Chest
ReviewsHome Diagnosis of Sleep Apnea: A Systematic Review of the Literature: An Evidence Review Cosponsored by the American Academy of Sleep Medicine, the American College of Chest Physicians, and the American Thoracic Society
Section snippets
INTRODUCTION/BACKGROUND
Sleep apnea is a common disorder that affects both children and adults. It is characterized by periods of breathing cessation (apnea) and periods of reduced breathing (hypopnea). Both types of events have similar pathophysiology and are generally considered to be equal with respect to their impact on patients.1 The most common form of sleep apnea, called obstructive sleep apnea, is caused by the partial or complete collapse of the upper airway. There are several methods of quantifying the
Literature Review
The ATS/ACCP/AASM working group contracted with the RTI-UNC evidence practice center to conduct a systematic review of the literature and to abstract data in a standard fashion from relevant studies that allowed summaries of their findings to be generated by the ERC. The RTI-UNC team followed the recommended methods for conducting systematic reviews, which emphasized comprehensive literature search and evaluation, and used standardized procedures for the review (and its documentation) of
Number of Articles Reviewed/Rejected
The initial literature search resulted in 59 original research articles being identified that met the inclusion criteria. Of these, 46 articles were selected for review by the evidence practice center.10111213141516171819202122232425262729303132333436373839404142434445464748495051525354555657 Thirteen articles were not included68697071727374757677787980 for the following reasons: they were reports of older monitors for which more recent research had been published (one article) or were known to
Primary Questions
There are many causes of variability in results between portable monitors and polysomnography. A simultaneous comparison of portable monitoring with polysomnography (sleep laboratory-attended) controls for a number of conditions that nonsimultaneous studies do not and, as such, provides an estimate of what might ideally be expected during home-unattended portable monitoring. The comparison of portable monitoring performed in the home-unattended setting with sleep laboratory polysomnography may
DIRECTIONS/NEED FOR FUTURE RESEARCH
This review has highlighted several areas that are necessary to address in future studies (sections 1.1.3, 1.3, 1.4, 1.5, 2.3, 2.4, 3.4, and 4.2.4) and that have been discussed under general comments and limitations in section 4.3.
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Cited by (487)
Convolutional neural network for screening of obstructive sleep apnea using snoring sounds
2023, Biomedical Signal Processing and ControlEmerging technologies and their potential role in sleep medicine
2023, Encyclopedia of Sleep and Circadian Rhythms: Volume 1-6, Second EditionAssociation between cyclic variation in the heart rate index and biomarkers of neurodegenerative diseases in obstructive sleep apnea syndrome: A pilot study
2022, Journal of Clinical NeuroscienceCitation Excerpt :This variation could have been caused by sleep position, the first-night effect, as well as environmental factors. A potential explanation for the difference may also be the habitual night‐to‐night variability; i.e. any variation in time spent in certain sleep positions can considerably affect the AHI and OSAS severity [38]. Because participants must wear complicated examination devices, they are restricted from changing their sleep position during in-hospital PSG recording.
Supplemental evidence tables are available online at http://www.chestjournal.org/cgi/content/full/124/4/1543/DC1.