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Sleep and Breathing

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14.11.2017 | Sleep Breathing Physiology and Disorders • Review

Methodological strategies in using home sleep apnea testing in research and practice

verfasst von: Jennifer N. Miller, Paula Schulz, Bunny Pozehl, Douglas Fiedler, Alissa Fial, Ann M. Berger

Erschienen in: Sleep and Breathing | Ausgabe 3/2018

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Abstract

Purpose

Home sleep apnea testing (HSAT) has increased due to improvements in technology, accessibility, and changes in third party reimbursement requirements. Research studies using HSAT have not consistently reported procedures and methodological challenges. This paper had two objectives: (1) summarize the literature on use of HSAT in research of adults and (2) identify methodological strategies to use in research and practice to standardize HSAT procedures and information.

Methods

Search strategy included studies of participants undergoing sleep testing for OSA using HSAT. MEDLINE via PubMed, CINAHL, and Embase with the following search terms: “polysomnography,” “home,” “level III,” “obstructive sleep apnea,” and “out of center testing.”

Results

Research articles that met inclusion criteria (n = 34) inconsistently reported methods and methodological challenges in terms of: (a) participant sampling; (b) instrumentation issues; (c) clinical variables; (d) data processing; and (e) patient acceptability. Ten methodological strategies were identified for adoption when using HSAT in research and practice.

Conclusions

Future studies need to address the methodological challenges summarized in this paper as well as identify and report consistent HSAT procedures and information.

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Titel: Methodological strategies in using home sleep apnea testing in research and practice
verfasst von: Jennifer N. Miller
Paula Schulz
Bunny Pozehl
Douglas Fiedler
Alissa Fial
Ann M. Berger
Publikationsdatum: 14.11.2017
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 3/2018
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-017-1593-3

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