Vibration signals of snoring as a simple severity predictor for obstructive sleep apnea. 2016

Hsien-Tsai Wu, and Wen-Yao Pan, and An-Bang Liu, and Mao-Chang Su, and Hong-Ruei Chen, and I-Ting Tsai, and Meng-Chih Lin, and Cheuk-Kwan Sun
Department of Electrical Engineering, National Dong Hwa University, Hualien, Taiwan.

OBJECTIVE Polysomnography (PSG), which involves simultaneous monitoring of various physiological monitors, is the current comprehensive tool for diagnosing obstructive sleep apnea (OSA). We aimed at validating vibrating signals of snoring as a single physiological parameter for screening and evaluating severity of OSA. METHODS Totally, 111 subjects from the sleep center of a tertiary referral center were categorized into four groups according to the apnea hypopnea index (AHI) obtained from PSG: simple snoring group (5 > AHI, healthy subjects, n = 11), mild OSA group (5 ≤ AHI < 15, n = 11), moderate OSA group (15 ≤ AHI < 30, n = 30) and severe OSA group (AHI ≥ 30, n = 59). Anthropometric parameters and sleep efficiency of all subjects were compared. Frequencies of amplitude changes of vibrating signals on anterior neck during sleep were analyzed to acquire a snoring burst index (SBI) using a novel algorithm. Data were compared with AHI and index of arterial oxygen saturation (Δ Index). RESULTS There were no significant differences in age and sleep efficiency among all groups. Bland-Altman analysis showed better agreement between SBI and AHI (r = 0.906, P < 0.001) than Δ Index and AHI (r = 0.859, P < 0.001). Additionally, receiver operating characteristic (ROC) showed substantially stronger sensitivity and specificity of SBI in distinguishing between patients with moderate and severe OSA compared with Δ Index (sensitivity: 81.4% vs 66.4%; specificity: 96.7% vs 86.7%, for SBI and Δ Index, respectively). CONCLUSIONS SBI may serve as a portable tool for screening patients and assessing OSA severity in a non-hospital setting.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000465 Algorithms A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task. Algorithm
D012372 ROC Curve A graphic means for assessing the ability of a screening test to discriminate between healthy and diseased persons; may also be used in other studies, e.g., distinguishing stimuli responses as to a faint stimuli or nonstimuli. ROC Analysis,Receiver Operating Characteristic,Analysis, ROC,Analyses, ROC,Characteristic, Receiver Operating,Characteristics, Receiver Operating,Curve, ROC,Curves, ROC,ROC Analyses,ROC Curves,Receiver Operating Characteristics
D012680 Sensitivity and Specificity Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed) Specificity,Sensitivity,Specificity and Sensitivity
D012913 Snoring Rough, noisy breathing during sleep, due to vibration of the uvula and soft palate. Snorings
D014732 Vibration A continuing periodic change in displacement with respect to a fixed reference. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Vibrations

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