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Home sleep testing for the diagnosis of obstructive sleep apnea-indications and limitations

机译:家庭睡眠测试对阻塞性睡眠呼吸暂停的指征和局限性的诊断

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摘要

The increasing prevalence and recognition of obstructive sleep apnea (OSA) coupled with an awareness of its detrimental health consequences has resulted in the need for timely and cost efficient access to diagnostic sleep testing and treatment. As a result, increased emphasis is being placed on simplified ambulatory models for the diagnosis and treatment of OSA using home sleep testing (HST). An ambulatory sleep program requires the combination of clinical assessment for identifying patients at high risk for OSA, HST for the diagnosis of OSA, and home auto-titrating positive airway pressure units for treatment. Randomized control trials evaluating the efficacy of this ambulatory approach to diagnose and treat OSA in high-risk patients without significant medical comorbidities reveal the potential for equivalent patient outcomes when compared with the use of polysomnography and in-laboratory continuous positive airway pressure titration.
机译:阻塞性睡眠呼吸暂停(OSA)的患病率和识别率不断提高,并意识到其有害的健康后果,因此需要及时,经济高效地进行诊断性睡眠测试和治疗。结果,越来越重视使用家庭睡眠测试(HST)诊断和治疗OSA的简化门诊模型。动态睡眠计划需要结合临床评估(用于识别高OSA风险患者),HST(用于诊断OSA)以及家用自动滴定气道正压单位进行治疗。评估这种门诊方法在没有重大医学合并症的高危患者中诊断和治疗OSA的功效的随机对照试验显示,与多导睡眠图和实验室内持续气道正压滴定法相比,该方法具有相等的患者预后。

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