Portable monitoring devices for diagnosis of obstructive sleep apnea at home: review of accuracy, cost effectiveness, guidelines, and coverage in Canada
Ndegwa S, Clark M, Argaez C
Record ID 32010001048
English
Authors' objectives:
To review evidence on the accuracy and cost effectiveness of using portable monitoring devices to diagnose obstructive sleep apnea (OSA) at home and in the laboratory when compared with laboratory polysomnography (PSG).
Authors' recommendations:
Although laboratory PSG is the standard test used to diagnose OSA, the evidence shows that, among patients with a high pretest probability of moderate-to-severe OSA, portable monitoring devices can be used at home for diagnosis when access to laboratory sleep studies and sleep specialists is limited. Results obtained from using portable monitoring devices at home may be less accurate compared to portable monitoring conducted in a laboratory or with laboratory PSG. Some studies show no difference in short-term compliance and response to continuous positive airway pressure (CPAP) therapy when portable monitoring and CPAP autotitration at home are compared with laboratory-based PSG diagnosis and CPAP titration.
Details
Project Status:
Completed
URL for project:
http://www.cadth.ca/media/pdf/M0002_Portable_Monitoring_Devices_Obstructive_Sleep_Apnea_L3_e.pdf
Year Published:
2009
URL for published report:
http://www.cadth.ca/index.php/en/hta/reports-publications/search/publication/950
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Computers, Handheld
- Monitoring, Ambulatory
- Polysomnography
- Sleep Apnea, Obstructive
- Telemetry
Contact
Organisation Name:
Canadian Agency for Drugs and Technologies in Health
Contact Address:
600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;
Contact Name:
requests@cadth.ca
Contact Email:
requests@cadth.ca
Copyright:
Canadian Agency for Drugs and Technologies in Health (CADTH)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.