P095 Taking diagnostic sleep testing to the community

Abstract Background Sleep Related Breathing Disorders are common in the community and have shown to be more prevalent in Māori and Pacific Island populations (Mihaere 1999). Aim To pilot then audit a community based testing model in a high risk population. Methods Local sleep laboratory, tertiary hospital and Marae Health Clinic collaborated to pilot a diagnostic testing paradigm. Testing devices were taken to a community hub. Patients had medical review, took a device home and then returned it to the clinic the next day. Results Specific successes include: Some patients being able to walk to the clinic. A patient found his Grandfathers art on the wall at the clinic –that it made him feel comfortable and then engaged with the service. Marae Health Clinic staff providing assistance to clients to attend appointments. Study Outcomes 17 Clinics were completed over 14 months, with a total of 37 patients having a home sleep test through the pathway. Average age 42 years, 14F and 23M, 20 identified as PI, 16 as NZM and 1 NZE. Patients presented with subjective daytime sleepiness – average ESS 12/24. 11/37 had a diagnostic test result showing no/mild OSA. 6 had moderate OSA. 20 had severe OSA. 24 were referred for PAP therapy. Of the 21 completed their PAP trial 16 used PAP with good success (76%). Conclusion The partnership between sleep clinicians, sleep laboratories and community health services provide many benefits for patients. We would like to now expand the model to include another local region.