https://doi.org/10.4081/monaldi.2024.2945
Diagnostic accuracy of daytime polysomnography: a reappraisal during the COVID-19 era
Submitted: February 4, 2024
Accepted: February 14, 2024
Published: February 29, 2024
Accepted: February 14, 2024
Abstract Views: 499
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Level I conventional polysomnography (PSG), the gold standard for diagnosing obstructive sleep apnea (OSA), requires an overnight stay. This study evaluated the role of daytime PSG as an alternative diagnostic tool. A prospective cohort study was undertaken with consecutive patients with suspected OSA at a tertiary care sleep center. The primary objective was to evaluate the sensitivity and diagnostic accuracy of daytime PSG for diagnosing OSA. The secondary objective was to find out the factors associated with a falsely negative daytime PSG result. All individuals were subjected to level I daytime PSG, done in the sleep lab in the presence of an experienced sleep technician during the daytime from 12 PM to 4 PM. Out of 162 patients, 105 underwent daytime PSG. OSA was diagnosed on daytime PSG in 86.7 out of the 19 remaining patients refused a repeat PSG study. Out of the 12 individuals who underwent the nighttime PSG for confirmatory diagnosis, 10 were diagnosed as OSA (false negatives), and 2 were confirmed as not-OSA (true negatives). The sensitivity, diagnostic accuracy, and negative predictive value of daytime PSG were 89.58%, 89.80%, and 16.67%, respectively. The false negatives had a higher prevalence of mild OSA. Daytime PSG is sensitive in diagnosing OSA and can be considered in individuals with severe symptoms at centers with a high patient load or when the individual wishes to avoid a nighttime study. A negative result in daytime PSG must be followed by conventional overnight PSG for confirmatory diagnosis.
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Ethics Approval
The research was approved by the institutional ethics committee (ESIPGIMSR-2022053).How to Cite
Patro, Mahismita, Nipun Malhotra, Dipti Gothi, Rahul Kumar, and Ganjam Yasasvini. 2024. “Diagnostic Accuracy of Daytime Polysomnography: A Reappraisal During the COVID-19 Era”. Monaldi Archives for Chest Disease, February. https://doi.org/10.4081/monaldi.2024.2945.
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