Asten Santé originated in the 1970s as a response to the establishment of medical associations focused on enabling ventilator-dependent patients to receive care in their homes rather than hospitals. Today, Asten Santé operates as part of the La Poste group and addresses various healthcare concerns, including respiratory failure, sleep apnea, diabetes, infusion therapy, and artificial nutrition.
In the context of sleep apnea, Asten Santé’s teams were looking for innovative solutions to enhance the level of standard home healthcare services, while also offering a unique proposition to healthcare professionals caring for patients.
Sleep apnea is a condition that is characterized by shallow breathing and/or breathing disturbances of varying severity during sleep. Also known as obstructive sleep apnea syndrome (OSAS), this condition can lead to the development of long term health issues like high blood pressure, cardiovascular diseases, stroke, or diabetes, if not treated properly. In the short term, lack of sleep due to OSAS can also lead to daytime fatigue that may be responsible for accidents, reduced quality of life and reduced cognitive function as relates to memory or work productivity. The most common treatment is the continuous positive airway pressure machine (CPAP), which is a mask worn during the night that ensures consistent airflow into the airways (1).
One of the challenges that comes along with the implementation of CPAP treatment is patient acceptance and adherence to treatment. According to the ALASKA study, conducted by ResMed on a cohort of French patients, the level of new patient adherence was found to be quite low — about 48% stopped their treatment
after 3 years (2).
As a home healthcare provider and medical prescriber, Asten Santé sets up regular at-home visits with sleep apnea experts for their patients in order to explain the treatment process, install the CPAP machine and address any difficulties they might encounter. In this setting, the teams sought an innovative way to engage patients in their treatment and raise awareness of its importance. This is how the partnership between Withings Health Solutions and Asten Santé began.
Doctors can now direct their patients to use Withings Sleep Analyzer, a clinically validated sleep tracker, while they’re at home (3,4).
Sleep Analyzer is installed under the patient’s mattress. Once it is installed, there’s nothing else the patient has to do. The device is able to record and analyze the patient’s sleep, as if they were at a sleep lab. It tracks vital parameters like heart rate, respiratory rate and movement. This way, the patient can get a precise view of their sleep cycles, sleep score, continuous heart rate and breathing. Sleep Analyzer also detects sleep apnea and classifies its severity on the scale of the American Academy of Sleep Medicine (AASM), which is considered to be the global standard (5).
From a clinical point of view, one of its strengths is the capacity to record extended sleep data in a secure and non-invasive way. In regards to the apnea-hypopnea index, Sleep Analyzer allows doctors to take the variability between different nights of sleep into account — a factor which is responsible for 20% to 50% of OSAS severity classification errors (6).
Every day, patients can consult their sleep information directly on the Withings app. They are able to follow changes in their sleep patterns and better adhere to their treatment.
Patients can use their Sleep Analyzer for 4 months. After this allotted time, they can buy the product from Asten Santé if they wish to continue monitoring their sleep.
The partnership between Asten Santé and Withings Health Solutions led to a new treatment approach in the home healthcare field. This innovative synergy between CPAP treatment and the Sleep Analyzer empowers patients to actively participate in their treatment journey from the very beginning, significantly enhancing their acceptance and adherence to the therapy. Remarkably, over 50% of patients express a desire to purchase a Sleep Analyzer upon completing the program, enabling them to closely monitor their treatment progress independently.
This innovative offering from Asten Santé stands out to doctors and in the home healthcare providers field. Johan Dupuis, the national expert in respiratory care, emphasized how this has allowed Asten Santé to successfully recruit new doctors, which in turn has led to the recruitment of new patients and the realization of the overarching goal of the initiative.
of patients express a desire to purchase a Sleep Analyzer upon completing the program
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1. Andre Faria and al., « The Public Health Burden of Obstructive Sleep Apnea », Sleep Science (Sao Paulo, Brazil) 14, no 3 (2021): 257-65, https://doi.org/10.5935/1984-0063.20200111
2. Jean-Louis Pépin and al., « CPAP Therapy Termination Rates by OSA Phenotype: A French Nationwide Database Analysis », Journal of Clinical Medicine 10, no 5 (1st of March 2021): 936,
3. Paul Edouard and al., « Validation of the Withings Sleep Analyzer, an under-the-Mattress Device for the Detection of Moderate-Severe Sleep Apnea Syndrome », Journal of Clinical Sleep
Medicine 17, no 6 (Junes 2021): 1217-27, https://doi.org/10.5664/jcsm.9168
4. Rui-Yi Yang and al., « Pneumatic sensor for cardiorespiratory monitoring during sleep », Biomedical Physics & Engineering Express 5, no 5 (23rd of August 2019): 055014,
5. Vishesh K. Kapur et al., « Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline », Journal of Clinical
Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine 13, no 3 (15th of March 2017): 479-504, https://doi.org/10.5664/jcsm.6506
6. Bastien Lechat et al., « Multinight Prevalence, Variability, and Diagnostic Misclassification of Obstructive Sleep Apnea », American Journal of Respiratory and Critical Care Medicine 205, no 5 (1st of
March 2022): 563-69, https://doi.org/10.1164/rccm.202107-1761OC