The interpretation of compact polysomnography/polygraphy in sleep breathing disorders patients: a validation's study.

Autor: Bosi M; Department of Diseases of the Thorax, GB Morgagni-Pierantoni Hospital, AUSL of Romagna, Forlì, Italy., De Vito A; Ear-Nose-Throat Unit, Head and Neck Department, Morgagni-Pierantoni Hospital, AUSL of Romagna, 47121, Forlì, Italy. dr.andrea.devito@gmail.com., Bellini C; Ear-Nose-Throat Unit, Head and Neck Department, Morgagni-Pierantoni Hospital, AUSL of Romagna, 47121, Forlì, Italy., D'Agostino G; Ear-Nose-Throat Unit, Head and Neck Department, Morgagni-Pierantoni Hospital, AUSL of Romagna, 47121, Forlì, Italy., Firinu E; Ear-Nose-Throat Unit, Head and Neck Department, Morgagni-Pierantoni Hospital, AUSL of Romagna, 47121, Forlì, Italy., Gobbi R; Ear-Nose-Throat Unit, Head and Neck Department, Morgagni-Pierantoni Hospital, AUSL of Romagna, 47121, Forlì, Italy., Pacella A; Oral Medical and Biotechnological Science Department, Obstructive Sleep Breathing Disorders Screening University Center, G. D'Annunzio University, Chieti, Italy., Filograna Pignatelli G; Oral Medical and Biotechnological Science Department, Obstructive Sleep Breathing Disorders Screening University Center, G. D'Annunzio University, Chieti, Italy., Zeccardo E; Ear-Nose-Throat Unit, Head and Neck Department, Morgagni-Pierantoni Hospital, AUSL of Romagna, 47121, Forlì, Italy., Poletti V; Department of Diseases of the Thorax, GB Morgagni-Pierantoni Hospital, AUSL of Romagna, Forlì, Italy.; Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark., Vicini C; Ear-Nose-Throat Unit, Head and Neck Department, Morgagni-Pierantoni Hospital, AUSL of Romagna, 47121, Forlì, Italy.; ENT Clinic, University of Ferrara, Ferrara, Italy.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2017 Aug; Vol. 274 (8), pp. 3251-3257. Date of Electronic Publication: 2017 Apr 27.
DOI: 10.1007/s00405-017-4578-8
Abstrakt: The Otorhinolaryngologist (ENT) frequently has to deal with OSA or suspicious OSA patients and undergone polysomnography (PSG) or portable monitoring (PM) and should be confident about the quality and consistency of the polysomnographic diagnosis. The main polysomnographic traces compressed in a unique epoch, defined as compact PSG/PM (CP), could represent an efficient tool to confirm the quality of PSG/PM Sleep Breathing Disorders diagnosis. This is a validation's study of a CP interpretation's method, analyzing the learning curve, the level of diagnostic accuracy, and the inter-operator agreement in interpreting the CP pattern between a group of ENT specialists not skilled in PSG/PM scoring, but managing SBD patients during daily practice. Seven ENT specialists have been enrolled in the study. 50 CP traces (ranging from normal to all main SBD patterns) have been showed to each participant for the interpretation and scoring process, before and after a 2-h theoretical-practical interactive lesson, focusing on the recognition of the four main oximetric patterns on CP traces (normal, phasic, prolonged, and overlap patterns).
Results: before and after the theoretical-practical interactive lesson, the whole diagnostic accuracy in interpreting the 50 CP has been reported improved from 0.12 to 0.80 (median 0.52) to 0.82-0.96 (median 0.92) (p = 0.006) and the inter-scorers' agreement showed a kappa value increased from of 0.18 to 0.75 (p < 0.0001). A complete clinical diagnostic evaluation is essential in OSA patients and the ENT specialist should be concerned to verify if the patient, suitable for surgical therapy, is affected really by an isolated form of OSA. The CP interpretation allows a checking of the proper nosographic SBD framework and could be significantly important for all ENT specialists not skilled in PSG/PM scoring, but managing SBD patients during daily practice. The data reported in our validation's study showed that the CP interpretation's method is easy to apply, with a rapid learning curve. The level of diagnostic accuracy is high with a high inter-scorer agreement in interpreting the CP patterns.
Databáze: MEDLINE
Externí odkaz: