Application of Telemedicine to Sleep Medicine

David Kristo; Arn H. Eliasson; Nikolaus C. Netzer; Thomas Bigott

doi:10.1055/s-2001-15799

Sleep and Breathing, Inhaltsverzeichnis

Sleep Breath 2001; 05(2): 097-100
DOI: 10.1055/s-2001-15799

EMERGING RESEARCH

Application of Telemedicine to Sleep Medicine

David Kristo¹ , Arn H. Eliasson¹ , Nikolaus C. Netzer¹ , Thomas Bigott²

¹Pulmonary and Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, D.C
²Department of Telemedicine, Walter Reed Army Medical Center, Washington, D.C

Abstract

ABSTRACT

Polysomnograms (PSGs) in specialized sleep centers with physicians and technicians trained in sleep medicine are still considered to be the most accurate form of diagnosis in patients with sleep disorders. But they are also very costly. Internet online transfer of PSGs from nonstaffed to very well-staffed sleep centers might be a solution in the future to reduce costs.

KEYWORD

Telemedicine - sleep - polysomnogram

Volltext

Referenzen

REFERENCES

1 Young T, Palta M, Dempsey J. The occurrence of sleep- disordered breathing among middle aged adults. N Engl J Med . 1993; 328 1230-1235
2 Netzer N C, Stoohs R, Netzer C M, Clark K, Strohl K P. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med . 1999; 131 485-491
3 Kapur V, Blough D K, Sandblom R E. The medical cost of undiagnosed sleep apnea. Sleep . 1999; 22 749-755
4 Ronald J, Delaive K, Roos L. Health care utilization in the 10 years prior to diagnosis in obstructive sleep apnea syndrome patients. Sleep . 1999; 22 225-229
5 Crawford B. Clinical economics and sleep disorders. Sleep . 1997; 20 829-834
6 Pack A I, Gurubhagavutula I. Economic implications of the diagnosis of obstructive sleep apnea. Ann Intern Med . 1999; 130 533-534
7 Chervin R D, Murman D L, Malow B A, Totten V. Cost-utility of three approaches to the diagnosis of sleep apnea with polysomnography, home testing, and empirical therapy. Ann Intern Med . 1999; 130 496-505
8 Eisenberg L D. Insurance coding for the diagnosis and treatment of obstructive sleep disorders. Ear Nose Throat J . 1999; 78 858-860
9 Coleman J. Sleep studies: current techniques and future trends. Otolaryngol Clin North Am . 1999; 32 195-210
10 Whittle A T, Fich S P, Mortimore I L, MacKay T W, Douglas N J. Use of home sleep studies for diagnosis of the sleep apnoea/hypopnoea syndrome. Thorax . 1997; 52 1068-1073
11 Decker M J, Smith B L, Strohl K P. Center-based vs patient-based diagnosis and therapy of sleep-related respiratory disorders and the role of the respiratory care practitioner. Respir Care . 1994; 39 390-396
12 Fry J M, DiPhillipo M A, Curran K, Goldberg R, Baran A S. Full polysomnography in the home. Sleep . 1998; 21 635-642
13 Fletcher E C, Stich J, Yang K L. Unattended home diagnosis and treatment of obstructive sleep apnea without polysomnography. Arch Fam Med . 2000; 9 168-174
14 Meurice J C, Marc I, Series F. Efficacy of auto-CPAP in the treatment of obstructive sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med . 1996; 153 794-798
15 Berkani M, Lofaso F, Chouaid C. CPAP titration by an auto-CPAP device based on snoring detection: clinical and economic considerations. Eur Respir J . 1998; 12 759-768
16 Johnson P. The clinical and economic advantages of remote, community-based physiological assessment. J Telemed Telecare . 1998; 4 64-66
17 Pelletier-Fleury N, Lanoe J, Phillipe C. Economic studies and `technical' evaluation of telemedicine: the case of telemonitored polysomnography. Health Policy . 1999; 49 179-194