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

Autor: Marcello Bosi, Claudio Vicini, Venerino Poletti, Giovanni D'Agostino, Giulio Romano Filograna Pignatelli, Chiara Bellini, Elisabetta Firinu, Ermelinda Zeccardo, Alessandro Pacella, Riccardo Gobbi, Andrea De Vito
Rok vydání: 2017
Předmět:
Male
Pediatrics
medicine.medical_specialty
Polysomnography
Diagnostic accuracy
Diagnostic evaluation
03 medical and health sciences
Otolaryngology
0302 clinical medicine
Sleep Apnea Syndromes
Daily practice
Journal Article
Validation process
Medicine
Humans
Oximetry
Staff Development
Portable monitoring
Compact polysmonography/polygraphy
Obstructive sleep apnea
SBD patients’ management
Sleep breathing disorders
Otorhinolaryngology2734 Pathology and Forensic Medicine
Kappa value
medicine.diagnostic_test
business.industry
SBD patientsâ management
Ambientale
General Medicine
Middle Aged
medicine.disease
Breathing disorders
Patient Care Management
030228 respiratory system
Otorhinolaryngology
Italy
Dimensional Measurement Accuracy
Point-of-Care Testing
Physical therapy
Female
business
030217 neurology & neurosurgery
Learning Curve
Zdroj: Bosi, M, De Vito, A, Bellini, C, D'Agostino, G, Firinu, E, Gobbi, R, Pacella, A, Filograna Pignatelli, G, Zeccardo, E, Poletti, V & Vicini, C 2017, ' The interpretation of compact polysomnography/polygraphy in sleep breathing disorders patients : a validation's study ', 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, vol. 274, no. 8, pp. 3251-3257 . https://doi.org/10.1007/s00405-017-4578-8
ISSN: 1434-4726
DOI: 10.1007/s00405-017-4578-8
Popis: 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: OpenAIRE
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