Marie Bruyneel1, Walter Libert2, Lieveke Ameye3, Vincent Ninane2. 1. Chest Service, Saint-Pierre University Hospital, Brussels, Belgium. Electronic address: Marie_Bruyneel@stpierre-bru.be. 2. Chest Service, Saint-Pierre University Hospital, Brussels, Belgium. 3. Data Center, Bordet Institute, Brussels, Belgium.
Abstract
BACKGROUND:Unattended home-based polysomnography (H-PSG) is a reliable tool for the diagnosis of obstructive sleep apnoea (OSA). The quality of the recording can be influenced by several factors including the set-up location - at home versus in the sleep laboratory. Previous studies have suggested that the failure rate is higher when H-PSG is fitted in hospital. The aim of this study was to determine the influence of hook-up location on H-PSG recording quality. Feasibility and repeatability of H-PSG were also assessed. METHODS:Consecutive patients suspected of OSA were selected. Each patient underwent two H-PSGs within two weeks, one fitted at home and one fitted in the sleep laboratory. The order of H-PSG was randomly assigned. RESULTS: Among the 102 included patients, 95 completed the study. Ninety-three per cent of the 190 H-PSGs were satisfactory. The failure rate of H-PSG was similar for both the home set-up and the sleep laboratory set-up (p = 0.33). Seventy-nine per cent of patients opted to be fitted at home. OSA was diagnosed in 59%. The apnoea-hypopnoea index was similar for home and sleep laboratory set-up, resulting in a very good reproducibility (intraclass correlation coefficient of 0.85). No differences in total sleep time and sleep architecture were observed in both set-up protocols. Except for sleep duration, which was longer in the first H-PSG test, we did not observe any first-night effect during the first H-PSG. CONCLUSION: The present study demonstrates that hospital hook-up is as effective as home hook-up for home-unattended polysomnography, and that feasibility and repeatability of H-PSG are very good.
RCT Entities:
BACKGROUND: Unattended home-based polysomnography (H-PSG) is a reliable tool for the diagnosis of obstructive sleep apnoea (OSA). The quality of the recording can be influenced by several factors including the set-up location - at home versus in the sleep laboratory. Previous studies have suggested that the failure rate is higher when H-PSG is fitted in hospital. The aim of this study was to determine the influence of hook-up location on H-PSG recording quality. Feasibility and repeatability of H-PSG were also assessed. METHODS: Consecutive patients suspected of OSA were selected. Each patient underwent two H-PSGs within two weeks, one fitted at home and one fitted in the sleep laboratory. The order of H-PSG was randomly assigned. RESULTS: Among the 102 included patients, 95 completed the study. Ninety-three per cent of the 190 H-PSGs were satisfactory. The failure rate of H-PSG was similar for both the home set-up and the sleep laboratory set-up (p = 0.33). Seventy-nine per cent of patients opted to be fitted at home. OSA was diagnosed in 59%. The apnoea-hypopnoea index was similar for home and sleep laboratory set-up, resulting in a very good reproducibility (intraclass correlation coefficient of 0.85). No differences in total sleep time and sleep architecture were observed in both set-up protocols. Except for sleep duration, which was longer in the first H-PSG test, we did not observe any first-night effect during the first H-PSG. CONCLUSION: The present study demonstrates that hospital hook-up is as effective as home hook-up for home-unattended polysomnography, and that feasibility and repeatability of H-PSG are very good.
Authors: Jennifer C Kanady; Lisa S Talbot; Shira Maguen; Laura D Straus; Anne Richards; Leslie Ruoff; Thomas J Metzler; Thomas C Neylan Journal: J Clin Sleep Med Date: 2018-07-15 Impact factor: 4.062
Authors: Daniel Álvarez; Ana Cerezo-Hernández; Andrea Crespo; Gonzalo C Gutiérrez-Tobal; Fernando Vaquerizo-Villar; Verónica Barroso-García; Fernando Moreno; C Ainhoa Arroyo; Tomás Ruiz; Roberto Hornero; Félix Del Campo Journal: Sci Rep Date: 2020-03-24 Impact factor: 4.379