rss
Evid Based Nurs 12:112 doi:10.1136/ebn.12.4.112
  • Treatment

Nurse-led care was non-inferior to physician-directed care in symptomatic moderate to severe obstructive sleep apnoea

Question

Is nurse-led care non-inferior to physician-directed care in patients with symptomatic moderate to severe obstructive sleep apnoea (OSA)?

Methods

Design:

randomised controlled trial (RCT). ACTRN 012605000064606.

Allocation:

concealed.

Blinding:

blinded (research assistants).

Follow-up period:

3 months.

Setting:

3 academic sleep medicine services in Australia.

Patients:

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.

Intervention:

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 …

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article