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Sleep Disorders
Volume 2014 (2014), Article ID 418246, 6 pages
http://dx.doi.org/10.1155/2014/418246
Research Article

The Effect of the Transition to Home Monitoring for the Diagnosis of OSAS on Test Availability, Waiting Time, Patients’ Satisfaction, and Outcome in a Large Health Provider System

1Department of Otolaryngology Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, 64239 Tel Aviv, Israel
2Sleep Clinic, Clalit Health Services, Carmel Medical Center, Technion Faculty of Medicine, 34362 Haifa District, Israel
3Lady Davis Carmel Medical Center, Technion Faculty of Medicine, 34362 Haifa, Israel

Received 15 February 2014; Revised 6 April 2014; Accepted 7 April 2014; Published 24 April 2014

Academic Editor: Liborio Parrino

Copyright © 2014 Ahmad Safadi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. M. Marin, S. J. Carrizo, E. Vicente, and A. G. N. Agusti, “Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study,” The Lancet, vol. 365, no. 9464, pp. 1046–1053, 2005. View at Publisher · View at Google Scholar · View at Scopus
  2. L. A. Bazzano, Z. Khan, K. Reynolds, and J. He, “Effect of nocturnal nasal continuous positive airway pressure on blood pressure in obstructive sleep apnea,” Hypertension, vol. 50, no. 2, pp. 417–423, 2007. View at Publisher · View at Google Scholar · View at Scopus
  3. K. Lavie-Nevo and G. Pillar, “Evening-morning differences in blood pressure in sleep apnea syndrome: effect of gender,” The American Journal of Hypertension, vol. 19, no. 10, pp. 1064–1069, 2006. View at Publisher · View at Google Scholar · View at Scopus
  4. Y. E. Landau, O. Bar-Yishay, S. Greenberg-Dotan, A. D. Goldbart, A. Tarasiuk, and A. Tal, “Impaired behavioral and neurocognitive function in preschool children with obstructive sleep apnea,” Pediatric Pulmonology, vol. 47, no. 2, pp. 180–188, 2012. View at Publisher · View at Google Scholar · View at Scopus
  5. L. J. Findley, J. W. Weiss, and E. R. Jabour, “Drivers with untreated sleep apnea: a cause of death and serious injury,” Archives of Internal Medicine, vol. 151, no. 7, pp. 1451–1452, 1991. View at Publisher · View at Google Scholar · View at Scopus
  6. D. Margel, R. Tal, P. M. Livne, and G. Pillar, “Predictors of erectile function improvement in obstructive sleep apnea patients with long-term CPAP treatment,” International Journal of Impotence Research, vol. 17, no. 2, pp. 186–190, 2005. View at Publisher · View at Google Scholar · View at Scopus
  7. G. Pillar, N. Peled, N. Katz, and P. Lavie, “Predictive value of specific risk factors, symptoms and signs, in diagnosing obstructive sleep apnoea and its severity,” Journal of Sleep Research, vol. 3, no. 4, pp. 241–244, 1994. View at Google Scholar · View at Scopus
  8. N. A. Collop, W. M. Anderson, B. Boehlecke et al., “Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients, Portable Monitoring Task Force of the American Academy of Sleep Medicine,” Journal of Clinical Sleep Medicine, vol. 3, no. 7, pp. 737–747, 2007. View at Google Scholar · View at Scopus
  9. R. Ferber, R. Millman, M. Coppola et al., “Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice,” Sleep, vol. 17, Article ID 378e92, 1994. View at Google Scholar
  10. A. T. Whittle, S. P. Finch, I. L. Mortimore, T. W. MacKay, and N. J. Douglas, “Use of home sleep studies for diagnosis of the sleep apnoea/hypopnoea syndrome,” Thorax, vol. 52, no. 12, pp. 1068–1073, 1997. View at Google Scholar · View at Scopus
  11. O. Parra, N. García-Esclasans, J. M. Montserrat et al., “Should patients with sleep apnoea/hypopnoea syndrome be diagnosed and managed on the basis of home sleep studies?” European Respiratory Journal, vol. 10, no. 8, pp. 1720–1724, 1997. View at Publisher · View at Google Scholar · View at Scopus
