Inpatient Sleep Testing - 23/10/25

Doi : 10.1016/j.jsmc.2025.07.002

Gaurav Singh, MD, MPH ^a,^b,^⁎
^a Pulmonary, Critical Care, and Sleep Medicine Section, Department of Medicine, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Mail Code 111P, Palo Alto, CA 94304, USA
^b Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Stanford University, 300 Pasteur Drive, Palo Alto, CA 94304, USA

^∗Pulmonary, Critical Care, and Sleep Medicine Section, Department of Medicine, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Mail Code 111P, Palo Alto, CA 94304.PulmonaryCritical Care, and Sleep Medicine SectionDepartment of MedicineVeterans Affairs Palo Alto Health Care System3801 Miranda Avenue, Mail Code 111PPalo AltoCA94304

Résumé

Inpatient sleep testing (IST) provides a unique although underused opportunity to improve access to care by identifying patients with sleep-disordered breathing (SDB) who may benefit from timely initiation of positive airway pressure (PAP) therapy. SDB identified in hospitalized patients with cardiovascular and pulmonary comorbidities is associated with worse clinical outcomes, but initiation of PAP therapy based on inpatient testing may improve patient outcomes. Various types of IST can be performed, with portable monitoring being the most common given its accuracy, convenience, and cost-effectiveness. Successful implementation of IST entails an appropriate infrastructure, equipment, personnel, and training.

Le texte complet de cet article est disponible en PDF.

Keywords : Sleep test, Sleep study, Polysomnography, Inpatient, Hospitalization, Admission, Sleep apnea, Sleep-disordered breathing