Telly Kamelia
Divisi Respirologi dan Perawatan Penyakit Kritis, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Indonesia, RSUPN Cipto Mangunkusumo, Jakarta
ABSTRACT
Introduction: Obstructive sleep apnea (OSA) is a breathing disorder that commonly occur during sleep. OSA occurs due to upper airway collapse either totally or partially. Polysomnography examination level 3 still often performed by the clinician because the examination is easy and not expensive.
Objective: Assess the accuracy diagnosis of obstructive sleep apnea with level 3 portable sleep monitor test.
Method: The literature search conducted using PubMed and the Cochrane database, obtained 37 articles. The selection of articles and critical study of systematic review is based on validity, importance, and applicability standardized by the Centre of Evidence Medicine University of Oxford British and critical analyzes articles diagnosis standardized by the British Medical Journal (BMJ).
Results: a systematic review and meta-analysis by Shayeb et al. (2014) found that the examination of level 3 portable sleep monitor test has moderate to high heterogeneity (I2 value of 53% -85%), the sensitivity and specificity (0,79-0,97 and 0,60-0,93). A cohort studies by Garg et al. (2014) showed that examination of level 3 at home had a sensitivity of 0,96, specificity of 0,43, 0,79 PPV, and NPV 0,82.
Conclusion: Examination level 3 with a portable monitor in the house has a good degree of accuracy and is recommended for high-risk OSA patients without comorbid.
Keywords : obstructive sleep apnea, polysomnography, level 3 portable sleep monitor test, sensitivity, specificity