National Guideline Clearinghouse | Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians

full-text ►

National Guideline Clearinghouse | Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians



American College of Physicians

Guideline Title

Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians

Bibliographic Source(s)

Qaseem A, Dallas P, Owens DK, Starkey M, Holty JE, Shekelle P, Clinical Guidelines Committee of the American College of Physicians. Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2014 Aug 5;161(3):210-20. [186 references] PubMed

Guideline Status

This is the current release of the guideline.

This guideline meets NGC's 2013 (revised) inclusion criteria.

.-.



Diagnosis of obstructive sleep apnea in adult... [Ann Intern Med. 2014] - PubMed - NCBI

Ann Intern Med. 2014 Aug 5;161(3):210-20. doi: 10.7326/M12-3187.

Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from theAmerican College of Physicians.

Qaseem A, Dallas P, Owens DK, Starkey M, Holty JE, Shekelle P; Clinical Guidelines Committee of the American College of Physicians.

Collaborators (13)

Abstract

DESCRIPTION:

The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the diagnosis of obstructive sleep apnea in adults.

METHODS:

This guideline is based on published literature on this topic that was identified by using MEDLINE (1966 through May 2013), the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews. Searches were limited to English-language publications. The clinical outcomes evaluated for this guideline included all-cause mortality, cardiovascular mortality, nonfatal cardiovascular disease, stroke, hypertension, type 2 diabetes, postsurgical outcomes, and quality of life. Sensitivities, specificities, and likelihood ratios were also assessed as outcomes of diagnostic tests. This guideline grades the evidence and recommendations by using ACP's clinical practice guidelines grading system.

RECOMMENDATION 1:

ACP recommends a sleep study for patients with unexplained daytime sleepiness. (Grade: weak recommendation, low-quality evidence).

RECOMMENDATION 2:

ACP recommends polysomnography for diagnostic testing in patients suspected of obstructive sleep apnea. ACP recommends portable sleep monitors in patients without serious comorbidities as an alternative to polysomnography when polysomnography is not available for diagnostic testing. (Grade: weak recommendation, moderate-quality evidence).

Summary for patients in

• Ann Intern Med. 2014 Aug 5;161(3):I-28.

PMID:

 

25089864

 

[PubMed - indexed for MEDLINE]