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Editorials |

Full Polysomnography in the Home : Has It Come of Age?

Richard P. Millman, MD, FCCP
Author and Funding Information

Affiliations: Providence, RI 
 ,  Professor of Medicine, Brown University School of Medicine, and Director of Sleep Disorders Center of Lifespan Hospitals.

Correspondence to: Richard P. Millman, MD, FCCP, Division of Pulmonary Sleep and Critical Care Medicine, Rhode Island Hospital, 593 Eddy St, Providence, RI 02903-4923



Chest. 1999;115(1):6-7. doi:10.1378/chest.115.1.6
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Extract

Over the last decade, there has been more evidence that sleep disorders, such as obstructive sleep apnea, are extremely prevalent in the population. There has been a raging debate between proponents of home studies and proponents of in-laboratory full polysomnography with each side proposing that its technology represents“ the best test.” Proponents for home studies have claimed that a larger number of patients could be better served by studying them at home. Using portable studies, patients can be evaluated in a potentially more comfortable setting at a potentially reduced cost. Advocates of in-laboratory full polysomnography have claimed that these studies provide a greater amount of information. In addition, they allow a technician to be available to adjust signals, potentially start nasal continuous positive airway pressure if the patient meets the criteria for a split night study, and intervene if the patient has a medical problem.


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