Home Diagnosis and Treatment of Obstructive Sleep Apnea
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Purpose
Obstructive Sleep Apnea (OSA) is a common and underrecognised condition. The diagnosis of OSA is typically made after an in-lab polysomnography (PSG) which requires an overnight stay in a sleep laboratory. Many sleep laboratories have long waiting lists for PSG. There are a number of portable devices which may be useful in home diagnosis of OSA, however there is limited data on outcomes of OSA diagnosed and treated at home. In this study we propose to compare diagnostic accuracy of a home monitoring device with a PSG and outcomes of OSA therapy when implemented at home vs in the sleep laboratory.
| Condition | Intervention |
|---|---|
|
Obstructive Sleep Apnea |
Device: Continuous Positive Airway Pressure |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Can Obstructive Sleep Apnea be Diagnosed at Home? A Randomised Trial of Home vs.in-Lab Diagnosis and Treatment of OSA. |
- Sleepiness score
- Quality of life
- Vigilance tests
- Sleep quality
- CPAP compliance
| Estimated Enrollment: | 50 |
| Study Start Date: | November 2004 |
| Study Completion Date: | June 2007 |
We will randomise patients suspected to have OSA to either home evaluation and treatment (using a portable monitor and auto-CPAP) or in-lab evaluation with a PSG and manually-titrated CPAP. We will obtain sleep, sleepiness and quality of life questionnaires, vigilance testing and blood pressure at baseline and after 1, 2, 4 and 12 weeks of therapy. We will also assess and compare compliance with CPAP therapy in each arm of the study.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- adult ( age > 18)
- suspected OSA
- no coexisting heart or lung disease
- not in a safety-sensitive occupation
Exclusion Criteria:
-
Contacts and Locations| Canada, Saskatchewan | |
| Sleep Disorders Center, Royal Univerisity Hospital | |
| Saskatoon, Saskatchewan, Canada, S7N 0W0 | |
| Principal Investigator: | Robert P Skomro, MD | Univerisity of Saskatchewan |
More Information
No publications provided by University of Saskatchewan
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00139022 History of Changes |
| Other Study ID Numbers: | BIO-REB# 04-91 |
| Study First Received: | August 26, 2005 |
| Last Updated: | October 4, 2007 |
| Health Authority: | Canada: Health Canada |
Keywords provided by University of Saskatchewan:
|
sleep apnea, home monitoring, CPAP |
Additional relevant MeSH terms:
|
Apnea Sleep Apnea Syndromes Sleep Apnea, Obstructive Respiration Disorders Respiratory Tract Diseases Signs and Symptoms, Respiratory |
Signs and Symptoms Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders Nervous System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013