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Recent Advances in Chest Medicine |

Portable Monitoring for the Diagnosis of OSA

Jessica A. Cooksey, MD; Jay S. Balachandran, MD
Author and Funding Information

CORRESPONDENCE TO: Jay S. Balachandran, MD, Deptartment of Pulmonary Medicine, Madison Medical Associates, 13133 N Port Washington Rd, Ste 104, Mequon, WI 53097


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4):1074-1081. doi:10.1378/chest.15-1076
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In-laboratory, attended polysomnography has long been the gold standard for the diagnosis of sleep-disordered breathing (SDB). In recent years, economic pressures and long wait times have driven interest in home sleep testing, which has, in turn, led to the development of algorithms that bypass the sleep laboratory in favor of portable monitoring studies and in-home initiation of positive airway pressure therapy. For appropriately selected outpatients, evidence is accumulating that portable monitors are a reasonable substitute for in-laboratory polysomnography. In the inpatient setting, in which SDB is both highly prevalent and associated with adverse outcomes in certain populations, the literature is evolving on the use of portable monitors to expedite diagnosis and treatment of SDB. This review discusses society guidelines and recent research in the growing field of portable monitoring.

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