P028 The Nox A1 ambulatory system is reliable when self-applied

Abstract Background Home Sleep Apnea Tests (HSAT) increases access to SDB diagnostic testing (Safadi, 2014). A previous study defined a reliable HSAT if: ≥4hours total recording time, an intelligible position signal and respiratory effort, airflow and oximetry for at least 80% of the night were reco...

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Bibliographic Details
Published in:SLEEP Advances
Main Authors: Cuesta, R, Roebuck, T, Ho, S, Naughton, M, McDermott, E, VanBraak, E, Beranek, R, Davis, S, Spiteri, M, Dabscheck, E, Miller, B, Yu, C
Format: Article in Journal/Newspaper
Language:English
Published: Oxford University Press (OUP) 2021
Subjects:
General Medicine
Iceland
Online Access:http://dx.doi.org/10.1093/sleepadvances/zpab014.076
https://academic.oup.com/sleepadvances/article-pdf/2/Supplement_1/A30/49843853/zpab014.076.pdf
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Summary:Abstract Background Home Sleep Apnea Tests (HSAT) increases access to SDB diagnostic testing (Safadi, 2014). A previous study defined a reliable HSAT if: ≥4hours total recording time, an intelligible position signal and respiratory effort, airflow and oximetry for at least 80% of the night were recorded, however, admits no standardized criteria in the literature (Domingo, 2010). Aim To test the reliability of a self-applied HSAT using the Nox-A1 ambulatory system (NOX Medical, Iceland). Method Patients self-applied the HSAT guided by industry produced video and written instructions. Signals for the HSAT included; two electro-occulagrams (EOG), two sub-mental electromyograms (EMG), a single modified frontal encephalogram (EEG), a lead I ECG, single leg anterior tibialis EMG, chest and abdominal inductance respiratory effort, nasal pressure airflow, WristOx 2 3150 SpO2 (Nonin Medical, Inc., USA) and 3-D accelerometer and body position sensor. Analysed with ProFusion PSG 4 (Compumedics Limited, Australia) after importing data into Nexus. 33 consecutive studies were recorded during lock-down. Recording satisfactory if SpO2 signal and EEG present >80% of study, it was considered a failure if doctor requested test repeat. Results 33 subjects, age 43.1 ± 13.7 years, BMI 27.4 ± 6.0 kg/m2, 66.6% male. 81.8% of studies satisfactory. 6% of studies needed a repeat in-lab PSG due to 1) loss of oximetry & EEG and 2) loss of EEG Discussion 6% doctor request repeat in-lab PSG is comparable to a study (Lloberes, 2001) of partially self-applied HSAT. Demonstrated good reliability with this self-applied COVID-safe method of HSAT.

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