  12. J. F. Masa, J. Corral, R. Pereira et al., “Effectiveness of home respiratory polygraphy for the diagnosis of sleep apnoea and hypopnoea syndrome,” Thorax, vol. 66, no. 7, pp. 567–573, 2011. View at Publisher · View at Google Scholar · View at Scopus
  13. A. Bar, G. Pillar, I. Dvir, J. Sheffy, R. P. Schnall, and P. Lavie, “Evaluation of a portable device based on peripheral arterial tone for unattended home sleep studies,” Chest, vol. 123, no. 3, pp. 695–703, 2003. View at Publisher · View at Google Scholar · View at Scopus
  14. K. P. Pang, C. G. Gourin, and D. J. Terris, “A comparison of polysomnography and the WatchPAT in the diagnosis of obstructive sleep apnea,” Otolaryngology—Head and Neck Surgery, vol. 137, no. 4, pp. 665–668, 2007. View at Publisher · View at Google Scholar · View at Scopus
  15. S. D. Pittman, N. T. Ayas, M. M. MacDonald, A. Malhotra, R. B. Fogel, and D. P. White, “Using a wrist-worn device based on peripheral arterial tonometry to diagnose obstructive sleep apnea: in-laboratory and ambulatory validation,” Sleep, vol. 27, no. 5, pp. 923–933, 2004. View at Google Scholar · View at Scopus
  16. N. T. Ayas, S. Pittman, M. MacDonald, and D. P. White, “Assessment of a wrist-worn device in the detection of obstructive sleep apnea,” Sleep Medicine, vol. 4, no. 5, pp. 435–442, 2003. View at Publisher · View at Google Scholar · View at Scopus
  17. J. H. Choi, E. J. Kim, Y. S. Kim et al., “Validation study of portable device for the diagnosis of obstructive sleep apnea according to the new AASM scoring criteria: Watch-PAT 100,” Acta Oto-Laryngologica, vol. 130, no. 7, pp. 838–843, 2010. View at Publisher · View at Google Scholar · View at Scopus
  18. G. Pillar, A. Bar, A. Shlitner, R. Schnall, J. Shefy, and P. Lavie, “Autonomic arousal index: an automated detection based on peripheral arterial tonometry,” Sleep, vol. 25, no. 5, pp. 543–549, 2002. View at Google Scholar · View at Scopus
  19. G. Pillar, A. Bar, M. Betito et al., “An automatic ambulatory device for detection of AASM defined arousals from sleep: the WP100,” Sleep Medicine, vol. 4, no. 3, pp. 207–212, 2003. View at Publisher · View at Google Scholar · View at Scopus
  20. S. D. Pittman, G. Pillar, R. B. Berry, A. Malhotra, M. M. MacDonald, and D. P. White, “Follow-up assessment of CPAP efficacy in patients with obstructive sleep apnea using an ambulatory device based on peripheral arterial tonometry,” Sleep and Breathing, vol. 10, no. 3, pp. 123–131, 2006. View at Publisher · View at Google Scholar · View at Scopus
  21. J. Hedner, D. P. White, A. Malhotra et al., “Sleep staging based on autonomic signals: a multi-center validation study,” Journal of Clinical Sleep Medicine, vol. 7, no. 3, pp. 301–306, 2011. View at Publisher · View at Google Scholar · View at Scopus
  22. D. Sommermeyer, D. Zou, L. Grote, and J. Hedner, “Detection of sleep disordered breathing and its central/obstructive character using nasal cannula and finger pulse oximeter,” Journal of Clinical Sleep Medicine, vol. 8, no. 5, pp. 527–533, 2012. View at Publisher · View at Google Scholar
  23. D. M. Bravata, J. Ferguson, E. J. Miech et al., “Diagnosis and treatment of sleep apnea in patients' homes: the rationale and methods of the “GoToSleep” randomized-controlled trial,” Journal of Clinical Sleep Medicine, vol. 8, no. 1, pp. 27–35, 2012. View at Publisher · View at Google Scholar · View at Scopus
  24. S. T. Kuna, I. Gurubhagavatula, G. Maislin et al., “Noninferiority of functional outcome in ambulatory management of obstructive sleep apnea,” The American Journal of Respiratory and Critical Care Medicine, vol. 183, no. 9, pp. 1238–1244, 2011. View at Publisher · View at Google Scholar · View at Scopus
  25. R. B. Berry, G. Hill, L. Thompson, and V. McLaurin, “Portable monitoring and autotitration versus polysomnography for the diagnosis and treatment of sleep apnea,” Sleep, vol. 31, no. 10, pp. 1423–1431, 2008. View at Google Scholar · View at Scopus
