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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
The first evaluation of the patient refered to the sleep clinic will be performed by the clinical nurse then discussed with the pulmonologist in charge.
The first evaluation of the patient refered to the sleep clinic will be performed only by the pulmonologist.
Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec (CRIUCPQ)
Québec, Quebec, Canada
Improvement in symptoms
Based on the Epworth Sleepiness scale (ranging from 0 to 24 points, higher values indicates increased sleepiness)
Time frame: Assessed at three months
Improvement in symptoms
Based on the Epworth Sleepiness scale (ranging from 0 to 24 points, higher values indicates increased sleepiness)
Time frame: Assessed at six months
Improvement in quality of life
Based on the Quebec Sleep questionnaire
Time frame: Assessed at three months
Improvement in quality of life
Based on the Quebec Sleep Questionnaire
Time frame: Assessed at six months
Positive pressure treatment adherence
Number of hours used per night according to CPAP report
Time frame: Assessed at six months
Mandibular advancement device treatment adherence
According to the patient's usage report
Time frame: Assessed at six months
Weight loss treatment adherence
Changes from baseline weight (kg)
Time frame: Assessed at six months
Positional therapy
Proportion of time spent supine at baseline and at control cardio-respiratory recording
Time frame: Assessed at six months
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