Clinical FAQs – Sleep Diagnostics
Answers to commonly asked questions in sleep and respiratory studies
This page brings together frequently asked clinical questions and evidence-based responses related to oximetry, polygraphy, and polysomnography (PSG). All references are from published clinical literature.
Important: Stowood provides this page for information only and accepts no responsibility for its clinical accuracy or application. Always consult a qualified clinician or sleep specialist before acting on any advice. If you have a suggestion for a topic to add, please contact us.
Sleep Recording for Personal Use
Q: Can I buy a sleep recorder and use it on myself if I think I have a sleep disorder?
A: While there is no legal restriction in the UK on individuals purchasing a sleep recorder, we strongly discourage this. A diagnosis and treatment plan can only be provided if your study is performed and interpreted by a recognised clinician. We recommend contacting your local NHS or private sleep clinic. For more information, visit the Sleep Apnoea Trust Association (SATA).
Oximetry Studies
Q: Can oximetry alone diagnose sleep apnoea?
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Thorax: Oximetry alone allows recognition of moderate or severe OSA.
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AJRCCM: Home oximetry is as predictive of CPAP response as full PSG.
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Western Journal of Medicine: Oximetry is useful, but additional channels (respiratory effort, leg movement) improve diagnostic accuracy.
Q: Does the choice of oximeter matter?
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Chest: Oximeter type can affect AHI calculation and diagnostic thresholds.
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Polygraphy (PG) / Ambulatory Studies
Q: Is PSG better than polygraphy for diagnosing OSA?
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Ann Intern Med.: No significant advantage of PSG over ambulatory PG for OSA diagnosis and CPAP titration.
Q: Are nasal prongs better than thermistors?
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Chest: Nasal prongs provide better resolution and diagnostic accuracy than thermistors.
Q: How does Respiratory Inductive Plethysmography (RIP) compare to oesophageal pressure for UARS?
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Chest: RIP offers high sensitivity and specificity, especially pre-arousal.
Q: Are sleep studies helpful in children with suspected upper airway obstruction?
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Archives of Disease in Childhood: Yes – useful for surgery decisions and postoperative risk assessment.
Q: Are there reference values for PG in children?
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See Pediatric Research for normative data.
Q: How can obstructive events in children be measured?
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Pediatric Research: Pulse Transit Time (PTT) is more sensitive than EEG arousals.
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Arch Otolaryngol: PTT useful in moderate/severe OSAHS, not in mild cases.
Q: What can photoplethysmography (PPG) signals tell us?
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J Clin Sleep Med. & Medicine (Baltimore): PPG changes reflect arousals and sympathetic activity, correlating well with PSG.
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Polysomnography (PSG)
Currently no FAQs listed.
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Osler Tests (Daytime Sleepiness Assessment)
Q: How many Osler tests are needed in one day?
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J Sleep Res.: Up to four tests/day shows consistent results.
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Am J Respir Crit Care Med (2001): Two tests may be sufficient.
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Am J Respir Crit Care Med (2002): A single 9 am test is comparable to the four-test average in detecting vigilance fluctuation.