Start Date

5-15-2025 9:30 AM

End Date

5-15-2025 11:30 AM

Description

Introduction

  • Home sleep apnea testing (HSAT) is an accessible option for diagnosing obstructive sleep apnea (OSA) in patients with high pre- test probability of moderate to severe OSA
  • Cardio-respiratory polygraphy (RP) has traditionally been utilized and involves wearing a nasal airflow cannula, pulse oximeter, and respiratory effort belt with actigraphy
  • Peripheral arterial tonometry (PAT)-based testing is a newer technology that involves wearing a disposable smartwatch-sized computer on the wrist, sensor on the finger and sensor on the chest and has been validated for HSAT
  • PAT-based HSAT has been increasingly utilized due to perceived ease of use, improved patient comfort, and potential lower technical failure rates
  • Few studies exist comparing technical failure rates, sleep position, and other sleep testing outcomes with use of RP vs. PAT-based HSATs
  • The aim of this study was to compare sleep position, technical failure rates of RP and PAT-based HSATs in patients with likely OSA at a single academic sleep center

Keywords

obstructive sleep apnea, home sleeping test, peripheral arterial tonometry

Comments

Presented at the 2025 Jefferson Health Equity and Quality Improvement (HEQI) Summit.

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May 15th, 9:30 AM May 15th, 11:30 AM

Single Center Comparison of Home Sleep Apnea Testing Based on Respiratory Polygraphy vs. Peripheral Arterial Tonometry

Introduction

  • Home sleep apnea testing (HSAT) is an accessible option for diagnosing obstructive sleep apnea (OSA) in patients with high pre- test probability of moderate to severe OSA
  • Cardio-respiratory polygraphy (RP) has traditionally been utilized and involves wearing a nasal airflow cannula, pulse oximeter, and respiratory effort belt with actigraphy
  • Peripheral arterial tonometry (PAT)-based testing is a newer technology that involves wearing a disposable smartwatch-sized computer on the wrist, sensor on the finger and sensor on the chest and has been validated for HSAT
  • PAT-based HSAT has been increasingly utilized due to perceived ease of use, improved patient comfort, and potential lower technical failure rates
  • Few studies exist comparing technical failure rates, sleep position, and other sleep testing outcomes with use of RP vs. PAT-based HSATs
  • The aim of this study was to compare sleep position, technical failure rates of RP and PAT-based HSATs in patients with likely OSA at a single academic sleep center