  26. C. L. Rosen, D. Auckley, R. Benca et al., “A multisite randomized trial of portable sleep studies and positive airway pressure autotitration versus laboratory-based polysomnography for the diagnosis and treatment of obstructive sleep apnea: the HomePAP study,” Sleep, vol. 35, no. 6, pp. 757–767, 2012. View at Publisher · View at Google Scholar
  27. N. T. Ayas, J. Fox, L. Epstein, C. F. Ryan, and J. A. Fleetham, “Initial use of portable monitoring versus polysomnography to confirm obstructive sleep apnea in symptomatic patients: an economic decision model,” Sleep Medicine, vol. 11, no. 3, pp. 320–324, 2010. View at Publisher · View at Google Scholar · View at Scopus
  28. R. Enciso and G. T. Clark, “Comparing the Berlin and the ARES questionnaire to identify patients with obstructive sleep apnea in a dental setting,” Sleep and Breathing, vol. 15, no. 1, pp. 83–89, 2011. View at Publisher · View at Google Scholar · View at Scopus
  29. H. Chen, A. A. Lowe, Y. Bai, P. Hamilton, J. A. Fleetham, and F. R. Almeida, “Evaluation of a portable recording device (ApneaLink) for case selection of obstructive sleep apnea,” Sleep and Breathing, vol. 13, no. 3, pp. 213–219, 2009. View at Publisher · View at Google Scholar · View at Scopus
  30. I. Ayappa, R. G. Norman, V. Seelall, and D. M. Rapoport, “Validation of a self-applied unattended monitor for sleep disordered breathing,” Journal of Clinical Sleep Medicine, vol. 4, no. 1, pp. 26–37, 2008. View at Google Scholar · View at Scopus
  31. N. Peled, A. Greenberg, G. Pillar, O. Zinder, N. Levi, and P. Lavie, “Contributions of hypoxia and respiratory disturbance index to sympathetic activation and blood pressure in obstructive sleep apnea syndrome,” The American Journal of Hypertension, vol. 11, pp. 1284–1289, 1998. View at Publisher · View at Google Scholar · View at Scopus
  32. A. Tarasiuk, S. Greenberg-Dotan, T. Simon-Tuval et al., “Elevated morbidity and health care use in children with obstructive sleep apnea syndrome,” The American Journal of Respiratory and Critical Care Medicine, vol. 175, no. 1, pp. 55–61, 2007. View at Publisher · View at Google Scholar · View at Scopus
  33. A. Tarasiuk, S. Greenberg-Dotan, Y. S. Brin, T. Simon, A. Tal, and H. Reuveni, “Determinants affecting health-care utilization in obstructive sleep apnea syndrome patients,” Chest, vol. 128, no. 3, pp. 1310–1314, 2005. View at Publisher · View at Google Scholar · View at Scopus
  34. H. Reuveni, A. Tarasiuk, T. Wainstock, A. Ziv, A. Elhayany, and A. Tal, “Awareness level of obstructive sleep apnea syndrome during routine unstructured interviews of a standardized patient by primary care physicians,” Sleep, vol. 27, no. 8, pp. 1518–1525, 2004. View at Google Scholar · View at Scopus
  35. T. Young, L. Evans, L. Finn, and M. Palta, “Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women,” Sleep, vol. 20, no. 9, pp. 705–706, 1997. View at Google Scholar · View at Scopus
  36. N. P. Patel, M. Ahmed, and I. Rosen, “Split-night polysomnography,” Chest, vol. 132, no. 5, pp. 1664–1671, 2007. View at Publisher · View at Google Scholar · View at Scopus
  37. W. W. Flemons, N. J. Douglas, S. T. Kuna, D. O. Rodenstein, and J. Wheatley, “Access to diagnosis and treatment of patients with suspected sleep apnea,” The American Journal of Respiratory and Critical Care Medicine, vol. 169, no. 6, pp. 668–672, 2004. View at Google Scholar · View at Scopus
  38. S. Yalamanchali, V. Farajian, C. Hamilton, T. R. Pott, C. G. Samuelson, and M. Friedman, “Diagnosis of obstructive sobstructive sleep apnea by peripheral arterial tonometry: meta-analysis,” JAMA Otolaryngology—Head & Neck Surgery, vol. 139, no. 12, pp. 1343–1350, 2013. View at Google Scholar
  39. N. Katz, Y. Adir, T. Etzioni, E. Kurtz, and G. Pillar, “The somnuseal oral mask is reasonably tolerated by otherwise CPAP noncompliant patients with OSA,” Sleep Disorders, vol. 2013, Article ID 840723, 6 pages, 2013. View at Publisher · View at Google Scholar