Table 1.
Portable studies for sleep apnea evaluation: classification scheme (6-hour overnight recording minimum)
| Level 1: Standard PSG | Level 2: Comprehensive Portable PSG | Level 3: Modified Portable Apnea Testing | Level 4: Continuous Single or Dual Parameter Recording | |
|---|---|---|---|---|
| Parameters | Minimum of 7: EEG, EOG, chin EMG, ECG, airflow, respiratory effort, oximetry | Minimum of 7: EEG, EOG, chin EMG, ECG or HR, airflow, respiratory effort, oximetry | Minimum of 4: ventilation (respiratory movement and airflow) HR or ECG, oximetry | Minimum of 1 (typically oximetry or airflow) |
| Body position | Documented or objectively measured | Can be objectively measured | Can be objectively measured | Not measured |
| Leg movement | EMG or motion sensor (optional) | EMG or motion sensor (optional) | May be recorded | Not recorded |
| Personnel attendance | Constant | None | None | None |
| Interventions Possible | Yes | No | No | No |
Abbreviations: ECG, electrocardiogram; EEG, electroencephalogram; EMG, electromyogram; EOG, electrooculogram; HR, heart rate.
From Ferber R, Millman R, Coppola M, et al. Portable recording in the assessment of obstructive sleep apnea. ASDA standards of practice. Sleep 1994;17(4):378–92.