Home Sleep Apnea Study of Patients with Limited to No Mobility
Introduction: Obstructive sleep apnea (OSA) is a common and under-recognized cause of excessive daytime sleepiness that can be easily and effectively treated. The gold standard for diagnosing OSA is attended overnight Level I polysomnography (PSG). This method has proved accurate with a low failure rate because technical staff attends the study. However, PSG is considered relatively expensive and technically complex. Portable monitoring has served as an alternative diagnostic test for OSA based, in part, on the premise that it is less expensive and quicker to deploy than in-laboratory PSG.
Objectives: To compare the technical success rate of home sleep apnea study between two approaches: first, the standard method performed at the sleep unit in non-restricted mobility patients (Standard); second, instruction is given at the patients’ residence residence for restricted to no-mobility patients.
Result: We performed 37 PR studies. 15 of which took place in other hospital wards and 22 in skilled nursing facilities. For the control group, we included 38 consecutive STANDARD patients.
Conclusion: In conclusion, the concept of conducting a sleep apnea study at the residence of patients with limited to no mobility is not only practical, but has also offers some benefits over the standard home sleep apnea study procedure.