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A comparison between auto-scored apnea-hypopnea index and oxygen desaturation index in the characterization of positional obstructive sleep apnea

Abstract:
Objective Evaluate the concordance between overall and positional oxygen desaturation indices (ODI) and apnea-hypopnea indices (AHI) according to two different definitions for positional obstructive sleep apnea (POSA). Methods A total of 184 in-home polysomnograms were edited to simulate Level III home sleep apnea tests (HSAT) with the auto-scored AHI and ODI based on recording time. POSA was determined using 132 records with an AHI≥5 and at least 20 mins of recording time in both supine and non-supine positions. POSA was defined independently for the AHI and ODI based on ratios of overall/non-supine event/h ≥1.4 (O/NS) and supine/non-supine event/h≥2.0 (S/NS). Results Correlation between the AHI and ODI was 0.97 overall, 0.94 for supine, and 0.96 for non-supine recording times (all p<0.001). For most records, differences between the AHI and ODI were small, with only 14% of the records having a AHI-ODI difference exceeding >5/hr, and 6% exceeding >10 events/hr. The positive and negative percent agreements were uniformly good to excellent across varying clinical POSA cutoffs; percent agreements (positive, negative) were: AHI≥5=0.99, 0.78; AHI≥10=0.96, 0.89; and AHI≥15=0.96, 0.89. Cohen’s Kappa scores also showed substantial agreement for overall as well as supine and non-supine positions across varying clinical cutoffs of the AHI. Frequency of POSA was reproducibly uniform between 59% and 61% for both POSA criteria. When the O/NS and S/NS definitions conflicted in POSA characterization, O/NS was superior for identifying patients who might exhibit a greater response to supine restriction positional therapy. Conclusions Auto-scored positional oximetry is a clinically viable alternative to an auto-scored Level III HSAT AHI in the characterization of POSA based on a 3% desaturation.
Author Listing: Daniel J Levendowski;Garun S Hamilton;Erik K St Louis;Thomas Penzel;David Dawson;Philip R Westbrook
Volume: 11
Pages: 69 - 78
DOI: 10.2147/NSS.S204830
Language: English
Journal: Nature and Science of Sleep

Nature and Science of Sleep

NAT SCI SLEEP

影响因子:3.4
是否综述期刊:否
是否OA:是
是否预警:不在预警名单内
发行时间:-
ISSN:1179-1608
发刊频率:-
收录数据库:SCIE/Scopus收录/DOAJ开放期刊
出版国家/地区:United Kingdom
出版社:Dove Medical Press Ltd.

期刊介绍

Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep. Specific topics covered in the journal include: The functions of sleep in humans and other animalsPhysiological and neurophysiological changes with sleepThe genetics of sleep and sleep differencesThe neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulnessBehavioral and pharmacological interventions aimed at improving sleep, and improving wakefulnessSleep changes with development and with ageSleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause)The science and nature of dreamsSleep disordersImpact of sleep and sleep disorders on health, daytime function and quality of lifeSleep problems secondary to clinical disordersInteraction of society with sleep (e.g., consequences of shift work, occupational health, public health)The microbiome and sleepChronotherapyImpact of circadian rhythms on sleep, physiology, cognition and healthMechanisms controlling circadian rhythms, centrally and peripherallyImpact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and healthBehavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruptionAssessment of technologies and biomarkers for measuring sleep and/or circadian rhythmsEpigenetic markers of sleep or circadian disruption.

《睡眠的自然与科学》是一本国际性、同行评审、开放获取的期刊,涵盖睡眠科学和睡眠医学的各个方面,包括睡眠的神经生理学和功能、睡眠的遗传学、睡眠与社会、生物节律、做梦、睡眠障碍和治疗以及优化健康睡眠的策略。该杂志涵盖的具体主题包括:睡眠在人类和其他动物中的功能睡眠的生理学和神经生理学变化睡眠和睡眠的遗传学差异参与控制睡眠和觉醒的神经递质、受体和途径旨在改善睡眠和觉醒的行为和药理学干预睡眠随发育和年龄而变化睡眠和生殖(例如,在月经周期中的变化,伴随怀孕和绝经)梦的科学和本质睡眠障碍睡眠和睡眠障碍对健康、日间功能和生活质量的影响继发于临床障碍的睡眠问题社会与睡眠的相互作用(例如,倒班工作的后果,职业健康,公共卫生)微生物群和睡眠时间疗法昼夜节律对睡眠、生理、认知和健康的影响中枢和外周控制昼夜节律的机制昼夜节律中断的影响(包括夜班工作、时差和社交时差)对睡眠、生理、认知与健康旨在减少昼夜节律相关睡眠障碍不良影响的行为和药理学干预评估用于测量睡眠和/或睡眠或昼夜节律紊乱的表观遗传标记。

年发文量 171
国人发稿量 78
国人发文占比 45.56%
自引率 5.9%
平均录取率 -
平均审稿周期 16 Weeks
版面费 US$2836
偏重研究方向 Neuroscience-Behavioral Neuroscience
期刊官网 https://www.dovepress.com/nature-and-science-of-sleep-journal
投稿链接 https://www.dovepress.com/submit_step_1.php

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
92.98% 99.09% 0.00% 0.95%

相关指数

影响因子
影响因子
年发文量
自引率
Cite Score

预警情况

时间 预警情况
2025年03月发布的2025版 不在预警名单中
2024年02月发布的2024版 不在预警名单中
2023年01月发布的2023版 不在预警名单中
2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

JCR分区 WOS分区等级:Q2区

版本 按学科 分区
WOS期刊SCI分区
(2021-2022年最新版)
NEUROSCIENCES Q2
CLINICAL NEUROLOGY Q2

中科院分区

版本 大类学科 小类学科 Top期刊 综述期刊
医学
3区
NEUROSCIENCES
神经科学
4区
CLINICAL NEUROLOGY
临床神经病学
3区
2021年12月
基础版
医学
2区
NEUROSCIENCES
神经科学
3区
CLINICAL NEUROLOGY
临床神经病学
3区
2021年12月
升级版
医学
3区
NEUROSCIENCES
神经科学
3区
CLINICAL NEUROLOGY
临床神经病学
3区
2020年12月
旧的升级版
医学
3区
NEUROSCIENCES
神经科学
3区
CLINICAL NEUROLOGY
临床神经病学
3区
2022年12月
最新升级版
医学
2区
NEUROSCIENCES
神经科学
3区
CLINICAL NEUROLOGY
临床神经病学
3区