Table 4. Advantages and disadvantages of portable monitoring devices (PMDs)
Advantages
    Accessibility
    Improved patient access
        Easy self-application of monitoring (no technician required)
        Possible impact on waiting list
    Cost
    Acceptability for patients
        Patients with possible anxiety or who are uncomfortable sleeping alone in a laboratory bed, under medical guidance
        Patient sleeps in his/her own bed
        The effect of environmental factors on sleep variables is still unknown (the sleep pattern is probably more representative of everyday sleep)
Disadvantages
    Reliability
        Unattended portable monitoring is subject to data loss
            Equipment malfunction
            Sensor disconnections
            Patient or family interference
            Telephone-line interference (during modem transfer or playback)
    Diagnostic limitations
        Nonsleep-apnoea diseases
        Underestimate of the AHI
        No electrophysiological signals needed to score and stage sleep, no detection of hypopnoeas associated with arousals and no evaluation of the quality of sleep
    PMD can vary according to:
        Number and types of signals
        Sensors used
        Methods of scoring
        Criteria used to define respiratory events
        Cut-off of the AHI used to define diagnosis and severity of OSAS
  • AHI: apnoea/hypopnoea index; OSAS: obstructive sleep apnoea syndrome.