Medical Center was highly variable. During the titration phase the interventions required were 2.1 ± 2.0 (range 0-11), while during the 4-month follow-up they were 6.0 ± 4.5 (range 0-18). At the end of follow-up, 93% of patients were satisfied by the telemedicine protocol.

conclusionA model of telemedicine using an external Medical Center can help in the home management of patients with SDB during both home titration and long-term treatment. FISR2020IP_02014 Project (MUR). May 2021.

Indexed as

Continuous Positive Airway PressureHome Care ServicesTelemedicineAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsHome positive airway pressureSleep disordered breathingTelemedicineTelemonitoringTitration

Identifiers

PMID40366479

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.