Night to night variability of pulse oximetry features in children at home and at the hospital
| Autor: | J. Mark Ansermino, Xenia L. R. Hoppenbrouwer, Aryannah U. Rollinson, Wendy Oude Nijeweme-d'Hollosy, Dustin Dunsmuir, Peter H. Veltink, Guy A. Dumont, Ainara Garde |
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| Přispěvatelé: | TechMed Centre, Biomedical Signals and Systems, Digital Society Institute |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
night to night variability Physiology Overnight pulse oximetry Polysomnography Biomedical Engineering Biophysics UT-Hybrid-D signal analysis Sleep Apnea Syndromes Signal quality Physiology (medical) Photoplethysmogram Heart rate medicine Humans Oximetry Child paediatric sleep apnea Sleep Apnea Obstructive medicine.diagnostic_test Pulse (signal processing) business.industry pulse rate variability medicine.disease Hospitals pulse oximetry linear mixed models Obstructive sleep apnea Pulse oximetry Emergency medicine business |
| Zdroj: | Physiological measurement, 42(10):104003. IOP Publishing Ltd. |
| ISSN: | 0967-3334 |
| DOI: | 10.1088/1361-6579/ac278e |
| Popis: | Objective. Investigation of the night-to-night (NtN) variability of pulse oximetry features in children with suspicion of Sleep Apnea. Approach. Following ethics approval and informed consent, 75 children referred to British Columbia Children's Hospital for overnight PSG were recorded on three consecutive nights, including one at the hospital simultaneously with polysomnography and 2 nights at home. During all three nights, a smartphone-based pulse oximeter sensor was used to record overnight pulse oximetry (SpO2 and photoplethysmogram). Features characterizing SpO2 dynamics and heart rate were derived. The NtN variability of these features over the three different nights was investigated using linear mixed models. Main results. Overall most pulse oximetry features (e.g. the oxygen desaturation index) showed no NtN variability. One of the exceptions is for the signal quality, which was significantly lower during at home measurements compared to measurements in the hospital. Significance. At home pulse oximetry screening shows an increasing predictive value to investigate obstructive sleep apnea (OSA) severity. Hospital recordings affect subjects normal sleep and OSA severity and recordings may vary between nights at home. Before establishing the role of home monitoring as a diagnostic test for OSA, we must first determine their NtN variability. Most pulse oximetry features showed no significant NtN variability and could therefore be used in future at-home testing to create a reliable and consistent OSA screening tool. A single night recording at home should be able to characterize pulse oximetry features in children. |
| Databáze: | OpenAIRE |
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