Diagnosing Obstructive Sleep Apnea: Ordering and Interpreting a Sleep Study

In this video, PA Fox addresses the essential steps in diagnosing obstructive sleep apnea (OSA) through sleep studies. She discusses the advantages of home sleep tests, which have increased patient access and willingness to undergo testing, and outlines the necessary components for an effective diagnosis.

PA Fox explains how attended sleep studies are still necessary for certain patients, particularly those with complex needs. She highlights key metrics to evaluate in sleep study results, such as the apnea-hypopnea index (AHI) and oxygen desaturation levels, which inform the severity of OSA. By providing practical insights on interpreting sleep study data, PA Fox empowers healthcare providers to make informed decisions regarding patient care and treatment options.

Key Takeaways:

  1. At-home sleep tests can make it possible for more patients to be evaluated for OSA.
  2. Attended sleep studies are still necessary when homes tests are inconclusive, suspect higher risk conditions, or required by insurance or patient circumstances.
  3. When reviewing the results of a sleep test, start by looking at apnea hypopnea index (AHI) and the number and percentage of time that a patient’s oxygen is less than 90%.

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References and Additional Resources:

Kapur VK, Auckley DH, Chowdhuri S, et al. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: An American academy of sleep medicine clinical practice guideline. J Clin Sleep Med. 2017;13(03):479-504. doi:10.5664/jcsm.6506

Samieirad S, Khoshsirat A, Rezaeetalab F, Mianbandi V, Tohidi E, Eshghpour M. Will obstructive sleep apnea and apnea/hypopnea index be corrected following alveolar cleft reconstruction? World J Plast Surg. 2020;9(2):146-152. doi:10.29252/wjps.9.2.146

Summer JV. Apnea-Hypopnea Index (AHI). Sleep Foundation. Published October 28, 2021. Accessed August 18, 2025. https://www.sleepfoundation.org/sleep-apnea/ahi

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