Home-based Diagnosis of Obstructive Sleep Apnea in an Urban Population
Home-based Diagnosis of Obstructive Sleep Apnea in an Urban Population
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DOI：
10.5664/jcsm.3960
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发表时间：
2014-01-01
影响因子：
4.3
通讯作者：
Prasad, Bharati
中科院分区：
文献类型：
--
作者：
Garg, Natasha;Rolle, Andrew J.;Prasad, Bharati
研究目的：使用便携式监测（PM）进行阻塞性睡眠呼吸暂停（OSA）的家庭诊断越来越多，但在服务不足和少数人群中仍然研究不足。我们测试了家庭PM在城市人群中的可行性，与实验室多导睡眠图（PSG）相比，并检查了患者对家庭PM与PSG的偏好。（WatchPAT 200）和实验室内同步PSG和PM在75个城市非裔美国人与高测试前概率的OSA，确定与柏林问卷。结果：75名参与者中有57名为女性，平均年龄45 ± 11岁（平均值± SD），35%的患者AHI ≥ 5，0.95为AHI（PSG）≥ 10，0.92为AHI（PSG）≥ 15。62/75（82%）的参与者喜欢在实验室testing.Conclusions：家庭PM诊断OSA在高风险的城市人群是可行的，准确的，患者的首选。由于家庭PM可以改善获得护理的机会，这种诊断策略的OSA的成本效益应在服务不足的城市和农村人口进行检查。
Study Objectives: Home-based diagnosis of obstructive sleep apnea (OSA) with portable monitoring (PM) is increasingly utilized, but remains understudied in underserved and minority populations. We tested the feasibility of home PM in an urban population at risk for OSA compared to in-laboratory polysomnography (PSG) and examined patient preference with respect to home PM versus PSG.Methods: Randomized crossover study of home PM (WatchPAT200) and in-laboratory simultaneous PSG and PM in 75 urban African Americans with high pre-test probability of OSA, identified with the Berlin questionnaire.Results: Fifty-seven of 75 participants were women, average age 45 +/- 11 years (mean +/- SD), 35% with = 5, 0.95 for AHI(PSG) >= 10, and 0.92 for AHI(PSG) >= 15. 62/75 (82%) participants preferred home over in-laboratory testing.Conclusions: Home PM for diagnosis of OSA in a high risk urban population is feasible, accurate, and preferred by patients. As home PM may improve access to care, the cost-effectiveness of this diagnostic strategy for OSA should be examined in underserved urban and rural populations.