Systematic Review of the Literature Regarding the Diagnosis of Sleep Apnea.211 Evidence Report/Technology Assessment, Number 1

摘要

The objective was to establish the evidence base for diagnosing sleep apnea (SA)211u001ein adult patients using systematic review methods. Tests covered were sleep 211u001emonitoring devices, radiologic imaging, laboratory assays, and clinical signs and 211u001esymptoms posited for use in screening or diagnosing SA. The standard sleep lab 211u001epolysomnogram (PSG) was the gold standard. Literature published from 1980 through 211u001eNovember 1, 1997 (cutoff) was searched using Medline and Current Contents, 211u001esupplmeneted by a manual review of the bibliographies of all accepted papers. 211u001eStudies of at least 10 adults suspected of or diagnosed with SA had to report the 211u001eresults of any test to establish or support a diagnosis of SA, relative to a 211u001estandard PSG-derived apnea index (AI, the number of apneic episodes/hour sleep); 211u001eapnea-hypopnea index (AHI, the total apneas plus hypopneas during total time 211u001easleep, divided by the number of hours asleep); or respiratory distress index 211u001e(RDI). Eligible languages were English, German, French, Spanish, or Italian. 211u001eDiagnostic papers reporting prevalence or clinical comorbidities of SA were also 211u001eaccepted.