Table 2. Recommendations for unattended portable monitoring
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].