Document Type

Article

Language

eng

Publication Date

9-2018

Publisher

Springer

Source Publication

Sleep and Breathing

Source ISSN

1520-9512

Original Item ID

DOI: 10.1007/s11325-017-1593-3

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.

Comments

Accepted version. Sleep and Breathing, Vol. 22, No. 3 (September 2018): 569-577. DOI. © 2018 Springer. Used with permission.

Alissa Fial was affiliated with the University of Nebraska Medical Center College of Nursing at the time of publication.

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