Portable Recording in the Assessment of Obstructive Sleep Apnea

Ferber, Richard; Millman, Richard P.; Coppola, Michael P.; Fleetham, John A.; Murray, Catherine Friederich; Iber, Conrad; McCall, W. Vaughn; Niño-Murcia, German; Pressman, Mark R.; Sanders, Mark H.; Strohl, Kingman P.; Votteri, Bernhard A.; Williams, Adrian

doi:10.1093/sleep/zsy134

Cited by 76 publications

(38 citation statements)

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“…Based on the number of measured variables, the American Academy of Sleep Medicine (AASM) classified the sleep study into four main types out of which the three of them can be performed with the portable monitoring 18 .…”

Section: Discussionmentioning

confidence: 99%

Using respiratory polygraphy in diagnosing obstructive sleep apnea - our experiences

et al. 2019

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Bacground/Aim. Obstructive sleep apnea (OSA) involves repeated episodes of cessation of breathing that occur due to a decrease in pharyngeal muscle tone. This disorder is more common in men and represents a significant risk factor for serious cardiovascular and cerebrovascular events. The gold standard in the diagnosis of this disorder represents a polysomnography (PSG), which is technically a complex and multidisciplinary method. Respiratory polygraphy (RP) may constitute an adequate replacement for most uncomplicated cases of obstructive sleep apnea. The aim of the study was to examine the efficacy of using respiratory polygraphies in diagnosing of obstructive sleep apnea. Me-thods. On all the patients with suspected obstructive sleep apnea, RP and a retrospective analysis of the obtained results were performed. Results. By completing our examination, we proved that there was a positive correlation between the results obtained by using RP and the predictors of obstructive sleep apnea such as the Epworth sleepiness scale (EPWORTH) score, neck circumference and body mass index. Conclusion. Respiratory polygraphy represents a cheaper and simpler replacement for PSG, especially with uncomplicated obstructive breathing disorders during sleep. Key words: sleep apnea syndrome; diagnostic techniques and procedures; respiratory function tests; risk factors.Apstrakt Uvod/Cilj. Opstuktivni poremećaj disanja tokom spavanja podrazumeva ponovljene epizode prestanka disanja koji nastaju zbog smanjenja tonusa mišića faringsa. Ovaj poremećaj češći je kod muškaraca i predstavlja značajan faktor rizika od ozbiljnih kardio-i cerebrovaskularnih događaja. Zlatni standard u postavljanju dijagnoze ovog poremećaja predstavlja polisomnografija (PSSG) koja je tehnički zahtevna i multidisciplinarna metoda. Respiratorna poligrafija (RP) može predstavljati adekvatnu zamenu kod većine nekomplikovanih slučajeva opstruktivne sleep apneae. Cilj rada bio je ispitati efikasnost primene RP u dijagnostikovanju opstuktivnog poremećaja disanja tokom sna. Meto-de. Kod svih ispitanika sa sumnjom na opstuktivni poremećaj disanja tokom sna, učinjena je respiratorna poligrafija i retrospektivna analiza dobijenih rezultata. Rezultati. Učinjenim ispitivanjem dokazali smo da postoji pozitivna korelacija između rezultata dobijenih RP prediktora kao što su Epworth Sleepinness scale (EPWORTA skor), obim vrata, indeks telesne mase. Zaključak. Respiratorna poligrafija predstavlja jeftiniju i jednostavniju zamenu za PSG naročito za nekomplikovane opstruktivne poremećaje disanja tokom sna.Ključne reči: apneja u snu, sindromi; dijagnostičke tehnike i procedure; respiratorna funkcija, testovi; faktori rizika.

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Section: Discussionmentioning

confidence: 99%

Using respiratory polygraphy in diagnosing obstructive sleep apnea - our experiences

et al. 2019

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“…However, relatively high cost and growing wait times have provided the impetus for simplified portable unattended systems suitable for diagnosis of OSA outside the laboratory environment. In 1994 [14], AASM published a classification scheme grading the complexity of diagnostic sleep testing (see Table 1). Under this system, level 1 refers to commonly used in-laboratory attended PSG, level 2 refers to equally complex attended studies at home (rarely done) and levels 3 and 4 refer to unattended studies most commonly done at home, or out of the sleep laboratory.…”

Section: Home Sleep Testing (Hst)mentioning

confidence: 99%

“…Many third party payers have followed CMS' lead; and in fact, many have instituted policies whereby portable sleep testing is required for all covered patients, with certain exceptions. Indeed in the highly selected patient populations studied for validation of portable testing, the correlation and even clinical outcomes are comparable between using portable diagnostic and in-laboratory testing [12][13][14]. However, as pointed out in an editorial by Collop [15], the issue is not the test per se, but how the test is utilized when it is "generalized."…”

Section: Home Sleep Testing (Hst)mentioning

confidence: 99%

Sleep Apnea - Recent Updates

Vats¹

2017

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Sleep apnea is highly prevalent and underdiagnosed. It is associated with multiple medical conditions including cardiac dysrhythmia, stroke, hypertension, diabetes and congestive heart failure. In the last few decades, advances in diagnosis and treatment of sleep apnea have been robust. In this review, we will emphasize primarily developments in the area of sleep apnea that occurred in the past 5 years. These include changes in the nomenclature of sleep apnea in the International Classification in Sleep Disorders (ICSD)-3, physiologic approach of treating sleep apnea, eligibility for CPAP (continuous positive airway pressure) treatment, home sleep testing (HST), sleep apnea in pregnancy, updates in oral device treatment and other emerging concepts on sleep apnea.

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“…S1, Supplementary Information). It corresponds to classification III of the AASM 35 and the S 3 C 4 O 1 P 2 E 4 R 2 of SCOPER classification. 36 Phase II was performed by comparing automatic analysis of BTI-APNiA against the RP system (Embletta Gold).…”

Section: Sleep Studiesmentioning

confidence: 99%