out-of-center sleep testing; home sleep apnea test
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Indications
- evaluation of sleep-disorder breathing, including obstructive sleep apnea in patients without comorbid cardiopulmonary disease with high pre-test probability
Contraindications
- patients with possible mild & minimally symptomatic* obstructive sleep apnea (OSA)
* snoring, gasping, low lying palate, partner does not note apnea
- regular sleep schedule, awakens feeling rested, no daytime sleepiness or headaches
- oxygen saturation on room air pulse oximetry is normal
Procedure
- portable technology for unmonitored use
- measures oronasal airflow, chest wall excursion, body position, & pulse oximetry
- overnight pulse oximetry is useful for rule-out OSA in low-risk patients[1]
More general terms
More specific terms
References
- ↑ 1.0 1.1 1.2 Medical Knowledge Self Assessment Program (MKSAP) 11, 14, 15, 16, 17, 18, 19. American College of Physicians, Philadelphia 1998, 2006, 2009, 2012, 2015, 2018, 2022.
Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022 - ↑ Rosen CL, Auckley D, Benca R et al A multisite randomized trial of portable sleep studies and positive airway pressure autotitration versus laboratory-based polysomnography for the diagnosis and treatment of obstructive sleep apnea: the HomePAP study. Sleep. 2012 Jun 1;35(6):757-67. PMID: https://pubmed.ncbi.nlm.nih.gov/22654195 Free PMC Article