Departamento de Medicina - Universidade Federal de São Paulo, Disciplina de Pneumologia. Rua Pedro de Toledo, 720 - 3° andar - CEP: 04039-002 - São Paulo, Brasil.
Expert Rev Respir Med. 2014 Feb;8(1):123-32. doi: 10.1586/17476348.2014.850421. Epub 2013 Dec 2.
Due to increasing demand for sleep services, there has been growing interest in ambulatory models of care for patients with obstructive sleep apnea (OSA). The implementation of alternative approaches to the current management by full polysomnography (PSG) in the sleep laboratory is necessary for diagnosing this syndrome due to the high cost of full-night PSG. A good alternative option for OSA diagnosis is portable monitoring (PM), which is known for its accuracy, ease of management and lower cost when compared with full PSG. PM has not been well validated for OSA diagnosis in patients with medical comorbidities or in elderly individuals and children. PM may be recommended as an alternative method to PSG for patients with high clinical risk for OSA. In the present review, we describe the use of PM for OSA diagnosis and evaluate the current progress, costs, limitations and applications of these devices in various groups of patients, particularly for patients with comorbid diseases.
由于对睡眠服务的需求不断增加，人们对阻塞性睡眠呼吸暂停（OSA）患者的门诊护理模式越来越感兴趣。由于全夜多导睡眠图（PSG）检测的费用高昂，因此有必要采用替代当前管理方法的替代方法来诊断这种综合征。便携式监测（PM）是一种很好的 OSA 诊断替代方案，与全 PSG 相比，它具有准确性高、管理方便和成本低的优点。PM 在患有合并症的患者或老年人和儿童中的 OSA 诊断中的有效性尚未得到很好的验证。PM 可能被推荐作为 OSA 高危患者的 PSG 替代方法。在本综述中，我们描述了 PM 用于 OSA 诊断的用途，并评估了这些设备在不同患者群体中的当前进展、成本、局限性和应用，特别是在患有合并症的患者中。
