How can I effectively monitor and follow up on patients diagnosed with OSA after initiating treatment?

Monitor treatment effectiveness by reviewing symptoms such as daytime sleepiness and vigilance, including using tools like the Epworth Sleepiness Scale, and assessing the severity of OSAHS using AHI or ODI ¹.

Review adherence to therapy, including telemonitoring data or device download information if available ¹.

For patients on CPAP, conduct an initial face-to-face, video, or phone consultation within 1 month, followed by subsequent follow-ups tailored to the patient's needs until optimal control of symptoms and AHI or ODI is achieved ¹.

Once CPAP is optimized, consider annual follow-up, and ensure patients have access to a sleep service for ongoing advice, support, and equipment ¹.

For patients using mandibular advancement splints, review device adjustment and symptom improvement at 3 months, then follow-up as needed until optimal control is achieved ¹.

For positional modifiers, offer follow-up within 3 months and subsequent reviews until symptoms and indices are controlled ¹.

For patients who have had surgery, arrange a follow-up with respiratory polygraphy within 3 months post-operation, then follow-up based on individual needs ¹.

For drivers with excessive sleepiness, ensure follow-up aligns with DVLA guidance, including assessment of symptom control and treatment adherence, with regular reviews (minimum annually for moderate/severe cases) ².

Encourage ongoing support and education, including lifestyle modifications and management of comorbidities, and provide information on support organizations such as the Sleep Apnoea Trust and British Lung Foundation ².