Downloading data from positive airway pressure devices in adults
- Aneesa M Das, MD
Aneesa M Das, MD
- Associate Professor of Medicine, The Ohio State University
- Wexner Medical Center
Positive airway pressure (PAP) devices are primarily used to treat sleep disordered breathing including obstructive sleep apnea (OSA). Adherence and efficacy of PAP is routinely monitored subjectively. However, downloadable data from PAP devices provide objective data that complement subjective assessment to facilitate further management [1,2]. Documentation of adherence (ie, compliance) from these downloads is often mandated by insurers. Although downloading additional data from PAP devices has become commonplace, their accuracy in determining efficacy of treatment compared with in-laboratory polysomnography is uncertain and data demonstrating improved outcomes with their use are few.
Using device data downloads to determine adherence with and efficacy of PAP is discussed in this topic review. Details regarding use of downloadable information for continuous positive airway pressure (CPAP) titration following initiation are discussed separately. (See "Mode selection for positive airway pressure titration in adults with obstructive sleep apnea", section on 'Assessing adequacy of PAP settings' and "Mode selection for positive airway pressure titration in adult patients with central sleep apnea syndromes" and "Mode selection for positive airway pressure titration in adults with obstructive sleep apnea", section on 'Follow-up'.)
RATIONALE FOR DEVICE DOWNLOADS
Data from positive airway pressure (PAP) devices are downloaded for the following reasons:
●Documentation of adherence (ie, compliance) to PAP devices is often mandated by third party insurers so that reimbursement can be justified. Adherence can be readily identified and quantified from device downloads. (See 'Assessing adherence' below.)
●Downloadable data may also identify PAP efficacy. (See 'Assessing effectiveness' below.)
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- RATIONALE FOR DEVICE DOWNLOADS
- ACCESSING DEVICE DATA
- Secure digital card
- Modem device
- Wireless transmission
- CONTINUOUS POSITIVE AIRWAY PRESSURE DOWNLOADS
- Assessing adherence
- Assessing effectiveness
- Assessing leak
- Assessing detailed data to assist in troubleshooting
- AUTOADJUSTING DEVICE DOWNLOADS
- BILEVEL DEVICE AND ADAPTIVE SERVO VENTILATOR DOWNLOADS
- SUMMARY AND RECOMMENDATIONS