Portable evaluation of obstructive sleep apnea in adults: A systematic review

被引：32

作者：

Khor, Yet H. ^{[1
,2
,3
,4
]}

Khung, Su-Wei ^{[2
]}

Ruehland, Warren R. ^{[2
,3
]}

Jiao, Yuxin ^{[2
]}

Lew, Jeremy ^{[5
]}

Munsif, Maitri ^{[2
,3
,4
]}

Ng, Yvonne ^{[6
]}

Ridgers, Anna ^{[2
,3
,4
]}

Schulte, Max ^{[2
,3
,7
]}

Seow, Daniel ^{[8
]}

Soon, William ^{[2
]}

Churchward, Thomas ^{[2
,3
]}

Howard, Mark E. ^{[2
,3
,4
,9
]}

机构：

[1] Monash Univ, Cent Clin Sch, Resp Res Alfred, Melbourne, Vic, Australia

[2] Austin Hlth, Dept Resp & Sleep Med, Heidelberg, Vic, Australia

[3] Inst Breathing & Sleep, Heidelberg, Vic, Australia

[4] Univ Melbourne, Fac Med, Melbourne, Vic, Australia

[5] Western Hlth, Dept Resp & Sleep Disorders Med, Footscray, Vic, Australia

[6] Monash Hlth, Monash Lung Sleep & Allergy & Immunol, Clayton, Vic, Australia

[7] Swinburne Univ Technol, Sch Hlth Sci, Melbourne, Vic, Australia

[8] Sengkang Gen Hosp, Dept Internal Med, 110 Sengkang E Way, Singapore, Singapore

[9] Monash Univ, Sch Clin Sci, Clayton, Vic, Australia

来源：

SLEEP MEDICINE REVIEWS | 2023年 / 68卷

基金：

英国医学研究理事会;

关键词：

Obstructive sleep apnea; Sleep studies; Polysomnography; Wearable devices; Non-contact systems; PERIPHERAL ARTERIAL TONOMETRY; FLOW PRESSURE TRANSDUCER; CHANNEL NASAL PRESSURE; RISK-EVALUATION SYSTEM; CHRONIC HEART-FAILURE; HOME-BASED DIAGNOSIS; WRIST-WORN DEVICE; MONITORING DEVICE; SCREENING DEVICE; RECORDING DEVICE;

D O I：

10.1016/j.smrv.2022.101743

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Obstructive sleep apnea (OSA) is a significant healthcare burden affecting approximately one billion people worldwide. The prevalence of OSA is rising with the ongoing obesity epidemic, a key risk factor for its development. While in-laboratory polysomnography (PSG) is the gold standard for diagnosing OSA, it has significant drawbacks that prevent widespread use. Portable devices with different levels of monitoring are available to allow remote assessment for OSA. To better inform clinical practice and research, this comprehensive systematic review evaluated diagnostic performances, study cost and pa-tients' experience of different levels of portable sleep studies (type 2, 3, and 4), as well as wearable devices and non-contact systems, in adults. Despite varying study designs and devices used, portable diagnostic tests are found to be sufficient for initial screening of patients at risk of OSA. Future studies are needed to evaluate cost effectiveness with the incorporation of portable diagnostic tests into the diag-nostic pathway for OSA, as well as their application in patients with chronic respiratory diseases and other comorbidities that may affect test performance. (c) 2023 Elsevier Ltd. All rights reserved.

引用

页数：10

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