What are the efficacy of at-home diagnosis and treatment of obstructive sleep apnea (OSA)?

Updated: Sep 15, 2020
  • Author: Himanshu Wickramasinghe, MD, MBBS; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

At least 2 studies have compared an at-home approach to diagnosis and treatment of OSA (home portable monitoring followed by autotitrating CPAP [see below]) to a conventional in-laboratory sleep study. Both studies showed that in carefully selected patients (generally those with a high pretest probability of disease and without comorbidities), patients with a home-based approach had similar clinical outcomes to those patients studied in the laboratory. [143, 144] A study by Kuna et al also reported that functional outcome and treatment adherence in patients evaluated using a home-testing algorithm was not clinically inferior to standard in-laboratory polysomnography. [145]


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