A comparison of automated and manual sleep staging and respiratory event recognition in a portable sleep diagnostic device with in-lab sleep study.
home sleep apnea test
peripheral arterial tone
respiratory events
sleep staging
sleep-disordered breathing
Journal
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977
Informations de publication
Date de publication:
15 04 2020
15 04 2020
Historique:
pubmed:
6
2
2020
medline:
24
6
2021
entrez:
6
2
2020
Statut:
ppublish
Résumé
The objectives were to develop and validate an algorithm for editing WatchPAT scoring and assess the accuracy in an unselected clinical population as well as age and sex substrata. Two hundred sixty-two participants were enrolled to undergo WatchPAT simultaneously with in-lab polysomnography (PSG) recordings for developing (n = 30), optimizing (n = 62), and validating (n = 170) an algorithm to review and edit respiratory events and sleep architecture of WatchPAT recordings, which was based on visual inspection of WatchPAT signals. Apnea-hypopnea index (AHI) and sleep indices were compared with PSG-derived and automated WatchPAT indices. Although estimation of total sleep time (TST) was comparable between automated and manual algorithm, estimation of rapid eye movement (REM) sleep time was markedly improved with manual editing from 0.48, 23.0 min (-43.9 to 89.8) to 0.64, 18.3 min (-32.6 to 69.1) (correlation with PSG, mean difference [reference range] from PSG, respectively). Manual scoring also improved correlation and agreement with PSG AHI from 0.65, 2.5 events/h (-24.0 to 28.9) to 0.81, -4.5 events/h (-22.5 to 13.6) as well as concordance for categorical agreement of sleep-disordered breathing severity and concordance for detecting severe REM-related sleep-disordered breathing. Interscorer reliabilities were excellent for TST and AHI, while good for REM sleep time. The automated algorithm performed better in younger than in older patients, while performed similarly between men and women with respect to concordance statistics. The manual algorithm markedly improved concordances more in older patients and women than in their counterparts. Our manual editing algorithm improves correlation and agreement with PSG-derived sleep and breathing indices. Sex and age influence the accuracy of automated analysis and the performance of manual editing on AHI concordance.
Identifiants
pubmed: 32022670
doi: 10.5664/jcsm.8278
pmc: PMC7161441
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
563-573Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL144859
Pays : United States
Informations de copyright
© 2020 American Academy of Sleep Medicine.
Références
Nat Med. 2000 Jun;6(6):606
pubmed: 10835649
Sleep. 2005 May;28(5):594-600
pubmed: 16171272
JAMA Otolaryngol Head Neck Surg. 2013 Dec;139(12):1343-50
pubmed: 24158564
Eur Arch Otorhinolaryngol. 2017 Mar;274(3):1741-1745
pubmed: 27796555
J Clin Sleep Med. 2017 Mar 15;13(3):479-504
pubmed: 28162150
N Engl J Med. 2000 May 11;342(19):1378-84
pubmed: 10805822
Sleep. 2000 Nov 1;23(7):901-8
pubmed: 11083599
J Clin Sleep Med. 2011 Jun 15;7(3):301-6
pubmed: 21677901
Sleep. 2007 Nov;30(11):1562-74
pubmed: 18041489
N Engl J Med. 1993 Feb 4;328(5):303-7
pubmed: 8419815
Sleep. 2006 Mar;29(3):367-74
pubmed: 16553023
Am J Respir Crit Care Med. 1998 Jan;157(1):144-8
pubmed: 9445292
N Engl J Med. 2005 Nov 10;353(19):2034-41
pubmed: 16282178
Sleep. 2018 Nov 1;41(11):
pubmed: 30184232
Am J Respir Crit Care Med. 2013 Jan 1;187(1):99-105
pubmed: 23155146
J Appl Physiol (1985). 2012 Feb;112(3):403-10
pubmed: 22096117
J Clin Sleep Med. 2012 Jun 15;8(3):287-94
pubmed: 22701386
J Appl Physiol (1985). 2008 Jun;104(6):1625-33
pubmed: 18403450
J Clin Sleep Med. 2014 Jan 15;10(1):43-7
pubmed: 24426819
J Clin Sleep Med. 2007 Dec 15;3(7):737-47
pubmed: 18198809