Capability of a neck worn device to measure sleep/wake, airway position, and differentiate benign snoring from obstructive sleep apnea
Identifieur interne : 001390 ( Main/Exploration ); précédent : 001389; suivant : 001391Capability of a neck worn device to measure sleep/wake, airway position, and differentiate benign snoring from obstructive sleep apnea
Auteurs : Daniel J. Levendowski [États-Unis] ; Bratislav Veljkovic [États-Unis] ; Sean Seagraves [États-Unis] ; Philip R. Westbrook [États-Unis]Source :
- Journal of Clinical Monitoring and Computing [ 1387-1307 ] ; 2014.
Abstract
To evaluate the accuracy of a neck-worn device in measuring sleep/wake, detecting supine airway position, and using loud snoring to screen for obstructive sleep apnea. Study A included 20 subjects who wore the neck-device during polysomnography (PSG), with 31 records obtained from diagnostic and split-night studies. Study B included 24 community-based snorers studied in-home for up to three-nights with obstructive sleep apnea (OSA) severity measured with a validated Level III recorder. The accuracy of neck actigraphy-based sleep/wake was measured by assessing sleep efficiency (SE). Differences in sleep position measured at the chest and neck during PSG were compared to video-editing. Loud snoring acquired with an acoustic microphone was compared to the apnea-hypopnea index (AHI) by- and acrosspositions. Over-reported SE by neck actigraphy was inversely related to OSA severity. Measurement of neck and chest supine position were highly correlated with video-edits (r = 0.93, 0.78). Chest was bias toward over-estimating supine time while the majority of neck-device supine position errors occurred during CPAP titrations. Snoring was highly correlated with the overall, supine, and non-supine PSG-AHI (r = 0.79, 0.74, 0.83) and was both sensitive and specific in detecting overall, supine, and non-supine PSGAHI >10 (sensitivity = 81, 88, 82 %; specificity = 87, 79, 100 %). At home sleep testing-AHI > 10, the sensitivity and specificity of loud snoring was superior when users were predominantly non-supine as compared to baseline (sensitivity = 100, 92 %; specificity = 88, 77 %). Neck actigraphy appears capable of estimating sleep/wake. The accuracy of supine airway detection with the neck-device warrants further investigation. Measurement of loud snoring appears to provide a screening tool for differentiating positional apneic and benign snorers.
Url:
DOI: 10.1007/s10877-014-9569-3
PubMed: 24599632
PubMed Central: 4309901
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>To evaluate the accuracy of a neck-worn device in measuring sleep/wake, detecting supine airway position, and using loud snoring to screen for obstructive sleep apnea. Study A included 20 subjects who wore the neck-device during polysomnography (PSG), with 31 records obtained from diagnostic and split-night studies. Study B included 24 community-based snorers studied in-home for up to three-nights with obstructive sleep apnea (OSA) severity measured with a validated Level III recorder. The accuracy of neck actigraphy-based sleep/wake was measured by assessing sleep efficiency (SE). Differences in sleep position measured at the chest and neck during PSG were compared to video-editing. Loud snoring acquired with an acoustic microphone was compared to the apnea-hypopnea index (AHI) by- and acrosspositions. Over-reported SE by neck actigraphy was inversely related to OSA severity. Measurement of neck and chest supine position were highly correlated with video-edits (r = 0.93, 0.78). Chest was bias toward over-estimating supine time while the majority of neck-device supine position errors occurred during CPAP titrations. Snoring was highly correlated with the overall, supine, and non-supine PSG-AHI (r = 0.79, 0.74, 0.83) and was both sensitive and specific in detecting overall, supine, and non-supine PSGAHI >10 (sensitivity = 81, 88, 82 %; specificity = 87, 79, 100 %). At home sleep testing-AHI > 10, the sensitivity and specificity of loud snoring was superior when users were predominantly non-supine as compared to baseline (sensitivity = 100, 92 %; specificity = 88, 77 %). Neck actigraphy appears capable of estimating sleep/wake. The accuracy of supine airway detection with the neck-device warrants further investigation. Measurement of loud snoring appears to provide a screening tool for differentiating positional apneic and benign snorers.</p>
