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Review ArticleClinical Review

Home Sleep Tests for Obstructive Sleep Apnea (OSA)

Mukesh Kapoor and Glen Greenough
The Journal of the American Board of Family Medicine July 2015, 28 (4) 504-509; DOI: https://doi.org/10.3122/jabfm.2015.04.140266
Mukesh Kapoor
the Sleep Disorders Center, Dartmouth Hitchcock Medical Center, Lebanon, NH.
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Glen Greenough
the Sleep Disorders Center, Dartmouth Hitchcock Medical Center, Lebanon, NH.
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    Figure 1.

    A suggested algorithm for using home sleep testing (HST) in adult patients suspected of having obstructive sleep apnea (OSA). Note that HST should not be used in pediatric patients. *Significant comorbid medical disorders include conditions such as moderate to severe pulmonary disease, neuromuscular disease, and congestive heart failure which may degrade the accuracy of the home sleep test. Patients who have low baseline oxygen saturation or are on supplemental oxygen are also poor candidates for a home sleep test. Note that hypertension and diabetes mellitus are not contraindications for obtaining a home sleep test. See manuscript text for discussion on decision making in obese patients. †Comorbid sleep disorders include conditions such as central sleep apnea, periodic limb movement disorder, insomnia, parasomnias, circadian rhythm disorders, narcolepsy, and REM sleep behavior disorder. Central sleep apnea is often seen in patients with heart failure and those on narcotic medications. ‡Causes of hypoventilation include neuromuscular disease, restrictive lung disease, and use of narcotic medications. Patients with an elevated body mass index are also at risk for hypoventilation. PSG, polysomnography. (Adapted with permission from Collop et al.26)

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The Journal of the American Board of Family     Medicine: 28 (4)
The Journal of the American Board of Family Medicine
Vol. 28, Issue 4
July-August 2015
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Home Sleep Tests for Obstructive Sleep Apnea (OSA)
Mukesh Kapoor, Glen Greenough
The Journal of the American Board of Family Medicine Jul 2015, 28 (4) 504-509; DOI: 10.3122/jabfm.2015.04.140266

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Home Sleep Tests for Obstructive Sleep Apnea (OSA)
Mukesh Kapoor, Glen Greenough
The Journal of the American Board of Family Medicine Jul 2015, 28 (4) 504-509; DOI: 10.3122/jabfm.2015.04.140266
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