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Home Sleep Tests
I am doing a research project on home sleep tests (HSTs) from the perspective of a PCP and was curious to get impressions on the major HST devices out there, pros/cons, etc.
I will start with an observation that of the CMS-reimbursement-approved HSTs it looks like there are either the traditional PSG-lite type devices or the novel algorithm-based devices. The latter seem to be easier to use, but more expensive on a per use basis. Is this a fair assessment?
Do you have other observations or experience regarding HSTs?
Views: 266
Replies to This Discussion
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Permalink Reply by RockRpsgt on
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We use the Stardust system. I really like it. I have been trying to get more info on the different systems as well. It is proving to be more difficult than expected. I have left several messages with varias reps. No call backs as of yet.
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Permalink Reply by D. W. Conn on
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I have a closed mind on the issue. NO HOME TEST period.
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Permalink Reply by 99 on
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money is the name of the game and it shuld not be the expence is to clober the market and get as much out of the maret as they can
i am not saying that there should be no profit, but the profit margins are obcene
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We use them as a pre-screen for inpatients at the hospital Conn. We do not use them to Dx.
D. W. Conn said:I have a closed mind on the issue. NO HOME TEST period.
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We have seen awful results from these so called screening tools. Bringing in people with no apnea and then those that come in after prescreening has shown no events. We getthese poor souls after Cerebral vascular accident or cardiovascular incident. Prescreening is just another added cost that the patient does not need.
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Permalink Reply by Mary Z on
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Any experience with the strips one puts under their nose that costs about $60. At $60 dollars it would seem possible to do several tests on different nights. I would not automatically assume a negative result was correct, but a positive result, with other symptoms might convince an otherwise foot dragging doctor to order a sleep test. Considering the money saved on comorbid conditions, a sleep test would be well worth the expense. Then I think more support and education on compliance would help. I thank our professionals for their dedication to this. My DME tells me he often has patients who can't or won't comply, many with mask difficulties due to high pressures, and not enough help from the industry on this problem, anyway he gets calls for vents on a fairly regular basis for these folks. Maybe we need to make our needs known to the industry on a regular basis to help solve these problems. They are putting out better machines, but I don't see much progress on the full mask front. The best yet being the Respironics FitLife Total Face Mask for those of us with chronic problems with nose bridge breakdown, but require lots of fiddleing for leaks on high pressures.
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Permalink Reply by Judy on
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Is anyone using or does anyone have access to an ApneaLink. I am particularly interested in the finger sensors connector to the ApneaLink itself. Is it a small 3 prongs in a triangle? Or do you have the part number for it?
I am wondering if the connector would also fit the S8 ResLink. Or should I say if the S8 ResLink connector would fit the ApneaLink.
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Unless you are willing and able to reduce the cost of your in-lab evaluation PSGs, DW Conn, you are fighting a losing battle. To say nothing of needing more motel rooms to serve as PSG rooms.
D. W. Conn said:We have seen awful results from these so called screening tools. Bringing in people with no apnea and then those that come in after prescreening has shown no events. We getthese poor souls after Cerebral vascular accident or cardiovascular incident. Prescreening is just another added cost that the patient does not need.
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Fascinating discussion. Another post on this website caused me to lookup Dr. Dement, "The Father of Modern Sleep Medicine" - so I go to the website of the company that he has been the Chief Technical Advisor to for the past 10 years, and see in the literature a picture of the WatchPAT - one of those novel algorithm-based HST devices. Anyone have experience with this device?
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Permalink Reply by Walt Service on
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Really don't think that hometesting is going to last....The equipment is "fair" at best, the information obtained is lacking, and the payback costs is sparce
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We use and sell Embletta,,,,,,,,,, Very acceptable in the Sleep Market.
The cost for dispossables is very low ($5) and we have an online Interp service. (It makes it very easy for PCP's)
you can see more on our site www.sleepgroupsolutions.com
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Hey, yah, sleepgs. I've got a question for you regarding that Embletta. Is that a 3 prong, triangular formed (3 circle) connector or plug to the Embletta??
I'm trying to find out if the Nonin 3012 & 3212 units work w/the S8 Reslink AND the new Resmed S9 SpO2 adapter?
Is the connector for this Embletta, the S8 ResLink, the ApneaLink and the Sp02 adapter for the Resmed S9 PAPs the same?
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