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Promotion of adherence to home-mechanical ventilation by Telemonitoring technology: a pilot study

Introduction: Telemonitoring in Home Respiratory Therapies, namely in home mechanical ventilation, is an important tool that could enhances adherence. Healthcare professional could access to patients data using a virtual platform and detect early problems and readily create optimal strategies. Aims and Objectives: 1) Analyse the number and the type of detected problems in therapy for the non-adherence patients with mechanical ventilation at home with telemonitorization. 2) Identify and characterize the intervention made for the resolution of the problems. Methods: A prospective cohort pilot study was performed during 3 months (November 2018 to January 2019) using the telemonitorization platform data available, especially the level of leak and Apnea–Hypopnea Index. The number of detected problems, the type of contact and specific intervention made by healthcare professional to solve the problem was registered. Results: In a sample of 3,400 telemonitored patients, was identified a relevant clinical situation to act in 270 (8%) patients. High level of leak (47%) and high AHI (35%) were the most detected problems. According to the level of severity, the actuation was performed by a control phone call (87%), or a home visit (13%) in the most relevant incidences. Readjustments in mask and reinforcement of adherence (education) were the most common strategies to increase the adherence to the therapy, when additional home visits were performed. Conclusions: The early activation of troubleshooting by the use of Telemonitoring technology could enhance the compliance of long-term therapy acceptance in Home Respiratory Therapies.