Management of Sleep Apnea Patients by a Clinical Nurse (Supernurse)

Annie C Lajoie

Status: Completed

Conditions: Sleep Apnea Syndromes; Multidisciplinary Communication; Sleep Apnea, Obstructive; Sleep Apnea

Treatments: Other: Clinical nurse (supernurse) evaluation; Other: Pulmonologist evaluation

Study type: Interventional

Funder types: Other

Identifiers

NCT03455920

Sleep Apnea Supernurse

Details and patient eligibility

About

Sleep apnea is a prevalent problem and references for the evaluation of this condition often exceeds the sleep clinic's capacity thus creating important delays in the patients' care.

The overall goal of this project is to assess the feasibility and the non-inferiority of integrating a clinical nurse, or supernurse, to the initial consultation team.

The hypothesis is that the integration of a clinical nurse to the sleep clinic's evaluation team is non inferior in terms of patients' outcomes such as improvement of symptoms and quality of life as well as adherence to treatment.

This study is supported by funding dedicated to teaching and research activities related to sleep-disordered breathing.

Enrollment: 200 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Patients referred to the ''Institut Universitaire de Cardiologie et Pneumologie de Québec'' 's sleep clinic who have undergone a cardiorespiratory polygraphy.
• Body mass index (BMI) between 27-35 kg/m2;
• Apnea-Hypopnea Index (ADI) equal or above 20 events per hour with less than 5 events per hour of central origin;
• Oxygen Desaturaton Index (ODI) equal or above 10 events per hour;
• Percentage of time spent below 90% of oxygen saturation equal or less than 10%

Exclusion criteria :

• Patients not meeting the above inclusion criteria.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

200 participants in 2 patient groups

Multidisciplinary arm

Experimental group

Description:

Patients randomized in this group will have their first sleep clinic evaluation with the clinical nurse. She will then discuss each case with the pulmonologist and validate the diagnostic and therapeutic avenue.

Treatment:

Other: Clinical nurse (supernurse) evaluation

Pulmonologist arm

Active Comparator group

Description:

Patients randomized in this group will have their first sleep clinic evaluation with the pulmonologist.

Treatment:

Other: Pulmonologist evaluation