C Emika Mueller1, Hansen Li2, Sophia M Begasse2, J Ulrich Sommer3, Boris A Stuck2, Richard Birk2. 1. Department of Otorhinolaryngology, University Hospital Marburg, Philipps-Universität Marburg, Baldingerstraße, 35043, Marburg, Germany. corneliaemika.birk@uk-gm.de. 2. Department of Otorhinolaryngology, University Hospital Marburg, Philipps-Universität Marburg, Baldingerstraße, 35043, Marburg, Germany. 3. Department of Otorhinolaryngology, University Hospital Munich, Technische Universität München, München, Germany.
Abstract
PURPOSE: In patients with a high pre-test probability of suffering from obstructive sleep apnea (OSA), (cardio)-respiratory polygraphy (RP; level 3) is commonly used for home sleep testing (HST); however, testing based on peripheral arterial tonometry (PAT) is increasingly recognized as an alternative method. The aim of the study was to compare sleep position, patients' comfort, and technical failure rates of HST with RP and PAT in patients with suspected OSA. METHODS: Sleep position, patients' comfort, and technical failure rates of RP and PAT were compared in 56 patients receiving two nights of HST with either RP or PAT in a randomized fashion. RESULTS: Time in supine position with PAT was significantly lower (173.7±88 min) compared to RP (181.7±103.7 min; p < 0.001), although the absolute mean difference was not clinically significant. Patients reported to sleep better, feeling less disturbed when falling asleep, losing less sensors, and fewer nightly awakenings with PAT, but experienced more pain at the side of the finger probe. Forty-five out of 56 patients (80%) rated PAT as being the superior sleep test and 49 out of 56 (88%) would prefer PAT for further investigations (p<0.001). PAT testing was associated with less technical failures. CONCLUSION: The results demonstrate that HST with PAT leads to less time in supine sleep positioning, which may be clinically relevant in selected patients. Moreover, PAT is associated with less technical failures and is perceived with less discomfort during testing and a reduced number of nocturnal awakenings in patient self-reports.
PURPOSE: In patients with a high pre-test probability of suffering from obstructive sleep apnea (OSA), (cardio)-respiratory polygraphy (RP; level 3) is commonly used for home sleep testing (HST); however, testing based on peripheral arterial tonometry (PAT) is increasingly recognized as an alternative method. The aim of the study was to compare sleep position, patients' comfort, and technical failure rates of HST with RP and PAT in patients with suspected OSA. METHODS: Sleep position, patients' comfort, and technical failure rates of RP and PAT were compared in 56 patients receiving two nights of HST with either RP or PAT in a randomized fashion. RESULTS: Time in supine position with PAT was significantly lower (173.7±88 min) compared to RP (181.7±103.7 min; p < 0.001), although the absolute mean difference was not clinically significant. Patients reported to sleep better, feeling less disturbed when falling asleep, losing less sensors, and fewer nightly awakenings with PAT, but experienced more pain at the side of the finger probe. Forty-five out of 56 patients (80%) rated PAT as being the superior sleep test and 49 out of 56 (88%) would prefer PAT for further investigations (p<0.001). PAT testing was associated with less technical failures. CONCLUSION: The results demonstrate that HST with PAT leads to less time in supine sleep positioning, which may be clinically relevant in selected patients. Moreover, PAT is associated with less technical failures and is perceived with less discomfort during testing and a reduced number of nocturnal awakenings in patient self-reports.
Authors: Hui-Leng Tan; David Gozal; Helena Molero Ramirez; Hari P R Bandla; Leila Kheirandish-Gozal Journal: Sleep Date: 2014-02-01 Impact factor: 5.849
Authors: Giannicola Iannella; Giovanni Cammaroto; Giuseppe Meccariello; Angelo Cannavicci; Riccardo Gobbi; Jerome Rene Lechien; Christian Calvo-Henríquez; Ahmed Bahgat; Giuseppe Di Prinzio; Luca Cerritelli; Antonino Maniaci; Salvatore Cocuzza; Antonella Polimeni; Giuseppe Magliulo; Antonio Greco; Marco de Vincentiis; Massimo Ralli; Annalisa Pace; Roberta Polimeni; Federica Lo Re; Laura Morciano; Antonio Moffa; Manuele Casale; Claudio Vicini Journal: J Clin Med Date: 2022-09-23 Impact factor: 4.964