TREATMENT
Nurse-led care was non-inferior to physician-directed care in symptomatic moderate to severe obstructive sleep apnoea
| The first 150 words of the full text of this article appear below. |
Is nurse-led care non-inferior to physician-directed care in patients with symptomatic moderate to severe obstructive sleep apnoea (OSA)?
randomised controlled trial (RCT). ACTRN 012605000064606.
concealed.
blinded (research assistants).
3 months.
3 academic sleep medicine services in Australia.
195 patients (mean age 50 y, 74% men) 18–75 years of age, who had Epworth Sleepiness Scale (ESS) scores 
8, history of snoring "most nights" or "every night," and oxygen saturation (SaO2) dip >2% at a rate of >27 dips/hour. Exclusion criteria were unstable cardiovascular disease, neuromuscular disease affecting or potentially affecting respiratory muscles, moderate to severe respiratory disease or documented hypoxemia or awake SaO2 <92%, and psychiatric disease.
nurse-led care (n = 100) or physician-directed care (n = 95). Nurse-led care involved autotitrating CPAP between 4 and 20 cm H2O for 4 consecutive nights in patients’ homes. Nurses reviewed CPAP data and converted patients to a fixed CPAP device with
College of Nursing, Wayne State University, Detroit, Michigan, USA
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