SLEAP SMART (Sleep Apnea Screening Using Mobile Ambulatory Recorders After TIA/Stroke): A Randomized Controlled Trial | Zendy

Mark I. Boulos | Zendy; Maneesha Kamra | Zendy; David R. Colelli | Zendy; Nardin Kirolos | Zendy; David J. Gladstone | Zendy; Karl Boyle | Zendy; Arun Sundaram | Zendy; Julia Hopyan | Zendy; Richard H. Swartz | Zendy; Muhammad Mamdani | Zendy; Desmond Loong | Zendy; Wanrudee Isaranuwatchai | Zendy; Brian J. Murray | Zendy; Kevin E. Thorpe | Zendy

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SLEAP SMART (Sleep Apnea Screening Using Mobile Ambulatory Recorders After TIA/Stroke): A Randomized Controlled Trial

Author(s) -

Mark I. Boulos,

Maneesha Kamra,

David R. Colelli,

Nardin Kirolos,

David J. Gladstone,

Karl Boyle,

Arun Sundaram,

Julia Hopyan,

Richard H. Swartz,

Muhammad Mamdani,

Desmond Loong,

Wanrudee Isaranuwatchai,

Brian J. Murray,

Kevin E. Thorpe

Publication year - 2021

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.120.033753

Subject(s) - medicine , polysomnography , randomized controlled trial , ambulatory , continuous positive airway pressure , obstructive sleep apnea , stroke (engine) , sleep apnea , apnea , physical therapy , engineering , mechanical engineering

Poststroke/transient ischemic attack obstructive sleep apnea (OSA) is prevalent, linked with numerous unfavorable health consequences, but remains underdiagnosed. Reasons include patient inconvenience and costs associated with use of in-laboratory polysomnography (iPSG), the current standard tool. Fortunately, home sleep apnea testing (HSAT) can accurately diagnose OSA and is potentially more convenient and cost-effective compared with iPSG. Our objective was to assess whether screening for OSA in patients with stroke/transient ischemic attack using HSAT, compared with standard of care using iPSG, increased diagnosis and treatment of OSA, improved clinical outcomes and patient experiences with sleep testing, and was a cost-effective approach.

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