Tschopp, Samuel; Borner, Urs; Wimmer, Wilhelm; Caversaccio, Marco; Tschopp, Kurt (2023). Clinical impact of manual scoring of peripheral arterial tonometry in patients with sleep apnea. Sleep & breathing, 27(1), pp. 229-237. Springer 10.1007/s11325-021-02531-9
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PURPOSE
The objective was to analyze the clinical implications of manual scoring of sleep studies using peripheral arterial tonometry (PAT) and to compare the manual and automated scoring algorithms.
METHODS
Patients with suspected sleep-disordered breathing underwent sleep studies using PAT. The recordings were analyzed using a validated automated computer-based scoring and a novel manual scoring algorithm. The two methods were compared regarding sleep stages and respiratory events.
RESULTS
Recordings of 130 patients were compared. The sleep stages and time were not significantly different between the scoring methods. PAT-derived apnea-hypopnea index (pAHI) was on average 8.4 events/h lower in the manually scored data (27.5±17.4/h vs.19.1±15.2/h, p<0.001). The OSA severity classification decreased in 66 (51%) of 130 recordings. A similar effect was found for the PAT-derived respiratory disturbance index with a reduction from 31.2±16.5/h to 21.7±14.4/h (p<0.001), for automated and manual scoring, respectively. A lower pAHI for manual scoring was found in all body positions and sleep stages and was independent of gender and body mass index. The absolute difference of pAHI increased with sleep apnea severity, while the relative difference decreased. Pearson's correlation coefficient between pAHI and oxygen desaturation index (ODI) significantly improved from 0.89 to 0.94 with manual scoring (p<0.001).
CONCLUSIONS
Manual scoring results in a lower pAHI while improving the correlation to ODI. With manual scoring, the OSA category decreases in a clinically relevant proportion of patients. Sleep stages and time do not change significantly with manual scoring. In the authors' opinion, manual oversight is recommended if clinical decisions are likely to change.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT) 10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Hearing Research Laboratory |
UniBE Contributor: |
Tschopp, Samuel, Borner, Urs, Wimmer, Wilhelm, Caversaccio, Marco |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1520-9512 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
04 Apr 2022 08:19 |
Last Modified: |
08 Mar 2023 00:11 |
Publisher DOI: |
10.1007/s11325-021-02531-9 |
PubMed ID: |
35366204 |
Uncontrolled Keywords: |
Home sleep apnea testing Obstructive Peripheral arterial tonometry Sleep apnea Sleep study |
BORIS DOI: |
10.48350/168953 |
URI: |
https://boris.unibe.ch/id/eprint/168953 |
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