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Agreement Between Results of Home Sleep Testing for Obstructive Sleep Apnea with and Without a Sleep Specialist
| Content Provider | Scilit |
|---|---|
| Author | Aurora, R. Nisha Putcha, Nirupama Swartz, Rachel Punjabi, Naresh M. |
| Copyright Year | 2016 |
| Description | Journal: The American journal of medicine Background Obstructive sleep apnea is a prevalent yet underdiagnosed condition associated with cardiovascular morbidity and mortality. Home sleep testing offers an efficient means for diagnosing obstructive sleep apnea but has been deployed primarily in clinical samples with a high pretest probability. The present study sought to assess whether obstructive sleep apnea can be diagnosed with home sleep testing in a nonreferred sample without involvement of a sleep medicine specialist. Methods A study of community-based adults with untreated obstructive sleep apnea was undertaken. Misclassification of disease severity according to home sleep testing with and without involvement of a sleep medicine specialist was assessed, and agreement was characterized using scatter plots, Pearson's correlation coefficient, Bland-Altman analysis, and the κ statistic. Analyses were also conducted to assess whether any observed differences varied as a function of pretest probability of obstructive sleep apnea or subjective sleepiness. Results The sample consisted of 191 subjects, with more than half (56.5%) having obstructive sleep apnea. Without involvement of a sleep medicine specialist, obstructive sleep apnea was not identified in only 5.8% of the sample. Analyses comparing the categorical assessment of disease severity with and without a sleep medicine specialist showed that in total, 32 subjects (16.8%) were misclassified. Agreement in the disease severity with and without a sleep medicine specialist was not influenced by the pretest probability or daytime sleep tendency. Conclusion Obstructive sleep apnea can be reliably identified with home sleep testing in a nonreferred sample, irrespective of the pretest probability of the disease. |
| Related Links | http://europepmc.org/articles/pmc4930550?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4930550/pdf http://www.amjmed.com/article/S0002934316302030/pdf |
| Ending Page | 730 |
| Page Count | 6 |
| Starting Page | 725 |
| ISSN | 00029343 |
| e-ISSN | 15557162 |
| DOI | 10.1016/j.amjmed.2016.02.015 |
| Journal | The American journal of medicine |
| Issue Number | 7 |
| Volume Number | 129 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2016-03-08 |
| Access Restriction | Open |
| Subject Keyword | Journal: The American journal of medicine Respiratory System Home Sleep Testing Obstructive Sleep Apnea |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
