"please keep me updated about oximeters "
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Home Sleep Studies vs. In-Lab
I understand a study has been published in the August issue of Chest concluding that diagnosis and titration at home with portable equipment is as effective as in-lab studies. If someone has a subscription, maybe they want to comment further.
"After 4 weeks, there was no significant difference between the two groups in regard to any sleep measures or CPAP compliance. Researchers conclude that select subjects with suspected OSA could be diagnosed and treated at home"
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Replies to This Discussion
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Permalink Reply by RockRpsgt on
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For the record I found judy's arrythmia from reading her efficacy data. Yep me a "licensed" RPSGT from 600 miles away. I am also, as of right now, against any HST done as the only diagnostic tool. I use these machines everyday here in Co as a prescreen for the PSG. The technology is not good enough to do what you all think they should do.
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You are wrong about the current situation of these machines banyon. As I said I use them everyday. they are no where near as effective as a PSG. As far as economical goes "You get what you pay for."
Banyon said:I think the discussion has gone full circle.
Home sleep studies will grow in importance, not because of the heavily-regulated, government-protected insurance industry favoring them, but because they are effective and more economical that in-lab PSGs. Home sleep studies will allow our society to perform more sleep studies and get more diagnoses.
If you tell me there are some patients for whom an in-lab PSG is necessary for proper diagnosis, I would agree that is a decision between the patient and his doctor.
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Permalink Reply by Judy on
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Yup, yup, Rock HInkle did spot the arrhythmias and did urge me to speak to my sleep pulmo, family doctor or cardiologist about it. AND I did. My sleep pulmo wasn't concerned, my family doctor suggested a 24 hour Holter monitor which I declined at the time and my cardiologist ran his precious nuclear stress tests that were clear. So much for sleep pulmos and cardiologists and KUDOs to Rock Hinkle and my family doctor! I am currently wearing a 30 day event monitor for A Fib (arrhythmias). Basically a glorified Holter monitor.
The first week was fine, the second week has been getting a bit frustrating and I'm beginning to hate it w/2 more weeks to go - simply because the event monitor staff are not as open and informative as our Rock Hinkle is. I HATE not getting straight answers to my questions!!!!!! Curiosity killed the cat. Just because THEY don't consider it "necessary" for me to understand how this little beast works and what it is up to doesn't mean it doesn't tick me off royally when they don't answer my questions w/straight forward, honest, clear answers.
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