Published: 12 July 2026
Oxford Academic, Sleep Research Society

PAP download reports are useful for assessing usage and leak, but may underestimate residual respiratory burden. Besides periods of non-use, device-based flow-based metrics alone can miss clinically meaningful residual disease, including hypoxic events during REM sleep. Reliance on PAP-derived AHI as the sole efficacy metric risks overlooking persistent disease.

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Citation

Savit Raj Malhotra, Quynh Theresa Do, Stacey Gunn, Sahil Chopra, Kirstin Knobbe Lloyd, Robert Joseph Thomas, Beyond Device Downloads: Residual Sleep Apnea and Hypoxemia Missed by Flow-Based CPAP Monitoring, Sleep, 2026;, zsag189, https://doi.org/10.1093/sleep/zsag189

SOURCE: https://academic.oup.com/sleep/advance-article-abstract/doi/10.1093/sleep/zsag189/8732760?utm_source=authortollfreelink&utm_campaign=sleep&utm_medium=email&login=false