Home Sleep Testing
See the website www.sleepsolutionsofcolumbus.com for more specific information about home sleep testing
Acceptance of home sleep testing is growing in the sleep medicine community, but not all devices are the same and home sleep testing is not appropriate for everyone. Home sleep testing allows for testing in the comforts of your own bed, testing at the time of your normal sleep habits and will allow for change in position during your sleep.
The AASM approves the use of home tests only if you meet the following criteria:
- You are between 18 and 65 years of age. Home sleep tests are not recommended for children or older adults unless recommended by a sleep physician.
- You have a high risk of moderate-to-severe sleep apnea. Your risk can only be determined by a thorough sleep evaluation. Key risk factors include loud and frequent snoring, excessive daytime sleepiness, obesity, neck circumference greater than 14 ½” for females, and 16 ½” for males, and witnessed pauses in breathing during sleep.
- You have no other major medical problems. Other medical problems may also affect the results of a home sleep test. During your evaluation the sleep physician will determine if you show signs of having another sleep disorder. Examples include central sleep apnea, periodic limb movements (“restless legs”), insomnia, parainsomnias, circadian rhythm sleep disorders, and narcolepsy.
- Are having an evaluation to determine effectiveness of your response to some sleep apnea treatments, including oral appliances, surgery and weight loss.
The average HOME sleep test device measures parameters such as: Airflow, Breathing effort, Blood oxygen, snoring sounds, Head and neck movements.
There are many devices on the market, but none of them measure all of the sleep parameters and vital signs that a complete in-lab sleep study would measure – eye and limb movement that might be associated with a neurological disorder, for example. Evidence does suggest that home sleep tests are effective in diagnosing obstructive sleep apnea.
The device that we most frequently utilize measures 9 channels, including EEG, EOG and EMG (brain, eye and muscle movements). It also provides sleep time and is the only one of two on the market that gives the time of actual sleep. All other 27 home testing devices provide only recording time (instead of actual sleep time) and could potentially minimize or adversely affect the accuracy of the final interpretation of a test.
Many insurance plans, including Medicare and Medicaid, also cover home tests for eligible patients. The expense for home sleep tests are very reasonable and are much less than in-lab studies (usually range from $200 to $400, depending on provider and test performed). See the website www.sleepsolutionsofcolumbus.com for more specific information about home sleep testing, overnight in-lab testing, various positive airway devices and various oral therapy treatments.