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<author><name sortKey="Van Maanen, Jp" uniqKey="Van Maanen J">JP van Maanen</name>
</author>
<author><name sortKey="Hilgevoord, Aaj" uniqKey="Hilgevoord A">AAJ Hilgevoord</name>
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</analytic>
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</author>
<author><name sortKey="Enciso, R" uniqKey="Enciso R">R Enciso</name>
</author>
<author><name sortKey="Levendowski, Dj" uniqKey="Levendowski D">DJ Levendowski</name>
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</analytic>
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<biblStruct><analytic><author><name sortKey="Levendowski, D" uniqKey="Levendowski D">D Levendowski</name>
</author>
<author><name sortKey="Morgan, T" uniqKey="Morgan T">T Morgan</name>
</author>
<author><name sortKey="Patrickus, J" uniqKey="Patrickus J">J Patrickus</name>
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</analytic>
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<biblStruct><analytic><author><name sortKey="Crowley, Ke" uniqKey="Crowley K">KE Crowley</name>
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<author><name sortKey="Rajaratnam, Smw" uniqKey="Rajaratnam S">SMW Rajaratnam</name>
</author>
<author><name sortKey="Shea, Sa" uniqKey="Shea S">SA Shea</name>
</author>
</analytic>
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<biblStruct><analytic><author><name sortKey="Ravesloot, Mjl" uniqKey="Ravesloot M">MJL Ravesloot</name>
</author>
<author><name sortKey="Van Maanen, Jp" uniqKey="Van Maanen J">JP van Maanen</name>
</author>
<author><name sortKey="Dun, L" uniqKey="Dun L">L Dun</name>
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</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Richard, W" uniqKey="Richard W">W Richard</name>
</author>
<author><name sortKey="Kox, D" uniqKey="Kox D">D Kox</name>
</author>
<author><name sortKey="Den Herder, C" uniqKey="Den Herder C">C den Herder</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Van Maanen, Jp" uniqKey="Van Maanen J">JP van Maanen</name>
</author>
<author><name sortKey="Meester, Ka" uniqKey="Meester K">KA Meester</name>
</author>
<author><name sortKey="Dun, Ln" uniqKey="Dun L">LN Dun</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Van Maanen, Jp" uniqKey="Van Maanen J">JP van Maanen</name>
</author>
<author><name sortKey="Richard, W" uniqKey="Richard W">W Richard</name>
</author>
<author><name sortKey="Van Kesteren, Er" uniqKey="Van Kesteren E">ER van Kesteren</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Marklund, M" uniqKey="Marklund M">M Marklund</name>
</author>
<author><name sortKey="Persson, M" uniqKey="Persson M">M Persson</name>
</author>
<author><name sortKey="Franklin, Ka" uniqKey="Franklin K">KA Franklin</name>
</author>
</analytic>
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</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Californie</li>
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</list>
<tree><country name="États-Unis"><region name="Californie"><name sortKey="Levendowski, Daniel J" sort="Levendowski, Daniel J" uniqKey="Levendowski D" first="Daniel J." last="Levendowski">Daniel J. Levendowski</name>
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<name sortKey="Seagraves, Sean" sort="Seagraves, Sean" uniqKey="Seagraves S" first="Sean" last="Seagraves">Sean Seagraves</name>
<name sortKey="Veljkovic, Bratislav" sort="Veljkovic, Bratislav" uniqKey="Veljkovic B" first="Bratislav" last="Veljkovic">Bratislav Veljkovic</name>
<name sortKey="Westbrook, Philip R" sort="Westbrook, Philip R" uniqKey="Westbrook P" first="Philip R." last="Westbrook">Philip R. Westbrook</name>
<name sortKey="Westbrook, Philip R" sort="Westbrook, Philip R" uniqKey="Westbrook P" first="Philip R." last="Westbrook">Philip R. Westbrook</name>
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</tree>
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</record>
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