Home monitoring for clinically suspected obstructive sleep apnea in pregnancy.

Autor:	Wang J; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China., Zhang C; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China., Xu L; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China., Wei J; Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China., Yang J; Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China., Strohl AE; Department of OB/GYN-Gynecological Oncology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland Ohio., Yi H; Peking University School of Nursing, Beijing, China., Liu X; Peking University School of Nursing, Beijing, China., Zhang L; Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China., Zhao R; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China., Hong S; National Institute of Health Data Science, Peking University, Beijing, China., Zhou B; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China., Zhao L; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China., Zhang X; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China., Dong X; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China., Strohl KP; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Case Western Reserve University, and Cleveland Louis Stokes VA Medical Center, Cleveland, Ohio., Wang J; Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China., Liu G; Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China., Han F; Division of Sleep Medicine, Peking University People's Hospital, Beijing, China.
Jazyk:	angličtina
Zdroj:	Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2023 Nov 01; Vol. 19 (11), pp. 1951-1960.
DOI:	10.5664/jcsm.10726
Abstrakt:	Study Objectives: To determine if a home sleep apnea test (HSAT) using a type III portable monitor (PM), Nox-T3 (Nox Medical, Inc., Reykjavik, Iceland), detects obstructive sleep apnea in pregnant women. Methods: Ninety-two pregnant women (34.5 ± 4.3 years; gestational age 25.4 ± 8.9 weeks; body mass index 29.9 ± 4.7 kg/m 2 ) with suspected obstructive sleep apnea underwent HSAT with the Nox-T3 PM followed by overnight polysomnography (PSG) and PM recording simultaneously in the laboratory within 1 week. PMs were scored automatically and manually using a 3% criteria and compared with PSGs scored by following guidelines. Results: Apnea-hypopnea indexes were 8.56 ± 10.42, 8.19 ± 13.79, and 8.71 ± 14.19 events/h on HSAT, in-laboratory PM recording, and PSG ( P = .955), respectively. Bland-Altman analysis of the apnea-hypopnea index on PSG vs HSAT showed a mean difference (95% confidence interval) of -0.15 (-1.83, 1.53); limits of agreement (± 2 SD) were -16.26 to 16.56 events/h. Based on a threshold apnea-hypopnea index ≥ 5 events/h, HSAT had 91% sensitivity, 85% specificity, 84% positive-predictive value, and 92% negative-predictive value compared with PSG. When comparing the simultaneous recordings, closer agreement was observed. Automated vs manual analysis of PM showed no significant difference. Conclusions: A type III PM had an acceptable failure rate and high diagnostic performance operating as a reasonable alternative for in-laboratory PSG in pregnant women. Citation: Wang J, Zhang C, Xu L, et al. Home monitoring for clinically suspected obstructive sleep apnea in pregnancy. J Clin Sleep Med . 2023;19(11):1951-1960. (© 2023 American Academy of Sleep Medicine.)
Databáze:	MEDLINE
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