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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

241
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
241

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Related Experiment Video

Updated: Oct 17, 2025

Multi-Modal Home Sleep Monitoring in Older Adults
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SLEAP SMART (Sleep Apnea Screening Using Mobile Ambulatory Recorders After TIA/Stroke): A Randomized Controlled

Mark I Boulos1,2,3,4,5,6,7, Maneesha Kamra1,2,3,4,5,6,7, David R Colelli1,2,3,4,5,6,7

  • 1Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (M.I.B., M.K., D.R.C., N.K., D.J.G., K.B., A.S., J.J.H., R.H.S., B.J.M.).

Stroke
|October 11, 2021
PubMed
Summary
This summary is machine-generated.

Home sleep apnea testing (HSAT) significantly increases obstructive sleep apnea (OSA) diagnosis and treatment in stroke patients compared to in-laboratory polysomnography (iPSG). HSAT also improves patient outcomes and experiences while being cost-effective.

Keywords:
ambulatory careclinical trialischemic attack, transientlaboratoriespolysomnographysleep apnea, obstructivestroke

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Health Economics

Background:

  • Obstructive sleep apnea (OSA) is common after stroke or transient ischemic attack (TIA) but often underdiagnosed.
  • In-laboratory polysomnography (iPSG) is the standard but is inconvenient and costly.
  • Home sleep apnea testing (HSAT) offers a convenient and cost-effective alternative for OSA diagnosis.

Purpose of the Study:

  • To compare HSAT with iPSG for OSA screening in post-stroke/TIA patients.
  • To assess the impact on OSA diagnosis, treatment, clinical outcomes, and patient experience.
  • To evaluate the cost-effectiveness of HSAT versus iPSG.

Main Methods:

  • 250 patients with recent stroke/TIA were randomized to HSAT or iPSG.
  • Patients completed assessments at baseline and 6 months.
  • OSA diagnosis led to continuous positive airway pressure (CPAP) treatment offer.

Main Results:

  • HSAT led to significantly higher OSA diagnosis rates (48.8% vs. 35.2%).
  • Patients using HSAT were more likely to receive CPAP, report reduced sleepiness, and improved daily function.
  • Patient experience with HSAT was significantly more positive (89.4% vs. 31.1%).

Conclusions:

  • HSAT is superior to iPSG for diagnosing and treating OSA in stroke/TIA patients.
  • HSAT improves clinical outcomes, patient satisfaction, and is economically attractive.
  • HSAT represents a valuable tool for managing OSA in this vulnerable population.