Portable monitoring devices in the diagnosis of obstructive sleep apnea: current status, advantages, and limitations.
Recent years have seen a growing interest in the use of portable monitoring devices for the diagnosis of obstructive sleep apnea syndrome. These have the potential to be used in lieu of the more complicated and uncomfortable alternative, polysomnography, which has long been considered to be the gold standard for the diagnosis of this relatively prevalent condition. Following their approval in 2008 by the Center of Medicare and Medicaid Services, the federal agency which administers Medicare and Medicaid in the United States, there has been extensive discussion about the utility and validity of these devices for use in the diagnosis of obstructive sleep apnea syndrome. Although there are various models of portable monitoring devices, the literature contains little information regarding how each device should be used in specific age groups, patients presenting comorbidities, and asymptomatic patients. Additionally, studies about the cost-effectiveness of this diagnostic method are scarce and conflicting. Therefore, this objective of this study was to review what has been learned about portable monitoring devices over time, as well as to examine the recent progress, advantages, limitations, and applications of these devices in the diagnosis of obstructive sleep apnea syndrome in different groups of patients.
Polese
Jéssica Fábia
JF
Sleep Medicine and Biology Division, Psychobiology Department, Universidade Federal de São Paulo, São Paulo, Brasil.
Santos-Silva
Rogério
R
Kobayashi
Rafael Freire
RF
Pinto
Indira Nunes de Paula
IN
Tufik
Sérgio
S
Bittencourt
Lia Rita Azeredo
LR
D006801:Humans; D008991:Monitoring, Physiologic / Q000295:instrumentation* / Q000451:nursing; D017286:Polysomnography / Q000191:economics / Q000295:instrumentation* / Q000639:trends*; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis*