1. PM is performed with a comprehensive sleep evaluation with different screening questionnaires and clinical scores |
2. Supervised by a practitioner with sleep medicine certification and performed under the auspices of an AASM-accredited sleep medicine centre |
3. Record airflow, respiratory effort and blood oxygenation channels and use the same biosensors as laboratory PSG |
4. Display of raw data for manual scoring or editing of automated scoring (sequential scoring) |
5. Alternative to PSG for OSAS diagnosis in patients with high pre-test probability of moderate-to-severe OSAS |
6. It is not appropriate for OSAS diagnosis if patient presents significant comorbidities |
7. It is not appropriate for screening of asymptomatic populations |
8. Alternative for OSAS diagnosis in patients for whom in-laboratory PSG is not possible (immobility, critical illness, etc.) |
9. If PM is negative in patients with a high pre-test probability of moderate-to-severe OSAS, in-laboratory PSG should be performed to rule out any false-negative study |
10. Monitor the response to non-CPAP treatments for sleep apnoea (i.e. weight loss or intra-oral device) |
PM: unattended portable monitoring; AASM: American Academy of Sleep Medicine; PSG: polysomnography; OSAS: obstructive sleep apnoea syndrome; CPAP: continuous positive airway pressure. Information from [23].