Can sleep apnea be accurately diagnosed at home?

Abstract

Review of: Corral J, Sánchez-Quiroga MÁ, Carmona-Bernal C, et al. Conventional polysomnography is not necessary for the management of most patients with suspected obstructive sleep apnea. Noninferiority, randomized controlled trial. Am J Respir Crit Care Med. 2017;196:1181-1190.Can sleep apnea be accurately diagnosed at home? A recent study says Yes, and that it offers advantages: it can be scheduled faster, is less expensive, and is more acceptable to many patients than lab testing. PRACTICE CHANGER: Consider orderinghome respiratory polygraphy vs laboratory sleep studies for patients suspected of having obstructive sleep apnea. STRENGTH RECOMMENDATION: B: Based on a multicenter, noninferiority randomized controlled trial and cost analysis study.E. Ashley Suniega, MD; Christina M. Thoma, MD; J. Scott Earwood, MD; Dean A. Seehusen, MD, MPH; Dwight D. Eisenhower Army Medical Center, Family Medicine Residency, Program, Fort Gordon, Ga (Drs. Suniega, Thoma, and Earwood); Augusta University, Augusta, Ga (Dr. Seehusen