TABLE VI.F.1.
Overview of the types of sleep testing, strengths, and associated limitations
Type I | Type II | Type III | Type IV | |
---|---|---|---|---|
Specifications | Full-attended polysomnography (≥7 channels) EEG, EOG, EMG, ECG, airflow, effort, oximetry |
Full-unattended polysomnography (≥7 channels) EEG, EOG, EMG, ECG, airflow, effort, oximetry |
Limited channel devices (four to seven channels) ECG, airflow, effort, oximetry |
One or two channels with one typically being oximetry Oximetry and other |
Common examples | Routine polysomnography | NA | Alice PDX Apnealink PAT | Pulse oximetry |
Strengths | Gold-standard sleep staging and event scoring | Done at home Diagnostic accuracy to rule in/out OSA | Done at home Sufficient to rule in OSA |
Done at home Simple set up |
Limitations | Requires subject to stay overnight in the sleep lab and has greater associated costs | Requires technical expertise to set up and administer appropriately Not appropriate for complex patients |
High level of pre-test probability required in order to accurately diagnose OSA | Very limited data collected Additional testing often warranted |