Evaluation of Type 3 Portable Monitoring in Unattended Home Setting for Suspected Sleep Apnea: Factors That May Affect its Accuracy

Yin, Min; Miyazaki, Soichiro; Ishikawa, Kazuo

doi:10.1016/j.otohns.2005.10.019

Cited by 55 publications

(55 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…67,86 Seven studies evaluated the performance of Type 3 HSAT devices against PSG, but the AHI cutoffs employed varied across studies, resulting in sub-grouping by AHI cutoffs for our analyses. [87][88][89][90][91][92][93] When using an AHI ≥ 5 cutoff, accuracy in a high-risk population (assuming a prevalence of 87%) ranged from 84% to 91%, whereas in a low-risk population (assuming a prevalence of 55%) accuracy ranged from 70% to 78% based on the seven studies (see supplemental material, Table S39). Using a cutoff of AHI ≥ 15, the accuracy of these devices in a high-risk population ranged from 65% to 91%, based on six studies 87,[89][90][91][92]94 (see supplemental material, Table S40).…”

Section: Accuracymentioning

confidence: 99%

Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

Kapur

Auckley

Chowdhuri

et al. 2017

Journal of Clinical Sleep Medicine

2,018

1,498

View full text Add to dashboard Cite

Introduction: This guideline establishes clinical practice recommendations for the diagnosis of obstructive sleep apnea (OSA) in adults and is intended for use in conjunction with other American Academy of Sleep Medicine (AASM) guidelines on the evaluation and treatment of sleep-disordered breathing in adults. Methods: The AASM commissioned a task force of experts in sleep medicine. A systematic review was conducted to identify studies, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process was used to assess the evidence. The task force developed recommendations and assigned strengths based on the quality of evidence, the balance of benefits and harms, patient values and preferences, and resource use. In addition, the task force adopted foundational recommendations from prior guidelines as "good practice statements", that establish the basis for appropriate and effective diagnosis of OSA. The AASM Board of Directors approved the final recommendations. Recommendations:The following recommendations are intended as a guide for clinicians diagnosing OSA in adults. Under GRADE, a STRONG recommendation is one that clinicians should follow under most circumstances. A WEAK recommendation reflects a lower degree of certainty regarding the outcome and appropriateness of the patient-care strategy for all patients. The ultimate judgment regarding propriety of any specific care must be made by the clinician in light of the individual circumstances presented by the patient, available diagnostic tools, accessible treatment options, and resources. Good Practice Statements:Diagnostic testing for OSA should be performed in conjunction with a comprehensive sleep evaluation and adequate follow-up. Polysomnography is the standard diagnostic test for the diagnosis of OSA in adult patients in whom there is a concern for OSA based on a comprehensive sleep evaluation. Recommendations:1. We recommend that clinical tools, questionnaires and prediction algorithms not be used to diagnose OSA in adults, in the absence of polysomnography or home sleep apnea testing. (STRONG) 2. We recommend that polysomnography, or home sleep apnea testing with a technically adequate device, be used for the diagnosis of OSA in uncomplicated adult patients presenting with signs and symptoms that indicate an increased risk of moderate to severe OSA. (STRONG) 3. We recommend that if a single home sleep apnea test is negative, inconclusive, or technically inadequate, polysomnography be performed for the diagnosis of OSA. (STRONG) 4. We recommend that polysomnography, rather than home sleep apnea testing, be used for the diagnosis of OSA in patients with significant cardiorespiratory disease, potential respiratory muscle weakness due to neuromuscular condition, awake hypoventilation or suspicion of sleep related hypoventilation, chronic opioid medication use, history of stroke or severe insomnia. (STRONG) 5. We suggest that, if clinically appropriate, a split-night diagnostic protocol, rather than a full-night diagnostic protoc...

show abstract

Section: Accuracymentioning

confidence: 99%

Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

Kapur

Auckley

Chowdhuri

et al. 2017

Journal of Clinical Sleep Medicine

2,018

1,498

View full text Add to dashboard Cite

show abstract

“…[46][47][48]52,55,81,88,89,98,104 In addition, 7 of 14 inlaboratory studies showed a decline in sensitivity and an increase in specificity, and 2 studies showed an increase in area under the ROC curve. 47,48,51,52,58,[61][62][63][65][66][67][69][70][71] We found no significant difference in baseline characteristics between the 2 groups of patients in all 8 studies that reported disease management after the diagnosis by either test.…”

Section: Diagnostic Accuracy Of Sleep Testsmentioning

confidence: 99%

Diagnostic accuracy of level 3 portable sleep tests versus level 1 polysomnography for sleep-disordered breathing: a systematic review and meta-analysis

Shayeb

Topfer

Stafinski

et al. 2013

CMAJ

186

104

View full text Add to dashboard Cite

“…Inlaboratory PSG is also not practical in some situations, such as postoperative sleep evaluation. To deal with this issue, a number of portable sleep monitoring devices have been developed [15][16][17][18][19][20]. To provide evidence-based recommendations on the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients, a clinical guideline has been published by the Portable Monitoring Task Force of the American Academy of Sleep Medicine in 2007 [21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Perioperative practical experiences in using a level 2 portable polysomnography

et al. 2010

View full text Add to dashboard Cite

show abstract

Evaluation of Type 3 Portable Monitoring in Unattended Home Setting for Suspected Sleep Apnea: Factors That May Affect its Accuracy

Abstract: Type 3 PM is feasible in unattended home-setting for routine examination. Influence of the factors above should be comprehensively considered especially for mild patients.

Cited by 55 publications

References 19 publications

Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

Diagnostic accuracy of level 3 portable sleep tests versus level 1 polysomnography for sleep-disordered breathing: a systematic review and meta-analysis

Perioperative practical experiences in using a level 2 portable polysomnography

Contact Info

Product

Resources

About