Sleep Apnea
Conditions
Keywords
Health utility, Home sleep study
Brief summary
Newer home sleep study device and algorithm provides an alternative for inpatient sleep study and improve the service provides to patients
Detailed description
Purpose: Assess different potential algorithms to improve the service and cost utility for diagnosis and treatment of obstructive sleep apnea syndrome (OSAS) in patients with high pretest probability in Hong Kong. Hypothesis: Newer home sleep study device and algorithm provides an alternative for inpatient sleep study Design: Prospective randomized study Subject: High pretest probability of OSAS patients referred to a tertiary centre. Study instruments: a portable sleep study device, AutoCPAP and inpatient sleep monitoring system. Interventions: comparison between 3 different algorithms of health service for OSA patients would be made: conventional in-patient sleep study, empirical treatment and home sleep study. Main outcome measures: The primary outcome is the validity of the home sleep study device compare to inpatient sleep study. The secondary outcomes are the relative efficacy of different algorithms and the numbers of failed procedures in each algorithm.
Interventions
DEVICEhome sleep study
different in algorithm arrangement for diagnosing sleep apnea
DEVICEhome CPAP titration (Autoset)
continuous positive airway pressure device for treatment of sleep apnea
DEVICECPAP
usual practice
Sponsors
Chinese University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients with high pretest probability of OSAS, i.e. ESS \> 10 or symptomatic patients, with BMI \> 23 and/or cranial facial features associated with OSA, as assessed by the attending respiratory physician in the respiratory clinic. * Patients aged between 18-65 years who agree to participate in the study.
Exclusion criteria
* Pregnant women * Patients who refuse signing consent of the study * Do not have high pretest probability of OSAS * Refuse to have home sleep study * Refuse any treatment offered; or * Could not comply with the set up of home study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Validity of the new home sleep study device compare with conventional inpatient sleep study | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| The relative efficacy between different algorithm | 1 year |
| Failure rates in different algorithms which need to switch to the conventional algorithm | 1 year |
Countries
China
Outcome results
None listed