Document Detail


Utility of split-night polysomnography in the diagnosis of upper airway resistance syndrome.
MedLine Citation:
PMID:  19052789     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Split-night polysomnography can both establish the diagnosis and titrate continuous positive airway pressure (CPAP) during a single study in patients with sleep-disordered breathing. We sought to determine if split-night polysomnography could be effectively used in upper airway resistance syndrome (UARS) without diminishing diagnostic accuracy or success of CPAP titration. METHODS: Consecutive patients diagnosed with UARS were included. Split-night studies were performed in patients meeting predefined criteria. We compared data between those undergoing traditional and split-night polysomnography. RESULTS: We included 100 consecutive patients (41.2 +/- 7.4 years, 54% men). Forty-six underwent split-night polysomnography. Groups were similar at baseline. There were no differences in polysomnography or success rate of CPAP titration. Among those not undergoing split-night studies, the mean time between diagnostic polysomnography and CPAP titration was 71.9 +/- 49.0 days. CONCLUSIONS: Split-night polysomnography can be effectively utilized to diagnose UARS and initiate CPAP therapy. This practice can reduce the number of studies needed and obviate the inherent delay in initiating CPAP therapy.
Authors:
David A Kristo; Anita A Shah; Christopher J Lettieri; Sean M MacDermott; Teotimo Andrada; Yvonne Taylor; Arn H Eliasson
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Publication Detail:
Type:  Journal Article     Date:  2008-12-04
Journal Detail:
Title:  Sleep & breathing = Schlaf & Atmung     Volume:  13     ISSN:  1522-1709     ISO Abbreviation:  Sleep Breath     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-06-22     Completed Date:  2009-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9804161     Medline TA:  Sleep Breath     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  271-5     Citation Subset:  IM    
Affiliation:
Pulmonary, Critical Care and Sleep Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Continuous Positive Airway Pressure / methods
Disorders of Excessive Somnolence / epidemiology
Electrocardiography
Electromyography
Female
Humans
Male
Manometry / methods
Muscle, Skeletal / innervation
Polysomnography / methods*
Reproducibility of Results
Sleep Apnea Syndromes / diagnosis,  epidemiology
Sleep Apnea, Obstructive / diagnosis*,  epidemiology,  therapy
Sleep Stages / physiology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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