Sleep
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Randomized Controlled Trial Comparative Study
Comparison of CPAP titration at home or the sleep laboratory in the sleep apnea hypopnea syndrome.
Continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) is conventionally started after in-laboratory overnight titration. This use of sleep laboratory space is both costly and limits access for diagnostic studies. This study aimed to evaluate whether automated CPAP titration in the home produced patient outcomes equal to those following laboratory-based automated CPAP titration. The main outcomes were Epworth Sleepiness Scale score, objective daytime sleepiness (Oxford SLEep Resistance test or OSLER test), and CPAP use; we also performed quality-of-life questionnaires: Functional Outcomes of Sleep Questionnaire and SF-36. ⋯ Home-based automated CPAP titration is as effective as automatic in-laboratory titrations in initiating treatment for OSAHS.