Management of sleep apnea without high pretest probability or with comorbidities by three nights of portable sleep monitoring.

ABSTRACT:

Study objectives

Obstructive sleep apnea (OSA) diagnosis using simplified methods such as portable sleep monitoring (PM) is only recommended in patients with a high pretest probability. The aim is to determine the diagnostic efficacy, consequent therapeutic decision-making, and costs of OSA diagnosis using polysomnography (PSG) versus three consecutive studies of PM in patients with mild to moderate suspicion of sleep apnea or with comorbidity that can mask OSA symptoms.

Design and setting

Randomized, blinded, crossover study of 3 nights of PM (3N-PM) versus PSG. The diagnostic efficacy was evaluated with receiver operating characteristic (ROC) curves. Therapeutic decisions to assess concordance between the two different approaches were performed by sleep physicians and resp

SUBMITTER: Guerrero A 

PROVIDER: S-EPMC4096206 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature