Ambulatory Management of Obstructive Sleep Apnea without Polysomnography
Authors: Konrad E. Bloch
Journal: Annals of Internal Medicine (2007)

Letters4 September 2007Ambulatory Management of Obstructive Sleep Apnea without PolysomnographyKonrad E. Bloch, MD, Oliver Senn, MD, Thomas Brack, MD, and Erich W. Russi, MDKonrad E. Bloch, MDFrom University Hospital of Zurich, Zurich, Switzerland.Search for more papers by this author, Oliver Senn, MDFrom University Hospital of Zurich, Zurich, Switzerland.Search for more papers by this author, Thomas Brack, MDFrom University Hospital of Zurich, Zurich, Switzerland.Search for more papers by this author, and Erich W. Russi, MDFrom University Hospital of Zurich, Zurich, Switzerland.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-147-5-200709040-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Mulgrew and colleagues (1) propose an ambulatory diagnostic–therapeutic algorithm for the obstructive sleep apnea (OSA) syndrome. Patients with a very high likelihood of the OSA syndrome, based on a questionnaire and an ambulatory polygraphic sleep study, were treated with autoadjusted continuous positive airway pressure (auto-CPAP) without confirmation of the diagnosis by polysomnography. Compared with a control group undergoing diagnostic in-laboratory polysomnography, the treatment group, managed according to the ambulatory algorithm, had a similar outcome after 3 months—that is, a median apnea–hypopnea index on CPAP of 2.5 versus 3.2 events per hour. Given the high prevalence of the ...References1. Mulgrew AT, Fox N, Ayas NT, Ryan CF. Diagnosis and initial management of obstructive sleep apnea without polysomnography: a randomized validation study. Ann Intern Med. 2007;146:157-66. [PMID: 17283346] LinkGoogle Scholar2. Senn O, Brack T, Russi EW, Bloch KE. A continuous positive airway pressure trial as a novel approach to the diagnosis of the obstructive sleep apnea syndrome. Chest. 2006;129:67-75. [PMID: 16424414] CrossrefMedlineGoogle Scholar3. Whitelaw WA, Brant RF, Flemons WW. Clinical usefulness of home oximetry compared with polysomnography for assessment of sleep apnea. Am J Respir Crit Care Med. 2005;171:188-93. [PMID: 15486338] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University Hospital of Zurich, Zurich, Switzerland.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDiagnosis and Initial Management of Obstructive Sleep Apnea without Polysomnography Alan T. Mulgrew , Nurit Fox , Najib T. Ayas , and C. Frank Ryan Ambulatory Management of Obstructive Sleep Apnea without Polysomnography C. Frank Ryan , Alan T. Mulgrew , and Najib T. Ayas Metrics Cited ByAmbulatory Diagnostic-therapeutic Approach for Obstructive Sleep Apnoea Syndrome (OSAS) 4 September 2007Volume 147, Issue 5Page: 350KeywordsAlgorithmsConflicts of interestContinuous positive airway pressurePolysomnographyProblem solvingPulse oximetryQuestionnairesSleepSleep apnea ePublished: 4 September 2007 Issue Published: 4 September 2007 CopyrightCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...