At-home diagnostic tests for sleep apnea are done at home and assess a range of factors to
determine if you have sleep apnea.
There are two kinds of at-home diagnostic tests.
The first type of at-home diagnostic test consists of a bedside monitoring device that is
attached to sensors for the chest, breath, and finger. These apnea home tests collect sleep data like
respiratory events (apneas and hypopneas), snoring intensity, blood oxygen saturation, pulse rate and
respiratory effort.
Another type of apnea home test is oximetry. This is a clamp worn on a finger and detects
levels of oxygen in blood. While it does not collect breathing data, it is perhaps better at detecting low
blood oxygen, which is a critical component in diagnosis of apnea.
Like other at-home diagnostic tests, pulse oximetry is prescribed by a doctor or through an
“online’ doctor. Depending on your resourcefulness, it may be possible to get around the prescription
requirement!
Home oximetry devices range from simple to complex. The simplest is about $49.00, is worn on
the finger, and will display blood oxygen readings. Waking up every minute or so to look at the reading
doesn’t do much good! More sophisticated recording devices store data in a memory card and are much more
expensive.
To avoid the cost altogether, it is entirely possible for your doctor to prescribe the use of
a home pulse oximeter. Or you can get one from a home health appliance outlet, which provides them for free.
The device is loaned overnight and results are electronically transmitted to your
doctor.
At-home diagnostic tests for sleep apnea are available online from numerous companies. While
primarily marketed to health care providers as a method for screening, these companies do market products to
individuals. This kind of apnea home test does require getting a doctor involved. However, several companies
include (for a fee) an online doctor who, after assessing your situation, will prescribe and interpret your
findings.
Who Should Take an Apnea Home Test?
You should take an apnea home test if you you’ve already done an online test for apnea, and it
strongly suggested that you have moderate to severe sleep apnea.
The American Academy of Sleep Medicine also recommends you fit the following criteria before
considering an apnea home test:
* No other major medical problems, like cystic fibrosis,
asthma, or congestive heart failure
* You don’t have a sleep disorder other than sleep
apnea
* You can’t take a sleep study in a sleep
lab
The purpose of home testing is not to replace a medical setting
sleep study, but to alleviate backlogs in sleep study testing centers. Together with an online test for
apnea, you and your doctor can decide how to proceed.
Keep in mind that a positive finding on a home test by itself is not accepted by insurance
companies for a referral to purchase equipment such as a CPAP. In that way, an apnea home test is like a
pregnancy test. It provides the user with a good indication a condition exists. Most importantly, they are
far less expensive than a full sleep study. Like pregnancy tests, they are a low cost first step in
diagnosis.
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