Update on the use of portable monitoring system for the diagnosis of sleep apnea in specific population  

作　　者：Erika Treptow Marcia Goncalves Oliveira Gustavo Antonio Moreira Sonia Togeiro Luiz Eduardo Nery Sergio Tufik Lia Bittencourt 

机构地区：[1]Departamento Psicobiologia,Departamento de Psicobiologia,Universidade Federal de Sao Paulo (UNIFESP) [2]Disciplina de Pneumologia,Departamento de Medicina,Universidade Federal de Sao Paulo (UNIFESP)

出　　处：《World Journal of Respirology》2015年第1期17-27,共11页世界呼吸病学杂志

摘　　要：The prevalence and severity of obstructive sleep apnea(OSA) is higher in specific population: children, elderly,obese and patients with pulmonary and cardiovascular diseases, compared to the general population. OSA is associated with greater morbidity and mortality in these patients. Although full-night polysomnography is still the gold standard diagnostic sleep study for OSA, it is a time consuming, expensive and technically demanding exam. Over the last few years, there is growing evidence on the use of portable monitors(PM) as an alternative for the diagnosis of OSA. These devices were developed specially for sleep evaluation at home, at a familiar environment, with easy selfapplication of monitoring, unattended. The use of PM is stablished for populations with high pre-test probability of OSA. However, there is a lack of studies on the use of PM in age extremes and patients with comorbidities. The purpose of this review is to present the studies that evaluated the use of PM in specific population, as well as to describe the advantages, limitations and applications of these devices in this particular group of patients. Although the total loss rate of recordings is variable in different studies, the agreement with fullnight polysomnography justifies the use of PM in this population.The prevalence and severity of obstructive sleep apnea(OSA) is higher in specific population: children, elderly,obese and patients with pulmonary and cardiovascular diseases, compared to the general population. OSA is associated with greater morbidity and mortality in these patients. Although full-night polysomnography is still the gold standard diagnostic sleep study for OSA, it is a time consuming, expensive and technically demanding exam. Over the last few years, there is growing evidence on the use of portable monitors(PM) as an alternative for the diagnosis of OSA. These devices were developed specially for sleep evaluation at home, at a familiar environment, with easy selfapplication of monitoring, unattended. The use of PM is stablished for populations with high pre-test probability of OSA. However, there is a lack of studies on the use of PM in age extremes and patients with comorbidities. The purpose of this review is to present the studies that evaluated the use of PM in specific population, as well as to describe the advantages, limitations and applications of these devices in this particular group of patients. Although the total loss rate of recordings is variable in different studies, the agreement with fullnight polysomnography justifies the use of PM in this population.

关 键 词：Out-of-center sleep testing OBESITY Home unattended portable monitoring ELDERLY Children Portable monitoring Cardiovascular diseases Chronic obstructive pulmonary disease POLYSOMNOGRAPHY 

分 类 号：R[医药卫生]