Telemedicine and Humidification for Cpap IN Osas Key Treatment (THINK Study)
Telemedicine and Humidification for Cpap IN Osas Key Treatment (THINK Study)
The goal of the study is to test the role of telemedicine combined with humidification to
 check CPAP treatment during the first month to improve adherence and reduce unsolved side
 effects of therapy.
The primary goal of OSAS therapy is to obtain CPAP adaptation for the highest amount of OSAS
 patients to reduce the proportion of untreated OSAS in the population. This object is
 important considering that a longer duration of CPAP treatment is linked with better daytime
 functioning and metabolic and blood pressure effects of CPAP. The main endpoints will be CPAP
 usage (defined as the proportion of night with CPAP usage ≥1h); CPAP adherence (defined as
 the proportion of night with CPAP usage ≥4h); the average nightly usage of CPAP (hour/night);
 CPAP efficacy (defined as AHI and ESS score). Each measure will be performed after 1 week, 1
 month and 6 months.
Inclusion Criteria: • Consecutive symptomatic OSAS patients with an AHI and an oxygen
 desaturation index (ODI) of >15/h in polysomnography (PSG) or Home Sleep Test (HST)
 consenting to start long term CPAP treatment.

 Exclusion Criteria:

 -  Age <18 years

 -  Unable to communicate in Italian

 -  Previous usage of CPAP treatment

 -  Alcohol consumption > 4 units >4 times a week

 -  Acute manifestation of psychiatric diseases

 -  Life expectancy of < 6 months for any reason

 -  Surgical obesity treatment planned within the next 6 months

 -  Predominantly Central sleep apnea and cheyne stokes respiration